. 2025 Aug:13:100900.

doi: 10.1016/j.jisako.2025.100900. Epub 2025 May 29.

Assessment and surgical correction of posterior tibial slope in revision anterior cruciate ligament surgery: An international expert Delphi consensus statement

Anja M Wackerle¹, Stephen Marcaccio², Nicholas Apseloff³, Alan Getgood⁴, Volker Musahl², Sachin Tapasvi⁵; Posterior Tibial Slope Consensus Group

Collaborators, Affiliations

Collaborators

Posterior Tibial Slope Consensus Group:
Michael J Alaia⁶, Annunziato Amendola⁷, Roland Becker⁸, Charles H Brown Jr⁹, Jorge Chahla¹⁰, Mark Clatworthy¹¹, Matthew J Dawson¹², David Dejour¹³, Karl-Heinz Frosch¹⁴, Pablo E Gelber¹⁵, Brian M Godshaw¹⁶, Daniel Guenther¹⁷, S Mark Heard¹⁸, Ronald van Heerwaarden¹⁹, Michael T Hirschmann²⁰, Jonathan D Hughes²¹, Florian B Imhoff²², Raghbir Singh Khakha²³, Kristian Kley²⁴, Robert F LaPrade²⁵, Bruce A Levy²⁶, Walter R Lowe²⁷, Sébastien Lustig²⁸, Rodrigo Maestu²⁹, Jacques Menetrey³⁰, Philippe Neyret³¹, Matthieu Ollivier³², David A Parker³³, Wolf Petersen³⁴, Anil S Ranawat³⁵, Steffen Schröter³⁶, Romain Seil³⁷, Seth L Sherman³⁸, Konrad Słynarski³⁹, Bertrand Sonnery-Cottet⁴⁰, Tim Spalding⁴¹, René Verdonk⁴², Armando F Vidal⁴³, Brian R Waterman⁴⁴, Andreas Weiler⁴⁵, Andy Williams⁴⁶, Adrian Wilson⁴⁷, Stefano Zaffagnini⁴⁸

