{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T06:40:33Z","timestamp":1792046433883,"version":"4.4.0"},"reference-count":53,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T00:00:00Z","timestamp":1704326400000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To determine bony knee morphological factors associated with primary posterior cruciate ligament (PCL) rupture or PCL graft failure after PCL reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three databases, namely MEDLINE, PubMed\u00a0and EMBASE, were searched on 30th May 2023. The authors adhered to the PRISMA and R\u2010AMSTAR guidelines as well as the Cochrane Handbook for Systematic Reviews of Interventions. Data such as receiver operating characteristic curve parameters, as well as <jats:italic>p<\/jats:italic>\u2010values for comparisons of values between patients with PCL pathology and control patients, were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nine studies comprising 1054 patients were included. Four studies reported that patients with PCL injury had flatter medial posterior tibial slopes (MTS) than controls, with mean values of 4.3 (range: 3.0\u20137.0) and 6.5 (range: 5.0\u20139.2) degrees, respectively. Two studies reported an MTS cutoff value ranging below 3.90\u20133.93\u00b0 being a significant risk factor for primary PCL rupture or PCL graft failure. Two studies reported that shallow medial tibial depths were associated with primary PCL rupture, with mean values of 2.1 (range: 2.0\u20132.2) and 2.6 (range: 2.4\u20132.7)\u2009mm in PCL injury and control groups,\u00a0respectively. Stenotic intercondylar notches and femoral condylar width were not consistently associated with PCL injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Decreased MTS is associated with primary PCL rupture and graft failure after PCL reconstruction with values below 3.93\u00b0 being considered as a significant risk factor. Less common risk factors include shallow medial tibial depth, while femoral condylar width and parameters with regards to the intercondylar notch, such as notch width, notch width index\u00a0and intercondylar notch volume, demonstrated conflicting associations with primary or secondary PCL injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level III.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12025","type":"journal-article","created":{"date-parts":[[2024,1,4]],"date-time":"2024-01-04T03:19:58Z","timestamp":1704338398000},"page":"167-180","source":"Crossref","is-referenced-by-count":20,"title":["Decreased posterior tibial slope is a risk factor for primary posterior cruciate ligament rupture and posterior cruciate ligament reconstruction failure: A systematic 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