Static and Dynamic Tibial Translation Before, 5 Weeks After, and 5 Years After Anterior Cruciate Ligament Reconstruction

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2014 Sep 28

PMID 25261221

Citations 17

Authors

Sofi Tagesson

Birgitta Oberg

Joanna Kvist

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate static and dynamic tibial translation before, 5 weeks after, and 5 years after anterior cruciate ligament (ACL) reconstruction. To explore whether static and dynamic tibial translation are correlated.

Methods: Ten patients undergoing quadruple hamstring tendon graft ACL reconstruction were evaluated before, 5 weeks after, and 5 years after ACL reconstruction. Sagittal tibial translation was measured during the Lachman test (static translation) and during gait (dynamic translation) using a CA-4000 electrogoniometer.

Results: Five years after ACL reconstruction, static tibial translation did not differ between knees (Lachman test 90 N and 134 N n.s.). In contrast, there was greater maximal anterior tibial translation during gait in ACL-reconstructed knees than in uninjured knees (5.5 ± 1.4 vs. 4.5 ± 1.6 mm, P = 0.028). There were no differences in static or dynamic tibial translation between the 5-year follow-up and before ACL reconstruction or between the 5-year follow-up and the 5-week follow-up. There were no correlations between static and dynamic tibial translation.

Conclusion: Although static tibial translation did not differ between knees 5 years after ACL reconstruction, dynamic tibial translation during gait was greater in ACL-reconstructed knees than in uninjured knees. Neither static nor dynamic tibial translation changed 5 years after ACL reconstruction as compared to before surgery and 5 weeks after surgery. Static tibial translation did not correlate with dynamic tibial translation.

Clinical Relevance: This study indicates that although the knee is stable during static measurements, kinematics during gait is impaired 5 years after ACL reconstruction. This may affect the return to sport and risk of osteoarthritis.

Level Of Evidence: Case series, Level IV.

Citing Articles

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Significant differences in knee kinematics of healthy subjects with high and low anterior tibial laxity.

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Romandini I, Cance N, Dan M, Pineda T, Pairot De Fontenay B, Demey G J Exp Orthop. 2023; 10(1):142.

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