Posterior Tibial Slope Is Not Correlated With Meniscal Tears in Anterior Cruciate Ligament Reconstruction
Purpose: To evaluate the impact of the tibial slope on the severity and location of meniscal tears in patients presenting with anterior cruciate ligament (ACL) rupture. Methods: We conducted a single-center retrospective observational study. We analyzed charts and records of patients who underwent A...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-06-01
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| Series: | Arthroscopy, Sports Medicine, and Rehabilitation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666061X25000409 |
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| author | Anthony El Alam, M.D. Tracy El Khoury, M.D. Joe Ghanimeh, M.D. Joeffroy Otayek, M.D., M.Sc. Sahar Semaan, M.D. Pascale Salameh, Pharm.D., M.P.H., Ph.D., H.D.R. Alfred Khoury, M.D. |
| author_facet | Anthony El Alam, M.D. Tracy El Khoury, M.D. Joe Ghanimeh, M.D. Joeffroy Otayek, M.D., M.Sc. Sahar Semaan, M.D. Pascale Salameh, Pharm.D., M.P.H., Ph.D., H.D.R. Alfred Khoury, M.D. |
| author_sort | Anthony El Alam, M.D. |
| collection | DOAJ |
| description | Purpose: To evaluate the impact of the tibial slope on the severity and location of meniscal tears in patients presenting with anterior cruciate ligament (ACL) rupture. Methods: We conducted a single-center retrospective observational study. We analyzed charts and records of patients who underwent ACL tear surgery between 2018 and 2021, excluding those with multiligamentous knee injuries or osteoarthritis. Posterior tibial slope was measured from lateral radiographs, and data on meniscal tears characteristics were collected, including laterality, anatomical location, blood supply zone, tear type, and treatment modality. Results: We included 749 patients (127 female, 622 male) who underwent ACL reconstruction (hamstring tendons, n = 59; bone−patellar tendon−bone, n = 659; quadriceps tendon, n = 31). Concomitant meniscal tears occurred in 361 patients (medial meniscus, 50.7%; lateral meniscus, 31.9%; both menisci, 17.4%). No correlation was found between posterior tibial slope and meniscal injury overall (P = .8). However, a significant correlation was noted between tibial slope and lateral meniscal body tear (P = .023). Conclusions: Our findings suggest that an increased tibial slope, as measured on lateral radiographs, is not indicative of concomitant meniscal tears. However, in cases in which meniscal tears did occur in patients with a high posterior tibial slope, they predominantly affected the lateral meniscal body. Level of Evidence: Level IV, prognostic, case series. |
| format | Article |
| id | doaj-art-02c1093b6c0d4d5ba4e00a1671f15761 |
| institution | OA Journals |
| issn | 2666-061X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy, Sports Medicine, and Rehabilitation |
| spelling | doaj-art-02c1093b6c0d4d5ba4e00a1671f157612025-08-20T02:35:04ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2025-06-017310111410.1016/j.asmr.2025.101114Posterior Tibial Slope Is Not Correlated With Meniscal Tears in Anterior Cruciate Ligament ReconstructionAnthony El Alam, M.D.0Tracy El Khoury, M.D.1Joe Ghanimeh, M.D.2Joeffroy Otayek, M.D., M.Sc.3Sahar Semaan, M.D.4Pascale Salameh, Pharm.D., M.P.H., Ph.D., H.D.R.5Alfred Khoury, M.D.6Department of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University, School of Medicine, Lebanon; Address correspondence to Anthony El Alam, M.D., Department of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University, School of Medicine, Lebanon.Department of Radiology, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University, School of Medicine, LebanonDepartment of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University, School of Medicine, LebanonDepartment of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University, School of Medicine, LebanonDepartment of Radiology, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University, School of Medicine, LebanonGilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Lebanon; Faculty of Pharmacy, Lebanese University, Hadat, Lebanon; Department of Primary Care and Population Health, University of Nicosia Medical School, Nicosia, Cyprus; Institut National de Santé Publique d'Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB)Department of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University, School of Medicine, LebanonPurpose: To evaluate the impact of the tibial slope on the severity and location of meniscal tears in patients presenting with anterior cruciate ligament (ACL) rupture. Methods: We conducted a single-center retrospective observational study. We analyzed charts and records of patients who underwent ACL tear surgery between 2018 and 2021, excluding those with multiligamentous knee injuries or osteoarthritis. Posterior tibial slope was measured from lateral radiographs, and data on meniscal tears characteristics were collected, including laterality, anatomical location, blood supply zone, tear type, and treatment modality. Results: We included 749 patients (127 female, 622 male) who underwent ACL reconstruction (hamstring tendons, n = 59; bone−patellar tendon−bone, n = 659; quadriceps tendon, n = 31). Concomitant meniscal tears occurred in 361 patients (medial meniscus, 50.7%; lateral meniscus, 31.9%; both menisci, 17.4%). No correlation was found between posterior tibial slope and meniscal injury overall (P = .8). However, a significant correlation was noted between tibial slope and lateral meniscal body tear (P = .023). Conclusions: Our findings suggest that an increased tibial slope, as measured on lateral radiographs, is not indicative of concomitant meniscal tears. However, in cases in which meniscal tears did occur in patients with a high posterior tibial slope, they predominantly affected the lateral meniscal body. Level of Evidence: Level IV, prognostic, case series.http://www.sciencedirect.com/science/article/pii/S2666061X25000409 |
| spellingShingle | Anthony El Alam, M.D. Tracy El Khoury, M.D. Joe Ghanimeh, M.D. Joeffroy Otayek, M.D., M.Sc. Sahar Semaan, M.D. Pascale Salameh, Pharm.D., M.P.H., Ph.D., H.D.R. Alfred Khoury, M.D. Posterior Tibial Slope Is Not Correlated With Meniscal Tears in Anterior Cruciate Ligament Reconstruction Arthroscopy, Sports Medicine, and Rehabilitation |
| title | Posterior Tibial Slope Is Not Correlated With Meniscal Tears in Anterior Cruciate Ligament Reconstruction |
| title_full | Posterior Tibial Slope Is Not Correlated With Meniscal Tears in Anterior Cruciate Ligament Reconstruction |
| title_fullStr | Posterior Tibial Slope Is Not Correlated With Meniscal Tears in Anterior Cruciate Ligament Reconstruction |
| title_full_unstemmed | Posterior Tibial Slope Is Not Correlated With Meniscal Tears in Anterior Cruciate Ligament Reconstruction |
| title_short | Posterior Tibial Slope Is Not Correlated With Meniscal Tears in Anterior Cruciate Ligament Reconstruction |
| title_sort | posterior tibial slope is not correlated with meniscal tears in anterior cruciate ligament reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S2666061X25000409 |
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