Three-dimensional kinematic and kinetic analysis of knee rotational stability after single- and double-bundle anterior cruciate ligament reconstruction

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Alexander TsarouhasG Giakas

Abstract

To investigate whether anatomic restoration of the anterior cruciate ligament (ACL) functional bundles results in significant reduction in transverse-plane instability compared with the conventional single-bundle technique during a dynamic 60 degrees pivoting maneuver with the supporting knee in extension. Using an 8-camera optoelectronic system and a force plate, we examined 10 patients with double-bundle ACL reconstruction, 12 patients with single-bundle reconstruction, 10 ACL-deficient subjects, and 10 healthy control individuals. The 4 groups did not differ in terms of age, body mass index, duration of follow-up, and number of meniscectomies performed. Kinematic and kinetic data were collected from these subjects while performing a pivoting maneuver on each side with the supporting knee in extension. Maximum range of motion for internal-external knee rotation and maximum knee rotational moment were examined. There was no significant difference in tibial rotation either between the 4 groups or between sides. The mean knee rotation for the single- and double-bundle groups was lower than the control group. Rotational moment values were substantially reduced on the affected side of the reconstructed and the ACL-deficient groups...Continue Reading

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Citations

May 5, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Shinichiro NakamuraTakashi Nakamura
Jun 15, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Steven ClaesJohan Bellemans
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