Pineda, TomásDejour, D. H.2026-05-052026-05-052026Revista Española de Cirugia Ortopedica y Traumatologia1888-4415https://hdl.handle.net/20.500.12254/7593The tibial slope has been identified as a key anatomical factor influencing anteroposterior knee stability. Increased slope values have been linked to greater anterior tibial translation, higher stress on the anterior cruciate ligament and an elevated risk of graft failure following reconstruction. This review aims to examine the current evidence and ongoing controversies regarding the clinical relevance of tibial slope, measurement methods, and surgical correction indications.enAtribución-NoComercial-CompartirIgual 3.0 Chile (CC BY-NC-SA 3.0 CL)Tibial slopeAnterior cruciate ligamentAnterior tibial translationOsteotomyGraft failureArticlehttps://orcid.org/0000-0002-9537-0658https://doi.org/10.1016/j.recot.2026.03.0161578-2263