{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:02:47Z","timestamp":1791936167997,"version":"4.3.4"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T00:00:00Z","timestamp":1665014400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T00:00:00Z","timestamp":1665014400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This case\u2013control study aimed to assess the influence of BMI and PTS on subsequent ACL injury affecting either ACL graft or the native ACL of the contralateral knee after primary ACL reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective case\u2013control study was performed using a cohort of patients who underwent arthroscopic ACL reconstruction between 2010 and 2020 using the same surgical procedure: Hamstring tendon autograft. The study group (group I) included all the patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200994) during this period who sustained a subsequent ACL injury. The control group (group II) consisted of 94 patients randomly selected (matched Group I in terms of sex, age, and ACL graft) who did not sustain any further ACL injury. PTS was measured by two blinded surgeons on lateral knee view radiographs of the operated knee after primary ACL. BMI in kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      was measured during the preoperative anesthesia consultation. Exclusion criteria were: non-true or rotated lateral knee radiographs of the operated knee post-ACLR, associated knee ligament injury requiring surgical management, iterative knee surgeries, open growth plate, and related fracture.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean posterior tibial slope in group I was 7.5\u00b0\u2009\u00b1\u20092.9, and 7.2\u00b0\u2009\u00b1\u20092.0 in group II. A PTS angle cutoff was set at 10 degrees. The rate of patients showing a PTS\u2009\u2265\u200910\u00b0 was significantly higher in group I compared to group II (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Patients with PTS\u2009\u2265\u200910\u00b0 were 5.7 times more likely to sustain a subsequent ACL injury, (OR: 5.7 95% CI[1.858\u201317.486]). The Average BMI in group I was 24.5 \u00b1 3.7 kg.m\n                      <jats:sup>\u22122<\/jats:sup>\n                      compared to group II which was 23.3 \u00b1 3.0 kg.m\n                      <jats:sup>\u22122<\/jats:sup>\n                      . There were no significant differences in any of the four BMI categories between both groups (\n                      <jats:italic>p<\/jats:italic>\n                      value 0.289). A series of BMI cut-offs were also analyzed at 23 to30 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , and there was no significant difference between both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A posterior tibial slope equal to or above 10 degrees measured on lateral knee radiographs was associated with 5.7 times higher risk of ACL graft rupture or contralateral native ACL injury; however, BMI was not.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00590-022-03406-9","type":"journal-article","created":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T00:02:31Z","timestamp":1665014551000},"page":"2091-2099","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Posterior tibial slope (PTS)\u2009\u2265\u200910 degrees is a risk factor for further anterior cruciate ligament (ACL) injury; BMI is not"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5148-7208","authenticated-orcid":false,"given":"Ali","family":"Fares","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e9ment","family":"Horteur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morad","family":"Abou Al