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The correlation between tibial slope and dynamic knee kinematics955that such a compensation mechanism may fall short in correcting for rTR. These findings warrant prudence in the use of a pure anterior closing wedge osteotomy in ACL reconstruction.Level of evidence: Level 2, prospective cohort studyTrial registration: Netherlands Trial Register, Trial 7686. Registered 16 April 2016 - Retrospectively registeredKeywords: Anterior Cruciate Ligament (ACL), ACL reconstruction, tibial rotation, anterior tibial translation, posterior tibial slope. Mark Zee.indd 95 03-01-2024 08:56