{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:24:12Z","timestamp":1787675052284,"version":"build-2784847793"},"reference-count":38,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the influence of medial and lateral posterior tibial slopes (MPTS and LPTS) on graft survival and patient\u2010reported outcomes (PROs) in patients undergoing bicruciate ligament reconstruction for multiligament knee injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included patients who underwent bicruciate ligament reconstruction between January 2010 and December 2022. Eligible patients were \u226520\u2009years old and had a minimum of 2\u2009years of clinical follow\u2010up, whereas those with pre\u2010existing disability, concomitant tibial plateau, distal femoral, or patellar fractures, or knee dislocation grade V or VI at the time of injury were excluded. MPTS and LPTS were measured on magnetic resonance imaging, and patients were stratified by previously reported slope thresholds (MPTS\u2009&gt;\u20095.6\u00b0, LPTS\u2009&gt;\u20093.8\u00b0 or &gt;7.4\u00b0). Graft failure and PROs, including International Knee Documentation Committee score, Tegner activity scale, Lysholm score, and visual analog scale were recorded and analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 77 patients who underwent bicruciate reconstruction, 50 met the inclusion criteria and were analyzed. The mean follow\u2010up was 8.8\u2009\u00b1\u20097.7\u2009years. Graft failure occurred in 8 patients (16.0%), including 4 anterior cruciate ligament retears, 2 posterior cruciate ligament retears, and 2 cases of graft laxity. No significant differences in graft failure or PROs were observed between groups stratified by MPTS or LPTS thresholds. However, MPTS showed a significant negative correlation with International Knee Documentation Committee (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>s<\/jats:sub>\n                      \u2009=\u2009\u22120.386,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.006), Lysholm (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>s<\/jats:sub>\n                      \u2009=\u2009\u22120.290,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.041), and Tegner activity scores (\n                      <jats:italic>r<\/jats:italic>\n                      <jats:sub>s<\/jats:sub>\n                      \u2009=\u2009\u22120.282,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.047), indicating worse functional outcomes with higher MPTS. No significant correlations were found between LPTS and any PROs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Graft failure rates did not differ according to MPTS or LPTS. However, a higher MPTS was associated with lower International Knee Documentation Committee, Lysholm, and Tegner activity scores in linear regression analyses, indicating poorer functional outcomes following bicruciate ligament reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70338","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T22:29:17Z","timestamp":1782858557000},"page":"1779-1789","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Increased Medial Posterior Tibial Slope Is Associated With Worse Patient\u2010Reported Outcomes After Bicruciate Ligament Reconstruction"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0951-8610","authenticated-orcid":false,"given":"Kun\u2010Han","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology Taipei Veterans General Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun\u2010Hui","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"School of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya\u2010Wen","family":"Tsai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"School of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsuan\u2010Hsiao","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"School of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tung\u2010Fu","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Taipei Veterans General Hospital  Taipei Taiwan"},{"name":"School of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsiao\u2010Li","family":"Ma","sequence":"additional","affiliation":[{"name":"School of Medicine National Yang Ming Chiao Tung University  Taipei Taiwan"},{"name":"Department of Orthopaedics Cheng\u2010Hsin General Hospital  Taipei 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