Ezz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Hardy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brice","family":"Rubens-Duval","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karam","family":"Karam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Gaulin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regis","family":"Pailhe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,10,6]]},"reference":[{"issue":"3","key":"3406_CR1","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1249\/JSR.0000000000000053","volume":"13","author":"RJ Acevedo","year":"2014","unstructured":"Acevedo RJ, Rivera-Vega A, Miranda G, Micheo W (2014) Anterior cruciate ligament injury: identification of risk factors and prevention strategies. Curr Sports Med Rep 13(3):186\u2013191. https:\/\/doi.org\/10.1249\/JSR.0000000000000053","journal-title":"Curr Sports Med Rep"},{"key":"3406_CR2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.02.024","author":"E Hohmann","year":"2010","unstructured":"Hohmann E, Bryant A, Reaburn P, Tetsworth K (2010) Does posterior tibial slope influence knee functionality in the anterior cruciate ligament-deficient and anterior cruciate ligament-reconstructed knee? Arthrosc J Arthrosc Relat Surg. https:\/\/doi.org\/10.1016\/j.arthro.2010.02.024","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"03","key":"3406_CR3","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1055\/s-0030-1247820","volume":"21","author":"S Fening","year":"2008","unstructured":"Fening S, Kovacic J, Kambic H, McLean S, Scott J, Miniaci A (2008) The effects of modified posterior tibial slope on anterior cruciate ligament strain and knee kinematics\u2013a human cadaveric study. J Knee Surg 21(03):205\u2013211. https:\/\/doi.org\/10.1055\/s-0030-1247820","journal-title":"J Knee Surg"},{"issue":"01","key":"3406_CR4","doi-asserted-by":"publisher","first-page":"02","DOI":"10.32098\/mltj.01.2022.01","volume":"12","author":"H Akbari Aghdam","year":"2022","unstructured":"Akbari Aghdam H, Farrokhzad A, Mousavi H, Jamalipour Soufi G, Ahmadipour H, Malakooti SM (2022) The effect of proximal posterior tibial slope on the incidence of anterior cruciate ligament injury. Muscle Ligaments Tendons J 12(01):02. https:\/\/doi.org\/10.32098\/mltj.01.2022.01","journal-title":"Muscle Ligaments Tendons J"},{"issue":"9","key":"3406_CR5","doi-asserted-by":"publisher","first-page":"232596711666603","DOI":"10.1177\/2325967116666039","volume":"4","author":"MA Yabroudi","year":"2016","unstructured":"Yabroudi MA et al (2016) Predictors of revision surgery after primary anterior cruciate ligament reconstruction. Orthop J Sports Med 4(9):232596711666603. https:\/\/doi.org\/10.1177\/2325967116666039","journal-title":"Orthop J Sports Med"},{"issue":"2","key":"3406_CR6","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.knee.2019.12.003","volume":"27","author":"R Rahardja","year":"2020","unstructured":"Rahardja R, Zhu M, Love H, Clatworthy MG, Monk AP, Young SW (2020) Factors associated with revision following anterior cruciate ligament reconstruction: a systematic review of registry data. Knee 27(2):287\u2013299. https:\/\/doi.org\/10.1016\/j.knee.2019.12.003","journal-title":"Knee"},{"issue":"11","key":"3406_CR7","doi-asserted-by":"publisher","first-page":"3583","DOI":"10.1007\/s00167-019-05487-2","volume":"27","author":"T Snaebj\u00f6rnsson","year":"2019","unstructured":"Snaebj\u00f6rnsson T et al (2019) Young age and high BMI are predictors of early revision surgery after primary anterior cruciate ligament reconstruction: a cohort study from the Swedish and Norwegian knee ligament registries based on 30,747 patients. Knee Surg Sports Traumatol Arthrosc 27(11):3583\u20133591. https:\/\/doi.org\/10.1007\/s00167-019-05487-2","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"3406_CR8","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1177\/0363546509349055","volume":"38","author":"J Hashemi","year":"2010","unstructured":"Hashemi J et al (2010) Shallow medial tibial plateau and steep medial and lateral tibial slopes: new risk factors for anterior cruciate ligament injuries. Am J Sports Med 38(1):54\u201362. https:\/\/doi.org\/10.1177\/0363546509349055","journal-title":"Am J Sports Med"},{"issue":"10","key":"3406_CR9","doi-asserted-by":"publisher","first-page":"2151","DOI":"10.1016\/j.arthro.2016.04.017","volume":"32","author":"DJ Liechti","year":"2016","unstructured":"Liechti DJ et al (2016) Outcomes and risk factors of rerevision anterior cruciate ligament reconstruction: a systematic review. Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Ame Int Arthrosc Assoc 32(10):2151\u20132159. https:\/\/doi.org\/10.1016\/j.arthro.2016.04.017","journal-title":"Arthrosc J Arthrosc Relat Surg Off Publ Arthrosc Assoc N Ame Int Arthrosc Assoc"},{"issue":"11","key":"3406_CR10","doi-asserted-by":"publisher","first-page":"1475","DOI":"10.1302\/0301-620X.93B11.26905","volume":"93-B","author":"B Sonnery-Cottet","year":"2011","unstructured":"Sonnery-Cottet B et al (2011) The influence of the tibial slope and the size of the intercondylar notch on rupture of the anterior cruciate ligament. J Bone Joint Surg Br vol 93-B(11):1475\u20131478. https:\/\/doi.org\/10.1302\/0301-620X.93B11.26905","journal-title":"J Bone Joint Surg Br vol"},{"issue":"12","key":"3406_CR11","doi-asserted-by":"publisher","first-page":"2800","DOI":"10.1177\/0363546513503288","volume":"41","author":"JM Webb","year":"2013","unstructured":"Webb JM, Salmon LJ, Leclerc E, Pinczewski LA, Roe JP (2013) Posterior tibial slope and further anterior cruciate ligament injuries in the anterior cruciate ligament\u2013reconstructed patient. Am J Sports Med 41(12):2800\u20132804. https:\/\/doi.org\/10.1177\/0363546513503288","journal-title":"Am J Sports Med"},{"issue":"1","key":"3406_CR12","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1016\/j.jcot.2017.08.002","volume":"10","author":"SKT Chamala","year":"2019","unstructured":"Chamala SKT, Kumar A (2019) Comparison of anatomical risk factors for noncontact anterior cruciate ligament injury using magnetic resonance imaging. J Clin Orthop Trauma 10(1):143\u2013148. https:\/\/doi.org\/10.1016\/j.jcot.2017.08.002","journal-title":"J Clin Orthop Trauma"},{"issue":"1","key":"3406_CR13","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1055\/s-0038-1676456","volume":"33","author":"AW Su","year":"2020","unstructured":"Su AW et al (2020) Medial tibial slope determined by plain radiography is not associated with primary or recurrent anterior cruciate ligament tears. J Knee Surg 33(1):22\u201328. https:\/\/doi.org\/10.1055\/s-0038-1676456","journal-title":"J Knee Surg"},{"issue":"3","key":"3406_CR14","doi-asserted-by":"publisher","first-page":"e160","DOI":"10.1055\/s-0038-1669929","volume":"4","author":"S Sauer","year":"2018","unstructured":"Sauer S, Clatworthy M (2018) The effect of medial tibial slope on anterior tibial translation and short-term ACL reconstruction outcome. Surg J (N Y) 4(3):e160\u2013e163. https:\/\/doi.org\/10.1055\/s-0038-1669929","journal-title":"Surg J (N Y)"},{"issue":"8","key":"3406_CR15","doi-asserted-by":"publisher","first-page":"e0219586","DOI":"10.1371\/journal.pone.0219586","volume":"14","author":"WR Choi","year":"2019","unstructured":"Choi WR, Yang J-H, Jeong S-Y, Lee JK (2019) MRI comparison of injury mechanism and anatomical factors between sexes in non-contact anterior cruciate ligament injuries. PLoS ONE 14(8):e0219586. https:\/\/doi.org\/10.1371\/journal.pone.0219586","journal-title":"PLoS ONE"},{"issue":"4","key":"3406_CR16","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1016\/j.jcot.2019.02.013","volume":"10","author":"B Raja","year":"2019","unstructured":"Raja B, Marathe N, Desai J, Dahapute A, Shah S, Chavan A (2019) Evaluation of anatomic risk factors using magnetic resonance imaging in non-contact