Steeper Tibial Slopes, Like Steeper Ski Slopes, Might Lead to More ACL Stress and Tears: Commentary on an article by Dean Wang, MD, et al.: "Tibiofemoral Kinematics During Compressive Loading of the ACL-Intact and ACL-Sectioned Knee. Roles of Tibial Slope, Medial Eminence Volume, and Anterior Laxity"

Affiliations

Comment

Robert F LaPrade. J Bone Joint Surg Am. 2019.

. 2019 Jun 19;101(12):e58.

doi: 10.2106/JBJS.19.00302.

No abstract available

Comment on

Tibiofemoral Kinematics During Compressive Loading of the ACL-Intact and ACL-Sectioned Knee: Roles of Tibial Slope, Medial Eminence Volume, and Anterior Laxity.
Wang D, Kent RN 3rd, Amirtharaj MJ, Hardy BM, Nawabi DH, Wickiewicz TL, Pearle AD, Imhauser CW. Wang D, et al. J Bone Joint Surg Am. 2019 Jun 19;101(12):1085-1092. doi: 10.2106/JBJS.18.00868. J Bone Joint Surg Am. 2019. PMID: 31220025

1. Christensen JJ, Krych AJ, Engasser WM, Vanhees MK, Collins MS, Dahm DL. Lateral tibial posterior slope is increased in patients with early graft failure after anterior cruciate ligament reconstruction. Am J Sports Med. 2015 Oct;43(10):2510-4. Epub 2015 Aug 28.
1. Wordeman SC, Quatman CE, Kaeding CC, Hewett TE. In vivo evidence for tibial plateau slope as a risk factor for anterior cruciate ligament injury: a systematic review and meta-analysis. Am J Sports Med. 2012 Jul;40(7):1673-81. Epub 2012 Apr 26.
1. Bernhardson AS, Aman ZS, Dornan GJ, Kemler BR, Storaci HW, Brady AW, Nakama GY, LaPrade RF. Tibial slope and its effect on force in anterior cruciate ligament grafts: anterior cruciate ligament force increases linearly as posterior tibial slope increases. Am J Sports Med. 2019 Feb;47(2):296-302. Epub 2019 Jan 14.
1. Salmon LJ, Heath E, Akrawi H, Roe JP, Linklater J, Pinczewski LA. 20-year outcomes of anterior cruciate ligament reconstruction with hamstring tendon autograft: the catastrophic effect of age and posterior tibial slope. Am J Sports Med. 2018 Mar;46(3):531-43. Epub 2017 Dec 15.