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Steeper posterior tibial slope correlates with greater tibial tunnel widening after anterior cruciate ligament reconstruction

Overview of attention for article published in Knee Surgery, Sports Traumatology, Arthroscopy, June 2018
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Title
Steeper posterior tibial slope correlates with greater tibial tunnel widening after anterior cruciate ligament reconstruction
Published in
Knee Surgery, Sports Traumatology, Arthroscopy, June 2018
DOI 10.1007/s00167-018-5004-5
Pubmed ID
Authors

Kanto Nagai, Yasutaka Tashiro, Elmar Herbst, Tom Gale, Joon Ho Wang, James J. Irrgang, William Anderst, Freddie H. Fu

Abstract

To investigate the correlation between posterior tibial slope (PTS) and tibial tunnel widening after anterior cruciate ligament reconstruction (ACL-R). Twenty-five patients underwent anatomic single-bundle ACL-R using quadriceps tendon autograft. Six months after surgery, each patient underwent high-resolution computed tomography (CT). Tibial tunnel aperture location was evaluated using a grid method. Medial and lateral PTS (°) was measured based on a previously described method. To evaluate tibial tunnel widening, cross-sectional area (CSA) of the tibial tunnel beneath the aperture was measured using CT axial slice. Nominal elliptical area was calculated using the diameter of a dilator during the surgery and the angle between the axial slice and the tunnel axis. Percentage of tunnel widening (%) was determined by dividing the CSA by the nominal area. Pearson correlation coefficient was used to explore the association between medial/lateral PTS and tibial tunnel widening (P < 0.05). Location of tibial tunnel aperture was 29.8 ± 6.3% in anterior-posterior direction, and 45.7 ± 2.1% in medial-lateral direction. Medial and lateral PTS were 3.7° ± 2.5° and 4.9° ± 2.4° respectively. Tibial tunnel widening was 97.2 ± 20.3%. Tibial tunnel widening was correlated with medial PTS (r = 0.558, P = 0.004) and lateral PTS (r = 0.431, P = 0.031). Steeper medial and lateral PTS correlated with greater tibial tunnel widening. The clinical relevance is that surgeons should be aware that PTS may affect tibial tunnel widening after ACL-R. Thus, subjects with steeper PTS may need to be more carefully followed to see if there is greater tibial tunnel widening, which might be important especially in revision ACL-R. III.

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Mendeley readers

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The data shown below were compiled from readership statistics for 57 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 57 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 13 23%
Student > Doctoral Student 5 9%
Student > Bachelor 4 7%
Student > Ph. D. Student 4 7%
Student > Postgraduate 3 5%
Other 7 12%
Unknown 21 37%
Readers by discipline Count As %
Medicine and Dentistry 22 39%
Engineering 4 7%
Nursing and Health Professions 2 4%
Sports and Recreations 2 4%
Economics, Econometrics and Finance 1 2%
Other 2 4%
Unknown 24 42%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 June 2018.
All research outputs
#15,535,385
of 23,088,369 outputs
Outputs from Knee Surgery, Sports Traumatology, Arthroscopy
#1,812
of 2,679 outputs
Outputs of similar age
#209,835
of 329,877 outputs
Outputs of similar age from Knee Surgery, Sports Traumatology, Arthroscopy
#33
of 51 outputs
Altmetric has tracked 23,088,369 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,679 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.1. This one is in the 22nd percentile – i.e., 22% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 329,877 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 51 others from the same source and published within six weeks on either side of this one. This one is in the 17th percentile – i.e., 17% of its contemporaries scored the same or lower than it.