anterior cruciate ligament injury. J Clin Orthop Trauma 10(4):710\u2013715. https:\/\/doi.org\/10.1016\/j.jcot.2019.02.013","journal-title":"J Clin Orthop Trauma"},{"issue":"24","key":"3406_CR17","doi-asserted-by":"publisher","first-page":"2960","DOI":"10.4103\/0366-6999.247207","volume":"131","author":"L Shen","year":"2018","unstructured":"Shen L, Jin Z-G, Dong Q-R, Li L-B (2018) Anatomical risk factors of anterior cruciate ligament injury. Chin Med J (Engl) 131(24):2960\u20132967. https:\/\/doi.org\/10.4103\/0366-6999.247207","journal-title":"Chin Med J (Engl)"},{"issue":"5","key":"3406_CR18","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1302\/0301-620X.95B5.30872","volume":"95-B","author":"GB Maletis","year":"2013","unstructured":"Maletis GB, Inacio MCS, Desmond JL, Funahashi TT (2013) Reconstruction of the anterior cruciate ligament. Bone Joint J 95-B(5):623\u2013628. https:\/\/doi.org\/10.1302\/0301-620X.95B5.30872","journal-title":"Bone Joint J"},{"issue":"7","key":"3406_CR19","doi-asserted-by":"publisher","first-page":"1861","DOI":"10.1177\/0363546515621554","volume":"44","author":"AJ Wiggins","year":"2016","unstructured":"Wiggins AJ, Grandhi RK, Schneider DK, Stanfield D, Webster KE, Myer GD (2016) Risk of secondary injury in younger athletes after anterior cruciate ligament reconstruction. Am J Sports Med 44(7):1861\u20131876. https:\/\/doi.org\/10.1177\/0363546515621554","journal-title":"Am J Sports Med"},{"issue":"1","key":"3406_CR20","doi-asserted-by":"publisher","first-page":"232596711989525","DOI":"10.1177\/2325967119895258","volume":"8","author":"C Pangaud","year":"2020","unstructured":"Pangaud C et al (2020) Measurement of the posterior tibial slope depends on ethnicity, sex, and lower limb alignment: a computed tomography analysis of 378 healthy participants. Orthop J Sports Med 8(1):232596711989525. https:\/\/doi.org\/10.1177\/2325967119895258","journal-title":"Orthop J Sports Med"},{"issue":"4","key":"3406_CR21","doi-asserted-by":"publisher","first-page":"e0184","DOI":"10.2106\/JBJS.RVW.19.00184","volume":"8","author":"LJ Lin","year":"2020","unstructured":"Lin LJ, Akpinar B, Meislin RJ (2020) Tibial slope and anterior cruciate ligament reconstruction outcomes. JBJS Rev 8(4):e0184\u2013e0184. https:\/\/doi.org\/10.2106\/JBJS.RVW.19.00184","journal-title":"JBJS Rev"},{"issue":"5","key":"3406_CR22","doi-asserted-by":"publisher","first-page":"857","DOI":"10.1007\/s00590-021-03062-5","volume":"32","author":"C Horteur","year":"2022","unstructured":"Horteur C, Duval BR, Merlin A, Cognault J, Ollivier M, Pailhe R (2022) Comparison of knee extensor strength after anterior cruciate ligament reconstruction using either quadriceps tendon or hamstring tendon autografts. Eur J Orthop Surg Traumatol 32(5):857\u2013865. https:\/\/doi.org\/10.1007\/s00590-021-03062-5","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"11","key":"3406_CR23","doi-asserted-by":"publisher","first-page":"2696","DOI":"10.1177\/0363546515589168","volume":"43","author":"SG Tejwani","year":"2015","unstructured":"Tejwani SG, Chen J, Funahashi TT, Love R, Maletis GB (2015) Revision risk after allograft anterior cruciate ligament reconstruction. Am J Sports Med 43(11):2696\u20132705. https:\/\/doi.org\/10.1177\/0363546515589168","journal-title":"Am J Sports Med"},{"issue":"3","key":"3406_CR24","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1007\/s00167-019-05395-5","volume":"28","author":"E Inderhaug","year":"2020","unstructured":"Inderhaug E, Drogset JO, Lygre SHL, Gifstad T (2020) No effect of graft size or body mass index on risk of revision after ACL reconstruction using hamstrings autograft. Knee Surg Sports Traumatol Arthrosc 28(3):707\u2013713. https:\/\/doi.org\/10.1007\/s00167-019-05395-5","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"2","key":"3406_CR25","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1177\/0363546513511419","volume":"42","author":"A