Affiliations

¹ Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Department of Sports Orthopaedics, Technical University of Munich, Munich, Germany. Electronic address: anja.wackerle@mri.tum.de.
² Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
³ The Ohio State University Wexner Medical Center, Columbus, OH, USA.
⁴ Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar; University of Western Ontario, London, Ontario, Canada.
⁵ The Orthopaedic Specialty Clinic, Pune, India.
⁶ NYU Langone Orthopedic Hospital, Division of Sports Medicine, 333 E 38th Street, New York, NY 10016, USA.
⁷ Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.
⁸ Department of Orthopaedic and Trauma Surgery, University Hospital Brandenburg, University Theodor Fontane, Brandenburg an der Havel, Germany.
⁹ International Knee and Joint Centre, Abu Dhabi, United Arab Emirates.
¹⁰ Department of Orthopedics, Rush University Medical Center, Chicago, IL, USA.
¹¹ Department of Orthopaedic Surgery, Middlemore Hospital, Auckland, New Zealand.
¹² North Cumbria Integrated Care NHS Foundation Trust, Cumberland Infirmary, Carlisle, UK.
¹³ Lyon-Ortho-Clinic, Clinique de la Sauvegarde, Ramsay Santé, Lyon, France.
¹⁴ Department of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Department of Trauma Surgery, Orthopaedics and Sports Traumatology, BG Hospital Hamburg, Hamburg, Germany.
¹⁵ ReSport Clinic, Hospital de la Santa Creu, i Sant Pau, Barcelona, Spain.
¹⁶ Ochsner Sports Medicine Institute, New Orleans, LA, USA.
¹⁷ Department of Orthopaedic Surgery, Trauma Surgery, and Sports Medicine, Cologne Merheim Medical Center, Witten/Herdecke University, Cologne, Germany.
¹⁸ Department of Surgery, University of Calgary, Calgary, Canada.
¹⁹ Centre for Deformity Correction and Joint Preserving Surgery, Kliniek ViaSana, Mill, the Netherlands.
²⁰ Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Laufen, Liestal, Switzerland.
²¹ Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Pittsburgh, USA.
²² Department of Orthopaedic and Trauma Surgery, University Hospital Basel, Basel, Switzerland.
²³ Guys and St Thomas' Hospitals, London, UK.
²⁴ London Knee Osteotomy Centre, Orthopaedic Specialists, Harley Street Specialist Hospital, London, UK.
²⁵ Twin Cities Orthopedics, Edina, MN, USA.
²⁶ Orlando Health Jewett Orthopedic Institute, Orlando, FL, USA.
²⁷ Department of Orthopedic Surgery, University of Texas Health Science Center at Houston, Houston, TX 77401, USA.
²⁸ Orthopaedics Surgery and Sports Medicine Department, FIFA Medical Center of Excellence, Croix-Rousse Hospital, Lyon University Hospital, 69004 Lyon, France; Univ Lyon, Claude Bernard Lyon 1 University, IFSTTAR, LBMC UMR_T9406, 69622, Lyon, France.
²⁹ Centro de Tratamiento de Enfermedades Articulares, Buenos Aires, Argentina.
³⁰ Centre de Medecine du sports et de l'Exercice (CMSE), Hirslanden Clinique La Colline, Geneva, Switzerland; Orthopaedic Surgery Service, University Hospital of Geneva, Geneva, Switzerland.
³¹ Infirmerie Protestante, Orthopaedic Department, 3 rue Penthod, Caluire-et-Cuire, 69300, France.
³² Aix-Marseille University, APHM, CNRS, ISM, Sainte-Marguerite Hospital, Institute for Locomotion, Marseille, France.
³³ Sydney Orthopaedic Research Institute, St Leonards, Sydney, Australia.
³⁴ Martin Luther Hospital, Caspar They Strasse 27-31, 14193 Berlin, Germany.
³⁵ Sports Medicine Institute, Hospital for Special Surgery, New York, NY, USA.
³⁶ Department of Orthopedics and Reconstructive Surgery, Diakonie Klinikum GmbH Jung-Stilling-Krankenhaus, Siegen, Germany.
³⁷ Department of Orthopaedic Surgery, Hopital Municipal et Clinique d'Eich, Luxembourg City, Luxembourg.
³⁸ Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA.
³⁹ Słynarski Knee Clinic, Warsaw, Poland.
⁴⁰ Groupe Ramsay-Santé, Centre Orthopédique Santy, FIFA Medical Center of Excellence, Hôpital Privé Jean-Mermoz, Lyon, France.
⁴¹ Cleveland Clinic London, England, UK.
⁴² ULB Erasmus University Hospital, Brussels, Belgium.
⁴³ Steadman Philippon Research Institute, Vail, CO, USA.
⁴⁴ Department of Orthopaedic Surgery and Rehabilitation, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
⁴⁵ Sporthopaedicum Berlin, Berlin, Germany.
⁴⁶ Fortius Clinic, London, UK.
⁴⁷ Orthopaedic Specialist Group, Harley Street Specialist Hospital, Queen Anne St, London, UK.
⁴⁸ Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

PMID: 40446928
DOI: 10.1016/j.jisako.2025.100900

Free article

Assessment and surgical correction of posterior tibial slope in revision anterior cruciate ligament surgery: An international expert Delphi consensus statement

Anja M Wackerle et al. J ISAKOS. 2025 Aug.

Free article

. 2025 Aug:13:100900.

doi: 10.1016/j.jisako.2025.100900. Epub 2025 May 29.

Authors

Anja M Wackerle¹, Stephen Marcaccio², Nicholas Apseloff³, Alan Getgood⁴, Volker Musahl², Sachin Tapasvi⁵; Posterior Tibial Slope Consensus Group

