Study on application of posterior tibial slope angle in anterior cruciate ligament.
10.12200/j.issn.1003-0034.2023.08.017
- Author:
Wen-Jie XU
1
;
Pei-Dong LIU
1
;
Bin WANG
2
,
3
;
Xiao-Dong XU
1
;
Zi-Quan YANG
1
Author Information
1. The Second Hosipital of Shangxi Medical University, Taiyuan 030001, Shanxi, China.
2. The Second Hosipital of Shangxi Medical University, Taiyuan 030001, Shanxi, China
3. Nanjing Drum Tower Hospital, Nanjing 210000, Jiangsu, China.
- Publication Type:Journal Article
- Keywords:
Anterior cruciate ligament;
Gait analysis;
High tibial osteotomy;
Posterior tibial slope angle;
Refurbishment rate
- MeSH:
Humans;
Anterior Cruciate Ligament/surgery*;
Tibia/surgery*;
Anterior Cruciate Ligament Injuries/surgery*;
Lower Extremity
- From:
China Journal of Orthopaedics and Traumatology
2023;36(8):786-790
- CountryChina
- Language:Chinese
-
Abstract:
Posterior tibial slope angle (PTSA) is a risk factor for anterior cruciate ligament (ACL) injury and has attracted a lot of attention, but its mechanism of action and diagnosis are still not systematically studied in the field of sports medicine. In this paper, we believe that PTSA should be measured by full-length lower extremity films and combined with multiple imaging data for comprehensive assessment to reduce errors. A large PTSA may increases risk of anterior cruciate ligament injury, so patients with more than 12 degrees of PTSA should be treated by preserving meniscus as much as possible during ACL reconstruction and combining with tibial osteotomy if necessary, which could effectively prevent risk of ligament re-injury. At the same time, gait analysis has an important reference value for preoperative pathogenic pattern and postoperative rehabilitation function, so the author believes that it will have a guiding significance for the development of individualized rehabilitation strategy based on PTSA, in order to achieve the best treatment effect.