Persson","year":"2014","unstructured":"Persson A et al (2014) Increased risk of revision with hamstring tendon grafts compared with patellar tendon grafts after anterior cruciate ligament reconstruction. Am J Sports Med 42(2):285\u2013291. https:\/\/doi.org\/10.1177\/0363546513511419","journal-title":"Am J Sports Med"},{"issue":"2","key":"3406_CR26","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1177\/0363546515614813","volume":"44","author":"GB Maletis","year":"2016","unstructured":"Maletis GB, Chen J, Inacio MCS, Funahashi TT (2016) Age-related risk factors for revision anterior cruciate ligament reconstruction. Am J Sports Med 44(2):331\u2013336. https:\/\/doi.org\/10.1177\/0363546515614813","journal-title":"Am J Sports Med"},{"issue":"4","key":"3406_CR27","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1097\/JSM.0000000000000521","volume":"29","author":"KJ DiSilvestro","year":"2019","unstructured":"DiSilvestro KJ et al (2019) Outcomes of anterior cruciate ligament reconstruction in obese and overweight patients: a systematic review. Clin J Sport Med 29(4):257\u2013261. https:\/\/doi.org\/10.1097\/JSM.0000000000000521","journal-title":"Clin J Sport Med"},{"issue":"9","key":"3406_CR28","doi-asserted-by":"publisher","first-page":"1207","DOI":"10.1002\/art.24021","volume":"59","author":"L Murphy","year":"2008","unstructured":"Murphy L et al (2008) Lifetime risk of symptomatic knee osteoarthritis. Arthritis Rheum 59(9):1207\u20131213. https:\/\/doi.org\/10.1002\/art.24021","journal-title":"Arthritis Rheum"},{"issue":"5","key":"3406_CR29","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1097\/BOR.0b013e32833b4682","volume":"22","author":"MR Sowers","year":"2010","unstructured":"Sowers MR, Karvonen-Gutierrez CA (2010) The evolving role of obesity in knee osteoarthritis. Curr Opin Rheumatol 22(5):533\u2013537. https:\/\/doi.org\/10.1097\/BOR.0b013e32833b4682","journal-title":"Curr Opin Rheumatol"},{"issue":"12","key":"3406_CR30","doi-asserted-by":"publisher","first-page":"2724","DOI":"10.2106\/JBJS.G.01358","volume":"90","author":"J Hashemi","year":"2008","unstructured":"Hashemi J et al (2008) The geometry of the tibial plateau and its influence on the biomechanics of the tibiofemoral joint. J Bone Joint Surg-Am 90(12):2724\u20132734. https:\/\/doi.org\/10.2106\/JBJS.G.01358","journal-title":"J Bone Joint Surg-Am"},{"issue":"7","key":"3406_CR31","doi-asserted-by":"publisher","first-page":"1673","DOI":"10.1177\/0363546512442307","volume":"40","author":"SC Wordeman","year":"2012","unstructured":"Wordeman SC, Quatman CE, Kaeding CC, Hewett TE (2012) In vivo evidence for tibial plateau slope as a risk factor for anterior cruciate ligament injury. Am J Sports Med 40(7):1673\u20131681. https:\/\/doi.org\/10.1177\/0363546512442307","journal-title":"Am J Sports Med"},{"issue":"6","key":"3406_CR32","doi-asserted-by":"publisher","first-page":"1469","DOI":"10.1007\/s00264-020-04865-7","volume":"45","author":"E Gaj","year":"2021","unstructured":"Gaj E et al (2021) Measurement technique for posterior tibial slope on radiographs can affect its relationship to the risk of anterior cruciate ligament rupture. Int Orthop 45(6):1469\u20131475. https:\/\/doi.org\/10.1007\/s00264-020-04865-7","journal-title":"Int Orthop"},{"issue":"6","key":"3406_CR33","doi-asserted-by":"publisher","first-page":"1353","DOI":"10.1016\/j.jbiomech.2014.01.055","volume":"47","author":"H Marouane","year":"2014","unstructured":"Marouane H, Shirazi-Adl A, Adouni M, Hashemi J (2014) Steeper posterior tibial slope markedly increases ACL force in both active gait and passive knee joint under compression. J Biomech 47(6):1353\u20131359. https:\/\/doi.org\/10.1016\/j.jbiomech.2014.01.055","journal-title":"J