ISAKOS Congress 2021

2021 ISAKOS Biennial Congress ePoster

 

Tibial Plateau Slope As Risk Factor Among Filipino Patients With Anterior Cruciate Ligament Injury: A Single Center Study

John Christopher Ramos Ragasa, MD, Quezon City PHILIPPINES
Alfred Villarico, MD, Quezon City, Metro Manila PHILIPPINES
Jessiah Aura Magbanua Navarro, MD, Quezon City, Metro Manila PHILIPPINES
Abigayl Javillonar Lopez, MD, Paranaque City, Metro Manila PHILIPPINES
Ronald Justin Joseph Ramos Ragasa, MD, Quezon City, Metro Manila PHILIPPINES

St. Luke's Medical Center, QUEZON CITY, Metropolitan Manila Area, PHILIPPINES

FDA Status Not Applicable

Summary

This study illustrates the association of tibial plateau slope with ACL injury in Filipino population. This study includes two groups of 18-45 years old Filipinos. The medial tibial plateau slope (MTPS), lateral tibial plateau slope (LTPS) and average tibial plateau slope (ATPS) were measured and compared for both groups to determine the association ACL injury with the tibial plateau slope.

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Abstract

In our knowledge, there are no or perhaps a few published studies relating ACL injuries and tibial plateau slope (TPS) in Filipino population. Of significant note is that majority of the research literatures are giving emphasis on complications of ACL injury treatment whereas this paper will provide insight on the preventive side of the injury.
This study illustrates the association of TPS with ACL injury in Filipino population. This study includes two groups of 18-45 years old Filipinos. First group includes 89 subjects with ACL injury, with MRI of the knee, and who underwent ACL reconstruction. Second group includes 128 subjects with who had knee pain for which an MRI was done. No ACL rupture was seen on MRI and no surgery was done. The medial TPS, lateral TPS and average TPS were measured and compared for both groups to determine the association ACL injury with the TPS.
Mean age of those without ACL injury was statistically higher than those with ACL injury. Proportion of males among those with ACL was statistically higher than those without ACL injury. Mean lateral, medial, and average TPS were statistically higher among those with ACL injury than those without injury and for every 1-degree of each slope, the risk increases by 3%, 4% and 5%, respectively. ATPS cut-off of =14.00° provided minimal acceptable accuracy of predicting ACL injury and showed that the risk of ACL injury increases by 202% compared to those with an average tibial plateau slope of less than 14.00°.
Lateral, medial and average TPS are risk factors for ACL injury in Filipino population, and the risk increases by 3%, 4% and 5% per 1-degree respectively. Age is significantly higher among those without ACL injury while in terms of gender, ACL injury is significantly higher among men.

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