Collaborators

Posterior Tibial Slope Consensus Group:
Michael J Alaia⁶, Annunziato Amendola⁷, Roland Becker⁸, Charles H Brown Jr⁹, Jorge Chahla¹⁰, Mark Clatworthy¹¹, Matthew J Dawson¹², David Dejour¹³, Karl-Heinz Frosch¹⁴, Pablo E Gelber¹⁵, Brian M Godshaw¹⁶, Daniel Guenther¹⁷, S Mark Heard¹⁸, Ronald van Heerwaarden¹⁹, Michael T Hirschmann²⁰, Jonathan D Hughes²¹, Florian B Imhoff²², Raghbir Singh Khakha²³, Kristian Kley²⁴, Robert F LaPrade²⁵, Bruce A Levy²⁶, Walter R Lowe²⁷, Sébastien Lustig²⁸, Rodrigo Maestu²⁹, Jacques Menetrey³⁰, Philippe Neyret³¹, Matthieu Ollivier³², David A Parker³³, Wolf Petersen³⁴, Anil S Ranawat³⁵, Steffen Schröter³⁶, Romain Seil³⁷, Seth L Sherman³⁸, Konrad Słynarski³⁹, Bertrand Sonnery-Cottet⁴⁰, Tim Spalding⁴¹, René Verdonk⁴², Armando F Vidal⁴³, Brian R Waterman⁴⁴, Andreas Weiler⁴⁵, Andy Williams⁴⁶, Adrian Wilson⁴⁷, Stefano Zaffagnini⁴⁸

Affiliations

¹ Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA; Department of Sports Orthopaedics, Technical University of Munich, Munich, Germany. Electronic address: anja.wackerle@mri.tum.de.
² Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
³ The Ohio State University Wexner Medical Center, Columbus, OH, USA.
⁴ Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar; University of Western Ontario, London, Ontario, Canada.
⁵ The Orthopaedic Specialty Clinic, Pune, India.
⁶ NYU Langone Orthopedic Hospital, Division of Sports Medicine, 333 E 38th Street, New York, NY 10016, USA.
⁷ Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.
⁸ Department of Orthopaedic and Trauma Surgery, University Hospital Brandenburg, University Theodor Fontane, Brandenburg an der Havel, Germany.
⁹ International Knee and Joint Centre, Abu Dhabi, United Arab Emirates.
¹⁰ Department of Orthopedics, Rush University Medical Center, Chicago, IL, USA.
¹¹ Department of Orthopaedic Surgery, Middlemore Hospital, Auckland, New Zealand.
¹² North Cumbria Integrated Care NHS Foundation Trust, Cumberland Infirmary, Carlisle, UK.
¹³ Lyon-Ortho-Clinic, Clinique de la Sauvegarde, Ramsay Santé, Lyon, France.
¹⁴ Department of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Department of Trauma Surgery, Orthopaedics and Sports Traumatology, BG Hospital Hamburg, Hamburg, Germany.
¹⁵ ReSport Clinic, Hospital de la Santa Creu, i Sant Pau, Barcelona, Spain.
¹⁶ Ochsner Sports Medicine Institute, New Orleans, LA, USA.
¹⁷ Department of Orthopaedic Surgery, Trauma Surgery, and Sports Medicine, Cologne Merheim Medical Center, Witten/Herdecke University, Cologne, Germany.
¹⁸ Department of Surgery, University of Calgary, Calgary, Canada.
¹⁹ Centre for Deformity Correction and Joint Preserving Surgery, Kliniek ViaSana, Mill, the Netherlands.
²⁰ Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Laufen, Liestal, Switzerland.
²¹ Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, Pittsburgh, USA.
²² Department of Orthopaedic and Trauma Surgery, University Hospital Basel, Basel, Switzerland.
²³ Guys and St Thomas' Hospitals, London, UK.
²⁴ London Knee Osteotomy Centre, Orthopaedic Specialists, Harley Street Specialist Hospital, London, UK.
²⁵ Twin Cities Orthopedics, Edina, MN, USA.
²⁶ Orlando Health Jewett Orthopedic Institute, Orlando, FL, USA.
²⁷ Department of Orthopedic Surgery, University of Texas Health Science Center at Houston, Houston, TX 77401, USA.
²⁸ Orthopaedics Surgery and Sports Medicine Department, FIFA Medical Center of Excellence, Croix-Rousse Hospital, Lyon University Hospital, 69004 Lyon, France; Univ Lyon, Claude Bernard Lyon 1 University, IFSTTAR, LBMC UMR_T9406, 69622, Lyon, France.
²⁹ Centro de Tratamiento de Enfermedades Articulares, Buenos Aires, Argentina.
³⁰ Centre de Medecine du sports et de l'Exercice (CMSE), Hirslanden Clinique La Colline, Geneva, Switzerland; Orthopaedic Surgery Service, University Hospital of Geneva, Geneva, Switzerland.
³¹ Infirmerie Protestante, Orthopaedic Department, 3 rue Penthod, Caluire-et-Cuire, 69300, France.
³² Aix-Marseille University, APHM, CNRS, ISM, Sainte-Marguerite Hospital, Institute for Locomotion, Marseille, France.
³³ Sydney Orthopaedic Research Institute, St Leonards, Sydney, Australia.
³⁴ Martin Luther Hospital, Caspar They Strasse 27-31, 14193 Berlin, Germany.
³⁵ Sports Medicine Institute, Hospital for Special Surgery, New York, NY, USA.
³⁶ Department of Orthopedics and Reconstructive Surgery, Diakonie Klinikum GmbH Jung-Stilling-Krankenhaus, Siegen, Germany.
³⁷ Department of Orthopaedic Surgery, Hopital Municipal et Clinique d'Eich, Luxembourg City, Luxembourg.
³⁸ Department of Orthopaedic Surgery, Stanford University, Redwood City, CA, USA.
³⁹ Słynarski Knee Clinic, Warsaw, Poland.
⁴⁰ Groupe Ramsay-Santé, Centre Orthopédique Santy, FIFA Medical Center of Excellence, Hôpital Privé Jean-Mermoz, Lyon, France.
⁴¹ Cleveland Clinic London, England, UK.
⁴² ULB Erasmus University Hospital, Brussels, Belgium.
⁴³ Steadman Philippon Research Institute, Vail, CO, USA.
⁴⁴ Department of Orthopaedic Surgery and Rehabilitation, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
⁴⁵ Sporthopaedicum Berlin, Berlin, Germany.
⁴⁶ Fortius Clinic, London, UK.
⁴⁷ Orthopaedic Specialist Group, Harley Street Specialist Hospital, Queen Anne St, London, UK.
⁴⁸ Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

