The Effects of Anterior Cruciate Ligament Reconstruction on Tibial Rotation During Pivoting After Descending Stairs

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2003 Oct 8

PMID 14530851

Citations 65

Authors

S Ristanis

G Giakas

C D Papageorgiou

T Moraiti

N Stergiou

A D Georgoulis

Affiliations

Soon will be listed here.

Abstract

Recent in vitro research suggests that ACL reconstruction does not restore tibial rotation. This study investigated rotational knee joint stability in vivo during a combined descending and pivoting movement that applies a high rotational load to the knee joint. We studied 20 ACL reconstructed patients (bone-patellar tendon-bone graft) and 15 matched controls with a six-camera optoelectronic system performing the examined movement. In the control group the results showed no significant differences in the amount of tibial rotation between the two sides. No significant differences were also found between the contralateral intact leg of the ACL group and the healthy control. However, a significant difference was found within the ACL reconstructed group and between the reconstructed and the contralateral intact leg. Therefore ACL reconstruction may not restore tibial rotation even though anterior tibial translation has been reestablished.

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References

Tegner Y, Lysholm J . Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res. 1985; (198):43-9. View

Daniel D, Malcom L, LOSSE G, Stone M, Sachs R, Burks R . Instrumented measurement of anterior laxity of the knee. J Bone Joint Surg Am. 1985; 67(5):720-6. View

Kowalk D, Duncan J, McCue 3rd F, Vaughan C . Anterior cruciate ligament reconstruction and joint dynamics during stair climbing. Med Sci Sports Exerc. 1997; 29(11):1406-13. DOI: 10.1097/00005768-199711000-00003. View

Brandsson S, Karlsson J, Sward L, Kartus J, Eriksson B, Karrholm J . Kinematics and laxity of the knee joint after anterior cruciate ligament reconstruction: pre- and postoperative radiostereometric studies. Am J Sports Med. 2002; 30(3):361-7. DOI: 10.1177/03635465020300031001. View

Fox J, Sherman O, Markolf K . Arthroscopic anterior cruciate ligament repair: preliminary results and instrumented testing for anterior stability. Arthroscopy. 1985; 1(3):175-81. DOI: 10.1016/s0749-8063(85)80007-4. View

Reinschmidt C, van den Bogert A, Nigg B, Lundberg A, Murphy N . Effect of skin movement on the analysis of skeletal knee joint motion during running. J Biomech. 1997; 30(7):729-32. DOI: 10.1016/s0021-9290(97)00001-8. View

Hara K, Kubo T, Suginoshita T, Shimizu C, Hirasawa Y . Reconstruction of the anterior cruciate ligament using a double bundle. Arthroscopy. 2000; 16(8):860-4. DOI: 10.1053/jars.2000.7679. View

Chambers H, Sutherland D . A practical guide to gait analysis. J Am Acad Orthop Surg. 2002; 10(3):222-31. DOI: 10.5435/00124635-200205000-00009. View

Kanamori A, Zeminski J, Rudy T, Li G, Fu F, Woo S . The effect of axial tibial torque on the function of the anterior cruciate ligament: a biomechanical study of a simulated pivot shift test. Arthroscopy. 2002; 18(4):394-8. DOI: 10.1053/jars.2002.30638. View

10.

Jonsson H, Karrholm J, Elmqvist L . Laxity after cruciate ligament injury in 94 knees. The KT-1000 arthrometer versus roentgen stereophotogrammetry. Acta Orthop Scand. 1993; 64(5):567-70. DOI: 10.3109/17453679308993694. View

11.

Bush-Joseph C, Hurwitz D, Patel R, Bahrani Y, Garretson R, Bach Jr B . Dynamic function after anterior cruciate ligament reconstruction with autologous patellar tendon. Am J Sports Med. 2001; 29(1):36-41. DOI: 10.1177/03635465010290011101. View

12.

Georgoulis A, Papadonikolakis A, Papageorgiou C, Mitsou A, Stergiou N . Three-dimensional tibiofemoral kinematics of the anterior cruciate ligament-deficient and reconstructed knee during walking. Am J Sports Med. 2003; 31(1):75-9. DOI: 10.1177/03635465030310012401. View

13.

Andriacchi T, Birac D . Functional testing in the anterior cruciate ligament-deficient knee. Clin Orthop Relat Res. 1993; (288):40-7. View

14.

Loh J, Fukuda Y, Tsuda E, Steadman R, Fu F, Woo S . Knee stability and graft function following anterior cruciate ligament reconstruction: Comparison between 11 o'clock and 10 o'clock femoral tunnel placement. 2002 Richard O'Connor Award paper. Arthroscopy. 2003; 19(3):297-304. DOI: 10.1053/jars.2003.50084. View

15.

Markolf K, Bargar W, Shoemaker S, Amstutz H . The role of joint load in knee stability. J Bone Joint Surg Am. 1981; 63(4):570-85. View

16.

Sakane M, Fox R, Woo S, Livesay G, Li G, Fu F . In situ forces in the anterior cruciate ligament and its bundles in response to anterior tibial loads. J Orthop Res. 1997; 15(2):285-93. DOI: 10.1002/jor.1100150219. View

17.

Gage J . Gait analysis. An essential tool in the treatment of cerebral palsy. Clin Orthop Relat Res. 1993; (288):126-34. View

18.

Wroble R, Van Ginkel L, Grood E, Noyes F, Shaffer B . Repeatability of the KT-1000 arthrometer in a normal population. Am J Sports Med. 1990; 18(4):396-9. DOI: 10.1177/036354659001800411. View

19.

Steiner M, Brown C, Zarins B, BROWNSTEIN B, Koval P, Stone P . Measurement of anterior-posterior displacement of the knee. A comparison of the results with instrumented devices and with clinical examination. J Bone Joint Surg Am. 1990; 72(9):1307-15. View

20.

Cappozzo A, Catani F, Leardini A, Benedetti M, Croce U . Position and orientation in space of bones during movement: experimental artefacts. Clin Biomech (Bristol). 1996; 11(2):90-100. DOI: 10.1016/0268-0033(95)00046-1. View