Biomech"},{"issue":"7","key":"3406_CR34","doi-asserted-by":"publisher","first-page":"2152","DOI":"10.1016\/j.arthro.2018.01.058","volume":"34","author":"CC Lee","year":"2018","unstructured":"Lee CC et al (2018) Does posterior tibial slope affect graft rupture following anterior cruciate ligament reconstruction? Arthrosc J Arthrosc Relat Surg 34(7):2152\u20132155. https:\/\/doi.org\/10.1016\/j.arthro.2018.01.058","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"3","key":"3406_CR35","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1177\/0363546517741497","volume":"46","author":"LJ Salmon","year":"2018","unstructured":"Salmon LJ, Heath E, Akrawi H, Roe JP, Linklater J, Pinczewski LA (2018) 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 46(3):531\u2013543. https:\/\/doi.org\/10.1177\/0363546517741497","journal-title":"Am J Sports Med"},{"issue":"7","key":"3406_CR36","doi-asserted-by":"publisher","first-page":"2156","DOI":"10.1016\/j.arthro.2018.04.005","volume":"34","author":"C Schillhammer","year":"2018","unstructured":"Schillhammer C (2018) Editorial commentary: managing excessive posterior slope in anterior cruciate ligament reconstruction: Where do we draw the line? Arthrosc J Arthrosc Relat Surg 34(7):2156\u20132157. https:\/\/doi.org\/10.1016\/j.arthro.2018.04.005","journal-title":"Arthrosc J Arthrosc Relat Surg"},{"issue":"3","key":"3406_CR37","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1177\/0363546508326709","volume":"37","author":"KD Shelbourne","year":"2009","unstructured":"Shelbourne KD, Gray T (2009) Minimum 10-year results after anterior cruciate ligament reconstruction. Am J Sports Med 37(3):471\u2013480. https:\/\/doi.org\/10.1177\/0363546508326709","journal-title":"Am J Sports Med"},{"issue":"3","key":"3406_CR38","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1302\/0301-620X.99B3.37863","volume":"99-B","author":"I Ahmed","year":"2017","unstructured":"Ahmed I, Salmon L, Roe J, Pinczewski L (2017) The long-term clinical and radiological outcomes in patients who suffer recurrent injuries to the anterior cruciate ligament after reconstruction. Bone Joint J 99-B(3):337\u2013343. https:\/\/doi.org\/10.1302\/0301-620X.99B3.37863","journal-title":"Bone Joint J"},{"issue":"11","key":"3406_CR39","doi-asserted-by":"publisher","first-page":"232596711987937","DOI":"10.1177\/2325967119879373","volume":"7","author":"RJ Napier","year":"2019","unstructured":"Napier RJ, Garcia E, Devitt BM, Feller JA, Webster KE (2019) Increased radiographic posterior tibial slope is associated with subsequent injury following revision anterior cruciate ligament reconstruction. Orthop J Sports Med 7(11):232596711987937. https:\/\/doi.org\/10.1177\/2325967119879373","journal-title":"Orthop J Sports Med"},{"issue":"14","key":"3406_CR40","doi-asserted-by":"publisher","first-page":"3330","DOI":"10.1177\/0363546519878436","volume":"47","author":"JD Cooper","year":"2019","unstructured":"Cooper JD, Wang W, Prentice HA, Funahashi TT, Maletis GB (2019) The association between tibial slope and revision anterior cruciate ligament reconstruction in patients \u226421 years old: a matched case-control study including 317 revisions. Am J Sports Med 47(14):3330\u20133338. https:\/\/doi.org\/10.1177\/0363546519878436","journal-title":"Am J Sports Med"},{"issue":"8","key":"3406_CR41","doi-asserted-by":"publisher","first-page":"2377","DOI":"10.1007\/s11999-011-1802-5","volume":"469","author":"R Hudek","year":"2011","unstructured":"Hudek R, Fuchs B, Regenfelder F, Koch PP (2011) Is noncontact acl injury associated with the posterior tibial and meniscal slope? Clin Orthop Relat Res 469(8):2377\u20132384. https:\/\/doi.org\/10.1007\/s11999-011-1802-5","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"3406_CR42","doi-asserted-by":"publisher","first-page":"232596711668866","DOI":"10.1177\/2325967116688664","volume":"5","author":"KM