Background:Anterior cruciate ligament is most commonly involved in traumatic knee injuries. Among the various risk factors, posterior tibial slope is the Anatomical risk factor studied most for repair of this injury. Para Tibial Slope(PTS) both lateral and Medial are studied enormously to find the cause of Anterior Cruciate Ligament(ACL) injury.Material and methods:A Pilot study was conducted and sample size determined after obtaining Ethical clearance from the Institute. Posterior Tibial Slope measured Among the patient with Symptomatic knee injury patient by Digital Radiograph and MRI studies. Data analysed using software to sought association of ACL Injury and variance in posterior tibial slope.Results:The mean duration of illness (time between trauma and reporting of MRI to be done) was 7±3.3 months with minimum 2 and maximum of 12 months. This is because many patients have treated outside before attending our tertiary care institution and mainly those who are unsatisfied with outside treatment, attended our institution and also because of tertiary care center hospital MRI is free so waiting time is usually verylong.Conclusion: Increased posterior tibial slope (Radiologically measured) and Increased Lateral and medial para-tibial slope ,its Average(MRI measured) has definite relationship with ACL injury.
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