Defining sagittal knee phenotypes via monopedal static anterior tibial translation. Part 1: Translating weight bearing sagittal position into clinical risk profiles

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dc.authorid0000-0002-9545-7454
dc.authorid0000-0001-6150-9300
dc.authorid0000-0002-0926-5879
dc.authorid0000-0001-6349-7817
dc.authorid0000-0002-7667-6184
dc.authorid0000-0002-5938-776X
dc.authorid0000-0001-6940-8619
dc.authorid0000-0002-4014-424X
dc.contributor.authorKayaalp, Mahmut Enes
dc.contributor.authorKahraman, Hamit Çağlayan
dc.contributor.authorErden, Tunay
dc.contributor.authorLutter, Christoph
dc.contributor.authorScheffler, Sven
dc.contributor.authorTaşer, Ömer
dc.contributor.authorBecker, Roland
dc.contributor.authorHirschmann, Michael T.
dc.contributor.authorDejour, David H.
dc.date.accessioned2026-07-24T08:40:18Z
dc.date.available2026-07-24T08:40:18Z
dc.date.issued2026
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractStatic anterior tibial translation (sATT) is a reproducible monopodal weight‐bearing radiographic parameter that reflects the resting sagittal position of the tibiofemoral joint. Distinct from manual laxity tests that quantify passive displacement limits, sATT captures the functional equilibrium of the tibia under physiological load, representing the cumulative interplay of bony morphology, neuromuscular control, me niscal containment and time‐dependent adaptations. Current literature frequently conflates passive laxity with weight‐bearing sagittal position, leading to an incomplete understanding of why isolated soft‐tissue re constructions fail in biomechanically hostile environments. Elevated sATT manifests in three clinically distinct sagittal phenotypes with specific pathomechanisms: osseous anteriorization primarily related to increased posterior tibial slope and loss of the anterior cruciate liga ment; acquired soft‐tissue anteriorization resulting from sagittal decompensation due to chronic injury and secondary stabilizer, partic ularly meniscal deficiency; and inherent soft‐tissue anteriorization characteristic of generalized hyperlaxity. This paper, Part 1 of a two‐part series, establishes the biomechanical ‘set‐point’ theory, highlights the necessity of strict monopedal imaging to unmask instability and defines how distinct sagittal phenotypes may converge, creating cumulative or synergistic risk patterns that increase the mechanical burden on the central pivot. Level of Evidence: Level V.
dc.identifier.citationKayaalp, M. E., Kahraman, H. Ç., Erden, T., Lutter, C., Scheffler, S., Taşer, Ö., Becker, R., Hirschmann, M. T., & Dejour, D. H. (2026). Defining sagittal knee phenotypes via monopedal static anterior tibial translation. Part 1: Translating weight bearing sagittal position into clinical risk profiles. Knee Surgery, Sports Traumatology, Arthroscopy, pp. 1-19. https://doi.org/10.1002/ksa.70501
dc.identifier.doi10.1002/ksa.70501
dc.identifier.endpage19
dc.identifier.issn1433-7347
dc.identifier.issn0942-2056
dc.identifier.pmidPMID: 42340368
dc.identifier.scopus2-s2.0-105042777531
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1002/ksa.70501
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1555
dc.identifier.wosWOS:001800796900001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorErden, Tunay
dc.institutionauthorid0000-0002-0926-5879
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofKnee Surgery, Sports Traumatology, Arthroscopy
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnterior Cruciate Ligament Reconstruction
dc.subjectKnee Instability
dc.subjectPosterior Tibial Slope
dc.subjectSlope‐Reducing Osteotomy
dc.subjectStatic Anterior Tibial Translation
dc.titleDefining sagittal knee phenotypes via monopedal static anterior tibial translation. Part 1: Translating weight bearing sagittal position into clinical risk profiles
dc.typeReview Article
dspace.entity.typePublication

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