{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T16:16:49Z","timestamp":1783181809146,"version":"3.54.6"},"reference-count":30,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.es","elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Revista Espa\u00f1ola de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.recot.2025.11.032","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T16:46:23Z","timestamp":1764348383000},"page":"348-351","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pendiente tibial en reconstrucci\u00f3n de ligamento cruzado anterior: \u00bfcu\u00e1ndo debe corregirse?"],"prefix":"10.1016","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9537-0658","authenticated-orcid":false,"given":"T.","family":"Pineda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.H.","family":"Dejour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.recot.2025.11.032_bib0155","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1177\/0363546517741497","article-title":"20-Year Outcomes of Anterior Cruciate Ligament Reconstruction With Hamstring Tendon Autograft: The Catastrophic Effect of Age and Posterior Tibial Slope","volume":"46","author":"Salmon","year":"2018","journal-title":"Am J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0160","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1177\/03635465211061150","article-title":"Predictors of Graft Failure in Young Active Patients Undergoing Hamstring Autograft Anterior Cruciate Ligament Reconstruction With or Without a Lateral Extra-articular Tenodesis: The Stability Experience","volume":"50","author":"Firth","year":"2022","journal-title":"Am J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0165","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1016\/j.arthro.2018.11.049","article-title":"Patients With Failed Anterior Cruciate Ligament Reconstruction Have an Increased Posterior Lateral Tibial Plateau Slope: A Case-Controlled Study","volume":"35","author":"Grassi","year":"2019","journal-title":"Arthroscopy."},{"key":"10.1016\/j.recot.2025.11.032_bib0170","doi-asserted-by":"crossref","first-page":"2954","DOI":"10.1177\/0363546520949212","article-title":"Steep Posterior Tibial Slope and Excessive Anterior Tibial Translation Are Predictive Risk Factors of Primary Anterior Cruciate Ligament Reconstruction Failure: A Case-Control Study With Prospectively Collected Data","volume":"48","author":"Ni","year":"2020","journal-title":"Am J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0175","doi-asserted-by":"crossref","first-page":"2379","DOI":"10.1177\/03635465251350397","article-title":"The Impact of Posterior Tibial Slope and Static Anterior Tibial Translation on ACL Graft Rupture Rates After Hamstring Autograft Reconstruction With Lateral Extra-articular Tenodesis","volume":"53","author":"Mazy","year":"2025","journal-title":"Am J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0180","doi-asserted-by":"crossref","DOI":"10.1002\/ksa.70154","article-title":"High posterior tibial slope increases graft failure risk but does not impair functional outcomes after primary ACL reconstruction","author":"Souvik","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"10.1016\/j.recot.2025.11.032_bib0185","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1177\/0363546518820302","article-title":"Tibial Slope and Its Effect on Force in Anterior Cruciate Ligament Grafts: Anterior Cruciate Ligament Force Increases Linearly as Posterior Tibial Slope Increases","volume":"47","author":"Bernhardson","year":"2019","journal-title":"Am J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0190","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1177\/03635465231214223","article-title":"Radiographic Investigation of Differences in Static Anterior Tibial Translation With Axial Load Between Isolated ACL Injury and Controls","volume":"52","author":"Cance","year":"2024","journal-title":"Am J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0195","article-title":"Cut-off value for the posterior tibial slope indicating the risk for retear of the anterior cruciate ligament","author":"Dracic","year":"2024","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"10.1016\/j.recot.2025.11.032_bib0200","author":"Ollivier","year":"2025","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"10.1016\/j.recot.2025.11.032_bib0205","doi-asserted-by":"crossref","first-page":"2152","DOI":"10.1016\/j.arthro.2018.01.058","article-title":"Does Posterior Tibial Slope Affect Graft Rupture Following Anterior Cruciate Ligament Reconstruction?","volume":"34","author":"Lee","year":"2018","journal-title":"Arthroscopy."},{"key":"10.1016\/j.recot.2025.11.032_bib0210","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1186\/s40634-023-00694-w","article-title":"A non-weight bearing protocol after ACL reconstruction improves static anterior tibial translation in patients with elevated slope and increased weight bearing tibial anterior translation","volume":"10","author":"Romandini","year":"2023","journal-title":"J Exp Orthop."},{"key":"10.1016\/j.recot.2025.11.032_bib0215","doi-asserted-by":"crossref","DOI":"10.1177\/23259671241246111","article-title":"Evaluation of Anterior Tibial Translation Under Physiological Axial Load After ACL Reconstruction With Lateral Extra-articular Tenodesis","volume":"12","author":"Pineda","year":"2024","journal-title":"Orthop J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0220","doi-asserted-by":"crossref","DOI":"10.1002\/jeo2.70130","article-title":"No impact of graft size or time to surgery on anterior tibial translation under weight-bearing following ACL reconstruction","volume":"12","author":"Pineda","year":"2025","journal-title":"J Exp Orthop."},{"issue":"Suppl 6","key":"10.1016\/j.recot.2025.11.032_bib0225","article-title":"Posterior tibial slope in patients undergoing anterior cruciate ligament (ACL) reconstruction with patellar tendon autograft: Analysis of subsequent ACL graft tear or contralateral ACL tear","volume":"8","author":"Benner","year":"2020","journal-title":"Orthop J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0230","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/j.arthro.2023.07.007","article-title":"Four to 6 Degrees Is the Target Posterior Tibial Slope After Tibial Deflection Osteotomy According to the Knee Static Anterior Tibial Translation","volume":"40","author":"Dan","year":"2024","journal-title":"Arthroscopy."