PMID: 40446928
DOI: 10.1016/j.jisako.2025.100900

Abstract

Purpose: The aim was to provide international guidelines to enhance decision-making regarding the definition and evaluation of increased posterior tibial slope (PTS) and the role of anterior closing wedge high tibial osteotomy (ACWHTO) in the setting of revision anterior cruciate ligament reconstruction (ACLR).

Methods: This guideline is based on responses from 46 international orthopaedic surgeons with expert experience in knee pathologies and osteotomy. Based on a literature review, each expert drafted and commented on a set of core statements. The provided comments were blinded and discussed within the working group to refine the statements. In a subsequent round of surveys, all experts discussed with the final 32 statements. Consensus was achieved when at least 80 % of survey respondents fully agreed.

Results: With respect to ACWHTO for PTS reduction, there was consensus achieved for using the medial plateau as a measurement for PTS measuring, aiming for PTS correction of 5-7°, individualizing osteotomy wedge thickness, and performing ACWHTO and revision ACLR in a single stage. There was no consensus on the type of radiographs to be used, a cut-off value for increased PTS, an absolute indication for ACWHTO the osteotomy technique, nor type of fixation. The International consensus statements aim to bridge the gap between research and clinical application to enhance clinicians' decision-making in revision ACLR management and to focus future areas of required research.

Conclusion: The literature review confirmed a paucity of evidence to guide clinicians in the diagnosis and surgical management of increased PTS. An agreement could be achieved for 25/32 statements (78 %) on the definition and assessment of PTS, indication, planning, surgical decision-making, and peri- and postoperative management for ACWHTO. While no consensus could be achieved for the definition of a cut-off value for pathological PTS, consensus was reached for a variety of statements on diagnostic and surgical aspects.

Level of evidence: V, expert opinion.

Keywords: Anterior cruciate ligament; Consensus; Osteotomy; Posterior tibial slope.

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Conflict of interest statement

