Slope-reducing tibial osteotomy combined with primary or revision ACL reconstruction improves knee stability and subjective function in patients with steep posterior tibial slope: a systematic review and meta-analysis

Combined slope-reducing tibial osteotomy demonstrates significant improvements in both knee stability and patient-reported outcomes for revision ACLR. Similarly, primary ACLR patients with steep PTS, excessive anterior tibial translation, and poor meniscus status may derive clinical benefits from additional osteotomy.