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Ein normaler PTS liegt zwischen 6 und 12\u00b0. Abweichungen, wie ein steilerer Slope (&gt;\u202f12\u00b0) oder ein flacherer Slope (&lt;\u202f5\u00b0), sind mit charakteristischen biomechanischen Ver\u00e4nderungen verbunden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Fragestellung<\/jats:title>\n                    <jats:p>Die Arbeit befasst sich mit der klinischen Bedeutung des sagittalen Alignments und dessen Auswirkungen auf das Verletzungsrisiko von Kreuzb\u00e4ndern, Menisken und Knorpel. Au\u00dferdem werden g\u00e4ngige radiologische Messmethoden und chirurgische Korrekturen bei pathologischen PTS-Werten untersucht.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>Die Arbeit fasst Erkenntnisse aus zahlreichen biomechanischen und klinischen Studien zusammen. Die radiologische Bestimmung des PTS sowie die chirurgischen Korrekturm\u00f6glichkeiten werden detailliert vorgestellt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Ein erh\u00f6hter PTS ist ein signifikanter Risikofaktor f\u00fcr VKB-Rupturen und Transplantatversagen nach Rekonstruktionen. Ein Wert von\u202f&gt;\u200912\u00b0 hat sich in vielen Studien als statistischer Schwellenwert herauskristallisiert, ab dem das Risiko relevant steigt. Erh\u00f6hte Slope-Werte sind zudem mit einem erh\u00f6hten Risiko f\u00fcr Meniskuswurzel- und Rampenl\u00e4sionen assoziiert. Die Evidenz f\u00fcr einen Zusammenhang mit Knorpelsch\u00e4den ist noch gering. Umgekehrt erh\u00f6ht ein flacherer Slope (&lt;\u202f5\u00b0) das Risiko f\u00fcr Rupturen und Re-Rupturen des HKB. Die Korrektur des PTS durch eine \u201eClosed-wedge\u201c-Osteotomie wird in der Literatur bei Werten\u202f&gt;\u200912\u00b0 h\u00e4ufig diskutiert und scheint das Risiko einer erneuten VKB-Ruptur zu reduzieren.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>Die starke Korrelation zwischen dem sagittalen Alignment und der Bandinstabilit\u00e4t unterstreicht die zentrale Bedeutung des PTS in der Kniegelenkbiomechanik. Folglich muss der PTS als prim\u00e4rer Risikofaktor systematisch in die Diagnostik einbezogen werden. Bei VKB- oder HKB-Transplantatversagen und gleichzeitig pathologischem Slope sollte die operative Korrektur als kausal ansetzende therapeutische Option diskutiert werden, um die Belastung des Transplantats zu minimieren. Hochwertige prospektive Studien sind jedoch notwendig, um die langfristige \u00dcberlegenheit dieses kombinierten Ansatzes abschlie\u00dfend zu belegen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00132-025-04750-4","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T13:28:38Z","timestamp":1764941318000},"page":"662-670","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Der posteriore tibiale Slope als intrinsischer Risikofaktor","The posterior tibial slope as an intrinsic risk factor"],"prefix":"10.1007","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0742-0791","authenticated-orcid":false,"given":"Kai","family":"von Schwarzenberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"G\u00f6ker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Babasiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julius","family":"Kla\u00dfen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Till","family":"Rosenkranz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peer","family":"Eysel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rgen","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,5]]},"reference":[{"key":"4750_CR1","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1007\/S00402-004-0728-8","volume":"124","author":"JD Agneskirchner","year":"2004","unstructured":"Agneskirchner\u00a0JD, Hurschler\u00a0C, Stukenborg-Colsman\u00a0C, Imhoff\u00a0AB, Lobenhoffer\u00a0P (2004) Effect of high tibial flexion osteotomy on cartilage pressure and joint kinematics: A\u00a0biomechanical study in human cadaveric knees. 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