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4 ± 0.1, and 0.6 ± 0.1, respectively. Both parameters were significantly larger in the ACL intact group. CONCLUSION Both tibial spine width/notch outlet length and tibial spine width/notch width index were significantly smaller in the ACL tear group when compared with the ACL intact group. The occurrence of ACL injury influenced by the variance in width between the tibial spine and the femoral intercondylar notch. LEVEL OF EVIDENCE III.PURPOSE The post-hoc multivariable analysis of EffPac study data aimed to identify explanatory variabl