Bojicic","year":"2017","unstructured":"Bojicic KM, Beaulieu ML, Krieger DYI, Ashton-Miller JA, Wojtys EM (2017) Association between lateral posterior tibial slope, body mass index, and ACL injury risk. Orthop J Sports Med 5(2):232596711668866. https:\/\/doi.org\/10.1177\/2325967116688664","journal-title":"Orthop J Sports Med"},{"issue":"10","key":"3406_CR43","doi-asserted-by":"publisher","first-page":"2846","DOI":"10.1007\/s00167-015-3758-6","volume":"23","author":"D Dejour","year":"2015","unstructured":"Dejour D, Saffarini M, Demey G, Baverel L (2015) Tibial slope correction combined with second revision ACL produces good knee stability and prevents graft rupture. Knee Surg Sports Traumatol Arthrosc 23(10):2846\u20132852. https:\/\/doi.org\/10.1007\/s00167-015-3758-6","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"8","key":"3406_CR44","doi-asserted-by":"publisher","first-page":"1873","DOI":"10.1177\/0363546514534938","volume":"42","author":"B Sonnery-Cottet","year":"2014","unstructured":"Sonnery-Cottet B et al (2014) Proximal tibial anterior closing wedge osteotomy in repeat revision of anterior cruciate ligament reconstruction. Am J Sports Med 42(8):1873\u20131880. https:\/\/doi.org\/10.1177\/0363546514534938","journal-title":"Am J Sports Med"},{"issue":"10","key":"3406_CR45","doi-asserted-by":"publisher","first-page":"3381","DOI":"10.1007\/s00167-019-05360-2","volume":"27","author":"FB Imhoff","year":"2019","unstructured":"Imhoff FB et al (2019) Slope-reducing tibial osteotomy decreases ACL-graft forces and anterior tibial translation under axial load. Knee Surg Sports Traumatol Arthrosc 27(10):3381\u20133389. https:\/\/doi.org\/10.1007\/s00167-019-05360-2","journal-title":"Knee Surg Sports Traumatol Arthrosc"}],"container-title":["European Journal of Orthopaedic Surgery &amp; Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-022-03406-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00590-022-03406-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-022-03406-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T09:09:29Z","timestamp":1686906569000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00590-022-03406-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,6]]},"references-count":45,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,7]]}},"alternative-id":["3406"],"URL":"https:\/\/doi.org\/10.1007\/s00590-022-03406-9","relation":{},"ISSN":["1432-1068"],"issn-type":[{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,6]]},"assertion":[{"value":"3 August 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 September 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 October 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ali Fares declared and signed that he has no conflicts of interest. Cl\u00e9ment Horteur declared and signed that he has no conflicts of interest. Morad Abou Al Ezz declared and signed that he has no conflicts of interest. Brice Rubens-Duval declared and signed that he has no conflicts of interest. Alexandre Hardy declared and signed that he has no conflicts of interest. Karam Karam declared and signed that he has no conflicts of interest. Benoit Gaulin declared and signed that he has no conflicts of interest. Regis PAILHE declared and signed that he has no conflicts of interest. All authors have declared and signed that they have no conflict of interests (see the certificates in the supplementary materials).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Humans were involved, and all procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study. The Regional Ethics Committee (IRB00010835) reviewed and approved the study protocol on 21\/04\/2022, see the certificate in the supplemental materials.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human or Animals rights"}}]}}