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ADR Yönetimi

DOES AN INCREASE IN THE TIBIAL SLOPE RISK OF ANTERIOR CRUCIATE LIGAMENT?

Ates, Ogul

Genel Tıp Dergisi - 2025;35(5):854-862

Gazi Yasargil Education and Research Hospital, Orthopedic and Traumatology Department

 

The aim of this study was to investigate the relationship between the posterior tibial slope angle measured using the anterior tibial cortex method and anterior cruciate ligament (ACL) rupture. Patients who underwent ACL reconstruction (primary group) and those who did not undergo any orthopedic surgery and had magnetic resonance imaging (MRI) due to suspected meniscal injury but did not detect any pathology (control group) were included in the study. Measurements were performed using the anterior tibial cortex method. The inter-rater and intra-rater reliability was high. The mean tibial slope angle measurements of the control, primary and revision ACL groups were compared, and a statistically significant difference was observed between the mean measurements of the control, primary and revision ACL groups. The risk of ACL rupture was found to be 11 times higher in adolescents with posterior tibial slope angle >=10 derece. Slope-reducing surgeries should be applied to these patients when necessary.