Kinematics of Anterior Cruciate Ligament-deficient Knees in a Chinese Population During Stair Ascent

Overview

Journal J Orthop Surg Res

Publisher Biomed Central

Specialty Orthopedics

Date 2016 Aug 10

PMID 27503229

Citations 1

Authors

Chang Zhao

Chuangxin Lin

Wenhao Wang

Chun Zeng

Hang Fang

Jianying Pan

Daozhang Cai

Affiliations

Soon will be listed here.

Abstract

Background: The purpose of this study was to measure the tibiofemoral kinematics of anterior cruciate ligament (ACL) deficiency in a Chinese population and compare the kinematics with published data about a Caucasian population.

Methods: Unilateral knees of 18 Chinese ACL-deficient (ACL-D) subjects were studied while subjects ascended stairs. Kinematic alteration was compared between ACL-D knees and contralateral ACL-intact (ACL-I) knees. The kinematic alteration of ACL deficiency was also compared between the Chinese population and published data about a Caucasian population.

Results: A statistical difference was found in the three-dimensional rotations between ACL-D and ACL-I knees. In the sagittal plane, ACL-I knees had a larger flexion angle than ACL-D knees during 40 to 50 % of the activity during stair ascent (P < 0.027) and throughout the gait cycle. A significant difference in rotational motion between ACL-D and ACL-I knees was also observed in the frontal plane during 40 to 60 % (P < 0.017) of the activity and in the transverse plane during 70 to 80 % (P < 0.028) of the activity. A greater tibial varus was demonstrated in the Chinese population while the published data revealed external tibial rotation and a statistical difference in translation in the Caucasian population.

Conclusions: ACL-D knees show different kinematics than ACL-I knees in the Chinese population. ACL-I knees had a larger flexion angle than ACL-D knees in the middle stage of the activity during stair ascent. A significant difference in rotational motion between ACL-D and ACL-I knees was also observed in the frontal plane during the middle phase and in the transverse plane during the terminal phase of the activity. A greater tibial varus was demonstrated in the Caucasian population while the published data revealed external tibial rotation and a statistical difference in translation in the Caucasian population.

Citing Articles

Knee Joint Biomechanics in Physiological Conditions and How Pathologies Can Affect It: A Systematic Review.

Zhang L, Liu G, Han B, Wang Z, Yan Y, Ma J Appl Bionics Biomech. 2020; 2020:7451683.

PMID: 32322301 PMC: 7160724. DOI: 10.1155/2020/7451683.

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