Quantitative comparison of the pivot shift test results before and after anterior cruciate ligament reconstruction by using the three-dimensional electromagnetic measurement system

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Kanto NagaiRyosuke Kuroda

Abstract

Tibial acceleration during the pivot shift test is a potential quantitative parameter to evaluate rotational laxity of anterior cruciate ligament (ACL) insufficiency. However, clinical application of this measurement has not been fully examined. This study aimed to measure and compare tibial acceleration before and after ACL reconstruction (ACLR) in ACL-injured patients. We hypothesized tibial acceleration would be reduced by ACLR and tibial acceleration would be consistent in the same knee at different time points. Seventy ACL-injured patients who underwent ACLR were enrolled. Tibial acceleration during the pivot shift test was measured using an electromagnetic measurement system before ALCR and at the second-look arthroscopy 1 year post-operatively. Tibial acceleration was compared to clinical grading and between ACL-injured/ACL-reconstructed and contralateral knees. Pre-operative tibial acceleration was increased stepwise with the increase in clinical grading (P < 0.01). Tibial acceleration in ACL-injured knee (1.9 ± 1.2 m/s(2)) was larger than that in the contralateral knee (0.8 ± 0.3 m/s(2), P < 0.01), and reduced to 0.9 ± 0.3 m/s(2) post-operatively (P < 0.01). There was no difference between ACL-reconstructed and contral...Continue Reading

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Citations

Mar 24, 2016·Current Reviews in Musculoskeletal Medicine·Ryosuke Kuroda, Yuichi Hoshino
Apr 9, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kanto NagaiRyosuke Kuroda
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Feb 6, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Nobuaki MiyajiRyosuke Kuroda
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Apr 25, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yuichi HoshinoRyosuke Kuroda
Oct 13, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yuichi HoshinoRyosuke Kuroda
Jun 16, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lionel HelferBertrand Sonnery-Cottet
Jan 4, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Koji NukutoRyosuke Kuroda
May 22, 2021·Sports Biomechanics·Kiminari KataokaRyosuke Kuroda
Jul 16, 2021·Journal of Orthopaedic Surgery and Research·Shintaro MukoharaRyosuke Kuroda

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