Defining sagittal knee phenotypes via monopedal static anterior tibial translation. Part 2: The assessment-led personalization (ALP) system for indication and correction target planning in slope-reducing osteotomy

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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.accessioned2026-07-24T11:26:07Z
dc.date.available2026-07-24T11:26:07Z
dc.date.issued2026
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractCurrent decision‐making for slope‐reducing osteotomy (SRO) often relies on isolated posterior tibial slope (PTS) thresholds, potentially misidentifying patients with acquired soft‐tissue decompensation or possibly overtreating those with an asymptomatic, inherently hyperlax baseline. Furthermore, rigid point‐based scoring systems oversimplify the synergistic biomechanics of the anterior cruciate ligament‐deficient knee. Building on the foundational ‘Set‐Point’ theory established in Part 1, this paper introduces the assessment‐led personalization (ALP) system. This unified clinical algo rithm integrates the normalized percentage of absolute static anterior tibial translation (sATT%) and its side‐to‐side difference (ΔsATT%) with PTS la terality, generalized hyperlaxity, and injury chronicity. By mathematically calibrating raw translation data to isolate true soft‐tissue decompensation from underlying osseous asymmetry, the ALP system provides a proactive, joint‐preserving framework to identify high‐risk phenotypes likely to fail isolated soft‐tissue reconstruction and precisely refines the indications for SRO. 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 2: The assessment-led personalization (ALP) system for indication and correction target planning in slope-reducing osteotomy. Knee Surgery, Sports Traumatology, Arthroscopy, pp. 1-19. https://doi.org/10.1002/ksa.70512
dc.identifier.doi10.1002/ksa.70512
dc.identifier.endpage12
dc.identifier.issn1433-7347
dc.identifier.issn0942-2056
dc.identifier.pmidPMID: 42377380
dc.identifier.scopus2-s2.0-105043603062
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1002/ksa.70512
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1557
dc.identifier.wosWOS:001807233500001
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
dc.subjectPersonalized Surgical Decision‐Making
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 2: The assessment-led personalization (ALP) system for indication and correction target planning in slope-reducing osteotomy
dc.typeReview Article
dspace.entity.typePublication

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