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Association Between Tibial Plateau Slopes and Early Graft Failure After Anterior Cruciate Ligament Reconstruction


Ahmet Kulduk, MD
TURKEY

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Association Between Tibial Plateau Slopes and Early Graft Failure After Anterior Cruciate Ligament Reconstruction

Ahmet Kulduk, MD, TURKEY Kerem Sencan, MD, TURKEY Rasit Özcafer, MD, TURKEY Mehmet O. Buyukkuscu, MD, TURKEY Engin Çetinkaya, MD, Assoc. Prof., TURKEY Sükrü Sarper Gürsu, MD, Assoc. Prof., TURKEY Vedat Sahin, MD, TURKEY

MS Baltalimani Bone Research & Educational Hospital, Istanbul, TURKEY

2019 Congress   Paper Abstract   2019 Congress   rating (2)

 

Anatomic Location

Knee

Anatomic Structure

Ligaments

Diagnosis / Condition

Instability

Diagnosis Method

MRI

Sports Medicine

Sport Specific Injuries Outcome Studies

Treatment / Technique

Arthroscopy Autograft Failed Repair / Reconstruction

Ligaments

ACL

Summary: Increased LTPS is associated with risk for early ACL graft failure.

Purpose

The purpose of this study was to examine the effect of medial and lateral posterior tibial slope (MTPS - LTPS) on the likehood of anterior cruciate ligament (ACL) graft failure.

Methods

The study included 37 patients of mean age 28 years who underwent revision ACL reconstruction for graft failure within 2 years after primary surgery. These patients matched with a control group of 37 patients who had undergone ACL reconstruction without graft failure. Groups matched by age and sex. The graft used for both primary and revision surgery was autograft in all patients. MTPS and LTPS was determined on magnetic resonance imaging (MRI) by Hudek method and compared in 2 groups. Patients with postoperative infection, skeletal immaturity, and history of trauma were excluded.

Results

The mean LTPS in the ACL graft failure group was found to be 7.10, which was significantly higher than that in control group at 3.30 (p = .002). No significant association was identified with MTPS between graft failure and control groups with mean value of 3.50 and 3.10 respectively (p = .561).

Conclusion

This study showed that an increased LTPS is associated with risk for early ACL graft failure. MTPS had no significant association. Attention should be paid on LTPS for preoperative planning of ACL reconstruction.