Declaration of competing interest The following authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Alan Getgood: Aesculap/B.Braun: Research support. American Journal of Sports Medicine: Editorial or governing board. Graymont Inc: IP royalties. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member. Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. LinkX Robotics: Stock or stock Options. Ossur: Research support. Ostesys Robotics: Stock or stock Options. Precision OS: Stock or stock Options. Smart HTO: Stock or stock Options. Smith & Nephew: Paid consultant; Paid presenter or speaker; Research support. Spring Loaded Technologies Inc: Stock or stock Options. Surgical Health Innovations Corp: Stock or stock Options. Volker Musahl: ACL Study Group: Board or committee member. American Orthopaedic Society for Sports Medicine: Board or committee member. Arthrex, Inc: Other financial or material support. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member. JISAKOS: Board or committee member. Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. Newclip: Paid consultant. Ostesys: Stock or stock Options. Smith & Nephew: Other financial or material support; Paid consultant. Springer: Publishing royalties, financial or material support Sachin Tapasvi: Asia Pacific Orthopaedic Assocation: Board or committee member. Indo-European Arthroscopy Arthroplasty Foundation: Board or committee member. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member. Jaypee Publishers: Publishing royalties, financial or material support. journal of ISAKOS: Editorial or governing board. Newclip Technic: Paid presenter or speaker. Smith & Nephew: Paid consultant; Paid presenter or speaker. Michael J Alaia: AAOS: Board or committee member. Arthrex, Inc: Paid consultant. Arthroscopy: Editorial or governing board. Arthroscopy Association of North America: Board or committee member. BodyCad: Paid consultant. Globus Medical: Paid consultant. Journal of Cartilage and Joint Preservation: Editorial or governing board. Mitek: Paid consultant. Orcosa, Inc: Research support. Overture: Stock or stock Options. Springer: Publishing royalties, financial or material support Annunziato Amendola: Am J Sports Med: Editorial or governing board. Arthrex, Inc: IP royalties. Bone Solutions Inc: Stock or stock Options. Journal of Isakos: Editorial or governing board. Miach Orthopedics Inc: Stock or stock Options. Springer: Publishing royalties, financial or material support. Stryker: Research support. Wolters Kluwer Health - Lippincott Williams & Wilkins: Publishing royalties, financial or material support Roland Becker: Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. Mathys Ltd: Paid presenter or speaker. Charles H Brown Jr: Smith & Nephew: Paid consultant; Paid presenter or speaker. Jorge Chahla: American Orthopaedic Society for Sports Medicine: Board or committee member. Arthrex, Inc: Paid consultant. Arthroscopy Association of North America: Board or committee member. CONMED Linvatec: Paid consultant. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member. Ossur: Paid consultant. RTI Surgical Inc.: Paid consultant. Smith & Nephew: Paid consultant; Paid presenter or speaker. Vericel Corporation: Paid consultant. Mark Clatworthy: Arthrex, Inc: IP royalties; Other financial or material support. DePuy, A Johnson & Johnson Company: Other financial or material support; Paid consultant; Paid presenter or speaker. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member. David Dejour: Arthrex, Inc: IP royalties. Corin U.S.A.: IP royalties. European Society Sport & Knee Arthroscopy (ESSKA): Board or committee member. Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. SBM: IP royalties. Smith & Nephew: Paid consultant. Zimmer: Paid consultant. Karl-Heinz Frosch: Arthrex, Inc: IP royalties; Paid presenter or speaker; Research support Pablo E Gelber: CONMED Linvatec: IP royalties; Paid consultant; Paid presenter or speaker. NewClip: Paid consultant; Paid presenter or speaker. Daniel Guenther: AGA-Society for Arthroscopy and Joint-Surgery (Research Comittee): Board or committee member. Anika: Paid presenter or speaker. Arthrex, Inc: Paid consultant; Paid presenter or speaker; Research support. BMC Musculoskeletal Disorders: Editorial or governing board. DIZG: Paid presenter or speaker. European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA): Board or committee member. Geistlich: Paid presenter or speaker. German Association for Traumatology (DGU): Board or committee member. German Knee Society (DKG): Board or committee member. International Journal of Orthopaedics: Editorial or governing board. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member. Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. Medi: Paid presenter or speaker. Medical Magnesium: Paid consultant; Paid presenter or speaker. Rimasys: Paid consultant; Paid presenter or speaker. Smith & Nephew: Paid consultant. Storz: Paid consultant; Paid presenter or speaker. Stryker: Paid consultant; Paid presenter or speaker. S Mark Heard: Smith and Nephew: Type: IP Royalties. Ronald van Heerwaarden: Newclip Technics: Paid consultant. Michael T Hirschmann: AGA: Board or committee member. BMC Sports Medicine, Arthroscopy, Rehabilitation, Therapy&Technology: Editorial or governing board. DePuy, A Johnson & Johnson Company: Paid consultant; Paid presenter or speaker. ESSKA: Board or committee member. European Knee Associates (EKA): Board or committee member. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member. Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. Lima: Paid consultant; Paid presenter or speaker. Muscle Ligament Tendon Journal (MLT): Editorial or governing board. Smith & Nephew: Paid consultant; Paid presenter or speaker. Symbios: Paid consultant; Paid presenter or speaker. Florian B Imhoff: Arthrex, Inc: Paid presenter or speaker. Kristian Kley: Newclip: IP royalties; Unpaid consultant. Robert F LaPrade: Type: Other Intellectual Property. Smith and Nephew: Type: Other Professional Activities. ISAKOS-Deputy Chair, traveling fellowship committee ISAKOS-Scientific Committee: Type: Board of Directors or committee member Self. AJSM, KSSTA, JEO, JISPT, OTSM, JKS: Type: Editorial or governing board Self. Bruce A Levy: Arthrex, Inc: IP royalties; Paid consultant. COVR Medical LLC: Stock or stock Options. Journal of Knee Surgery: Editorial or governing board. Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. Orthopedics Today: Editorial or governing board Walter R Lowe: Arthrex, Inc: IP royalties; Paid consultant; Paid presenter or speaker. Herodicus Society/Secretary Treasurer/President 2026: Board or committee member. Sébastien Lustig: Stryker Corporation: Type: Other Professional Activities. European Knee Society, ISAKOS: Type: Board of Directors or committee member Self. JBJS Am: Type: Editorial or governing board Self. Rodrigo Maestu: Arthroscopy Argentine Association: Board or committee member. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member. Latin American Arthroscopy, Knee and Sports Society: Board or committee member. Permedica: Paid consultant. Smith & Nephew: Paid consultant. Jacques Menetrey: DePuy, A Johnson & Johnson Company: Paid consultant. Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. Springer: Publishing royalties, financial or material support Philippe Neyret: Elsevier: Publishing royalties, financial or material support. latilini: Paid presenter or speaker. medacta: Paid presenter or speaker. Medacta international: Paid consultant. orthopaedic studio: Paid presenter or speaker. Smith & Nephew: Paid consultant; Paid presenter or speaker. Springer: Publishing royalties, financial or material support. Studio santé: Paid consultant. United Europe: Paid consultant. United OC: Paid presenter or speaker. Matthieu Ollivier: Arthrex, Inc: Paid consultant. Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. newclip: Paid consultant. Stryker: IP royalties; Paid consultant. David A Parker: ACL Study Group: Board or committee member. AJSM: Editorial or governing board. Asia Pacific Knee Arthroscopy and Sports Medicine Society: Board or committee member. Asia Pacific Knee Society: Board or committee member. Ganymed Robotics: Stock or stock Options; Unpaid consultant. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member. OJSM, JISAKOS: Editorial or governing board. Personalised Surgery: Stock or stock Options. SMARTT Journal: Editorial or governing board. Smith & Nephew: Paid consultant; Paid presenter or speaker. Zimmer: Research support Wolf Petersen: Arthrex, Inc: Paid presenter or speaker. Deutsche Kniegesellschaft, GOTS: Board or committee member. Geistlich: Paid presenter or speaker. Karl Storz: IP royalties. Kniejournal: Editorial or governing board. OPED, Valley, Germany: Paid consultant. Anil S Ranawat: AAOS: Board or committee member. American Journal of Sports Medicine: Editorial or governing board. American Orthopaedic Society for Sports Medicine: Board or committee member. Anika: Paid consultant. Bodycad: Paid consultant. Cervos: Paid consultant. CONMED Linvatec: Paid consultant. Current Trends in Musculoskeletal Medicine: Editorial or governing board. Depuy Mitek-Synthes: Research support. DePuy, A Johnson & Johnson Company: IP royalties. Enhatch: Stock or stock Options. EOA: Board or committee member. Journal of Arthroplasty: Editorial or governing board. Moximed: Paid consultant. NewClip: Paid consultant. Overture: Stock or stock Options. Ranfac: Paid consultant. Saunders/Mosby-Elsevier: Editorial or governing board. Smith & Nephew: Paid consultant. Springer: Editorial or governing board Romain Seil: Arthrex, Inc: Paid presenter or speaker. Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. Smith & Nephew: Paid presenter or speaker. Seth L Sherman: ACL Study Group: Board or committee member. Aesculap Biologics LLC: Research support. American Orthopaedic Society for Sports Medicine: Board or committee member. AO: Paid consultant. Arcuro: Paid consultant. Arthrex, Inc: Paid consultant. Arthroscopy Association of North America: Board or committee member. Biologics Alliance: Board or committee member. CONMED Linvatec: IP royalties; Paid consultant. Current Reviews in Musculoskeletal Medicine: Editorial or governing board. DJO: IP royalties; Paid consultant. Icarus Bracing: Paid consultant; Stock or stock Options. International Cartilage Regeneration & Joint Preservation Society: Board or committee member. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member. International Sports Medicine Fellows Conference: Board or committee member. JRF: Research support. Kinamed: Paid consultant. Lifenet: Paid consultant. LinkX: Paid consultant; Stock or stock Options. Miach Orthopaedics Inc.: Research support. Moximed Inc.: Paid consultant; Stock or stock Options. Organogenesis Inc.: Research support. Ossio: Research support. Ostesys: Paid consultant; Stock or stock Options. Reparel: Paid consultant; Stock or stock Options. Sarcio: Paid consultant; Stock or stock Options. Smith & Nephew: Research support. Sparta Biomedical: Paid consultant. University of Pittsburgh: Research support. Vericel: Paid consultant. Video Journal of Sports Medicine: Editorial or governing board. Vivorte: Paid consultant; Stock or stock Options. Konrad Słynarski: Anika: Paid presenter or speaker. Askel Healthcare: Paid consultant. Bertrand Sonnery-Cottet: AREAS: Stock or stock Options. Arthrex, Inc: IP royalties; Paid consultant. Tim Spalding: CONMED Linvatec: IP royalties; Paid presenter or speaker. Episurf: Paid consultant; Paid presenter or speaker. ICRS Cartilage Foundation: Board or committee member. Joint Operations UK: Paid presenter or speaker. Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. Orthonika: Paid consultant; Stock or stock Options. Smith & Nephew: Paid presenter or speaker. René Verdonk: Knee Surgery, Sports Traumatology, Arthroscopy: Editorial or governing board. Orteq: Paid consultant; Paid presenter or speaker. Armando F Vidal: AAOS: Board or committee member. American Orthopaedic Society for Sports Medicine: Board or committee member. Arthrex, Inc: Research support. Stryker: IP royalties; Paid consultant. Brian R Waterman: AAOS: Board or committee member. American Orthopaedic Society for Sports Medicine: Board or committee member. American Shoulder and Elbow Surgeons: Board or committee member. Arthrex, Inc: Other financial or material support; Paid consultant; Paid presenter or speaker. Arthroscopy: Editorial or governing board. Arthroscopy Association of North America: Board or committee member. Kaliber AI: Stock or stock Options; Unpaid consultant. Smith & Nephew: Other financial or material support. Sparta: Paid presenter or speaker; Stock or stock Options; Unpaid consultant. Vericel: Paid presenter or speaker. Video Journal of Sports Medicine: Editorial or governing board. Vivorte: Stock or stock Options. Andreas Weiler: DJ Orthopaedics: Paid presenter or speaker. Linvatec: IP royalties. Medacta: Paid consultant. Storz: IP royalties; Paid consultant. Andy Williams: Doc Coms: Stock or stock Options. Innovate Orthopaedics: Unpaid consultant. Innovate Orthopaedics and Fortius Clinic: Stock or stock Options. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine: Board or committee member. Smith & Nephew: Paid presenter or speaker; Research support Adrian Wilson: Arthrex, Inc: IP royalties; Paid consultant; Paid presenter or speaker; Research support. Newclip: IP royalties; Paid consultant; Paid presenter or speaker. The remaining authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Assessment and surgical correction of posterior tibial slope in revision anterior cruciate ligament surgery: An international expert Delphi consensus statement

Collaborators

Affiliations

Assessment and surgical correction of posterior tibial slope in revision anterior cruciate ligament surgery: An international expert Delphi consensus statement

Authors

Collaborators

Affiliations

Abstract

Conflict of interest statement

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Full Text Sources

Medical

Research Materials

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