},{"key":"10.1016\/j.recot.2025.11.032_bib0235","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1177\/0363546516662449","article-title":"Differences in Medial and Lateral Posterior Tibial Slope: An Osteological Review of 1090 Tibiae Comparing Age, Sex, and Race","volume":"45","author":"Weinberg","year":"2017","journal-title":"Am J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0240","doi-asserted-by":"crossref","DOI":"10.1177\/23259671241241346","article-title":"Variability Between Full-Length Lateral Radiographs and Standard Short Knee Radiographs When Evaluating Posterior Tibial Slope in Revision ACL Patients","volume":"12","author":"Mansour","year":"2024","journal-title":"Orthop J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0245","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1007\/s00167-021-06605-9","article-title":"Posterior tibial slope measurements based on the full-length tibial anatomic axis are significantly increased compared to those based on the half-length tibial anatomic axis","volume":"30","author":"Ni","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"10.1016\/j.recot.2025.11.032_bib0250","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1302\/0301-620X.76B5.8083263","article-title":"Tibial translation after anterior cruciate ligament rupture. Two radiological tests compared","volume":"76","author":"Dejour","year":"1994","journal-title":"J Bone Joint Surg Br."},{"key":"10.1016\/j.recot.2025.11.032_bib0255","doi-asserted-by":"crossref","DOI":"10.1002\/jeo2.70120","article-title":"Medial posterior tibial slope measurements are overestimated on long radiographs and 3D CT compared to measurements on short lateral radiographs","volume":"11","author":"Mabrouk","year":"2024","journal-title":"J Exp Orthop."},{"key":"10.1016\/j.recot.2025.11.032_bib0260","doi-asserted-by":"crossref","first-page":"2066","DOI":"10.1007\/s11999-009-0711-3","article-title":"Novel measurement technique of the tibial slope on conventional MRI","volume":"467","author":"Hudek","year":"2009","journal-title":"Clin Orthop Relat Res."},{"key":"10.1016\/j.recot.2025.11.032_bib0265","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1007\/s00167-012-1990-x","article-title":"Influence of soft tissues on the proximal bony tibial slope measured with two-dimensional MRI","volume":"21","author":"Lustig","year":"2013","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"10.1016\/j.recot.2025.11.032_bib0270","doi-asserted-by":"crossref","first-page":"1691","DOI":"10.1007\/s00167-021-06719-0","article-title":"Side-to-side anterior tibial translation on monopodal weightbearing radiographs as a sign of knee decompensation in ACL-deficient knees","volume":"30","author":"Macchiarola","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc."},{"key":"10.1016\/j.recot.2025.11.032_bib0275","doi-asserted-by":"crossref","first-page":"3184","DOI":"10.1016\/j.arthro.2024.10.048","article-title":"Slope-Reducing Proximal Tibial Osteotomy Improves Outcomes in Anterior Cruciate Ligament Reconstruction Patients With Elevated Posterior Tibial Slope, Especially Revisions and Posterior Tibial Slope \u226512","volume":"41","author":"Tollefson","year":"2025","journal-title":"Arthroscopy."},{"key":"10.1016\/j.recot.2025.11.032_bib0280","doi-asserted-by":"crossref","first-page":"1381","DOI":"10.1177\/03635465251330976","volume":"53","author":"Wang","year":"2025","journal-title":"Am J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0285","first-page":"3486","article-title":"Slope-Reducing Tibial Osteotomy Combined With Primary Anterior Cruciate Ligament Reconstruction Produces Improved Knee Stability in Patients With Steep Posterior Tibial Slope","volume":"48","author":"Song","year":"2020","journal-title":"Excessive Anterior Tibial Subluxation in Extension, and Chronic Meniscal Posterior Horn Tears. Am J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0290","doi-asserted-by":"crossref","DOI":"10.1016\/j.eats.2023.08.029","article-title":"The Original Technique for Tibial Deflexion Osteotomy During Revision Anterior Cruciate Ligament Reconstruction: Surgical Technique","volume":"13","author":"Guarino","year":"2024","journal-title":"Arthrosc Tech."},{"key":"10.1016\/j.recot.2025.11.032_bib0295","doi-asserted-by":"crossref","first-page":"2091","DOI":"10.1177\/03635465231175879","article-title":"Sufficient Metaphyseal Bone for Wedge Removal and Fixation Hardware During Supratuberosity Tibial Deflexion Osteotomy in Knees With Excessive Posterior Tibial Slope","volume":"51","author":"Demey","year":"2023","journal-title":"Am J Sports Med."},{"key":"10.1016\/j.recot.2025.11.032_bib0300","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/j.knee.2023.08.007","article-title":"Posterior tibial slope correlated with metaphyseal inclination more than metaphyseal height","volume":"44","author":"Demey","year":"2023","journal-title":"Knee."}],"container-title":["Revista Espa\u00f1ola de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1888441525002218?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1888441525002218?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T15:25:36Z","timestamp":1783178736000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1888441525002218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S1888441525002218"],"URL":"https:\/\/doi.org\/10.1016\/j.recot.2025.11.032","relation":{},"ISSN":["1888-4415"],"issn-type":[{"value":"1888-4415","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pendiente tibial en reconstrucci\u00f3n de ligamento cruzado anterior: \u00bfcu\u00e1ndo debe corregirse?","name":"articletitle","label":"Article Title"},{"value":"Revista Espa\u00f1ola de Cirug\u00eda Ortop\u00e9dica y Traumatolog\u00eda","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.recot.2025.11.032","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 SECOT. Published by Elsevier Espa\u00f1a, S.L.U.","name":"copyright","label":"Copyright"}]}}