Skip to main content
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2011

01.08.2011 | Knee

Evaluation of rotational instability in the anterior cruciate ligament deficient knee using triaxial accelerometer: a biomechanical model in porcine knees

verfasst von: Akira Maeyama, Yuichi Hoshino, Anibal Debandi, Yuki Kato, Kazuhiko Saeki, Shigehiro Asai, Bunsei Goto, Patrick Smolinski, Freddie H. Fu

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 8/2011

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To measure the acceleration in multiple directions of the rotational instability in ACL deficient models using porcine knees.

Methods

Ten porcine knees were tested with ACL intact and tear models. The pivot shift test was performed manually, and the acceleration of the pivot shift phenomenon was recorded by the use of a triaxial accelerometer. Tests were repeated in four different ACL states: (1) intact; (2) partial AM deficient; (3) complete AM deficient, and (4) complete ACL (AM and PL) deficient. The acceleration in three directions and the magnitude of acceleration were measured to evaluate rotational instability and compare between different ACL conditions.

Results

Significantly increased accelerations were observed in the complete deficient ACL model, while the partial ACL tear models demonstrated a slight increase without statistical significance. The accelerometer detected stepwise increases in the acceleration with the extent of ACL tear. Additionally, the PL bundle exhibited the largest contribution for rotational instability (80.4%) when compared with the AM (19.5%) bundles.

Conclusion

Triaxial accelerometer could serve as a quantitative evaluation of rotational instability. The present study demonstrated that PL bundle has the most important contribution for rotational instability (80.4%) when compared to IM bundle (0.01%) and AM bundle (19.5%) in porcine knee model.
Literatur
1.
Zurück zum Zitat Aglietti P, Giron F, Losco M, Cuomo P, Ciardullo A, Mondanelli N (2010) Comparison between single- and double-bundle anterior cruciate ligament reconstruction. A prospective, randomized, single-blinded clinical trial. Am J Sports Med 38:25–34PubMedCrossRef Aglietti P, Giron F, Losco M, Cuomo P, Ciardullo A, Mondanelli N (2010) Comparison between single- and double-bundle anterior cruciate ligament reconstruction. A prospective, randomized, single-blinded clinical trial. Am J Sports Med 38:25–34PubMedCrossRef
2.
Zurück zum Zitat Amis AA, Dawkins GPC (1991) Functional anatomy of the anterior cruciate ligament. J Bone Joint Surg Br 73-B:260–267 Amis AA, Dawkins GPC (1991) Functional anatomy of the anterior cruciate ligament. J Bone Joint Surg Br 73-B:260–267
3.
Zurück zum Zitat Bedi A, Musahl V, Lane C, Citak M, Warren RF, Pearle AD (2010) Lateral compartment translation predicts the grade of pivot shift: a cadaveric and clinical analysis. Knee Surg Sports Traumatol Arthrosc (Published Online). doi: 10.1007/s00167-010-1160-y Bedi A, Musahl V, Lane C, Citak M, Warren RF, Pearle AD (2010) Lateral compartment translation predicts the grade of pivot shift: a cadaveric and clinical analysis. Knee Surg Sports Traumatol Arthrosc (Published Online). doi: 10.​1007/​s00167-010-1160-y
4.
Zurück zum Zitat Bignozzi S, Zaffagnini S, Lopomo N, Fu FH, Irrgang JJ, Marcacci M (2010) Clinical relevance of static and dynamic tests after anatomical double-bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 18:37–42PubMedCrossRef Bignozzi S, Zaffagnini S, Lopomo N, Fu FH, Irrgang JJ, Marcacci M (2010) Clinical relevance of static and dynamic tests after anatomical double-bundle ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 18:37–42PubMedCrossRef
5.
Zurück zum Zitat Bull AMJ, Amis AA (1998) The pivot-shift phenomenon: a clinical and biomechanical perspective. Knee 5:141–158CrossRef Bull AMJ, Amis AA (1998) The pivot-shift phenomenon: a clinical and biomechanical perspective. Knee 5:141–158CrossRef
6.
Zurück zum Zitat Bull AMJ, Andersen HN, Basso O, Targett J, Amis AA (1999) Incidence and mechanism of the pivot shift. An in vitro study. Clin Orthop Relat Res 363:219–231PubMedCrossRef Bull AMJ, Andersen HN, Basso O, Targett J, Amis AA (1999) Incidence and mechanism of the pivot shift. An in vitro study. Clin Orthop Relat Res 363:219–231PubMedCrossRef
7.
Zurück zum Zitat Bull AMJ, Earnshaw PH, Smith A, Katchburian V, Hassan ANA, Amis AA (2002) Intraoperative measurement of knee kinematics in reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 84-B:1075–1081CrossRef Bull AMJ, Earnshaw PH, Smith A, Katchburian V, Hassan ANA, Amis AA (2002) Intraoperative measurement of knee kinematics in reconstruction of the anterior cruciate ligament. J Bone Joint Surg Br 84-B:1075–1081CrossRef
8.
Zurück zum Zitat Cohen SB, Fu FH (2007) Three-portal technique for anterior cruciate ligament reconstruction: use of a central medial portal. Arthroscopy 23:325.e1–325.e4CrossRef Cohen SB, Fu FH (2007) Three-portal technique for anterior cruciate ligament reconstruction: use of a central medial portal. Arthroscopy 23:325.e1–325.e4CrossRef
9.
Zurück zum Zitat Dargel J, Koebke J, Bruggemann GP, Pennig D, Schmidt-Wiehoff R (2009) Tension degradation of anterior cruciate ligament grafts with dynamic flexion-extension loading: a biomechanical model in porcine knees. Arthroscopy 25:1115–1125PubMedCrossRef Dargel J, Koebke J, Bruggemann GP, Pennig D, Schmidt-Wiehoff R (2009) Tension degradation of anterior cruciate ligament grafts with dynamic flexion-extension loading: a biomechanical model in porcine knees. Arthroscopy 25:1115–1125PubMedCrossRef
10.
Zurück zum Zitat Fetto JF, Marshall JL (1979) Injury to the anterior cruciate ligament producing the pivot-shift sign. J Bone Joint Surg Am 61:710–714PubMed Fetto JF, Marshall JL (1979) Injury to the anterior cruciate ligament producing the pivot-shift sign. J Bone Joint Surg Am 61:710–714PubMed
11.
Zurück zum Zitat Fu FH, Shen W, Starman JS, Okeke N, Irrgang JJ (2008) Primary anatomic double-bundle anterior cruciate ligament reconstruction: a preliminary 2-years prospective study. Am J Sports Med 36:1263–1274PubMedCrossRef Fu FH, Shen W, Starman JS, Okeke N, Irrgang JJ (2008) Primary anatomic double-bundle anterior cruciate ligament reconstruction: a preliminary 2-years prospective study. Am J Sports Med 36:1263–1274PubMedCrossRef
12.
Zurück zum Zitat Gabriel MT, Wong EK, Woo SL, Yagi M, Debski RE (2006) Distribution of in situ forces in the anterior cruciate ligament in response to rotator loads. J Orthop Res 22:85–89CrossRef Gabriel MT, Wong EK, Woo SL, Yagi M, Debski RE (2006) Distribution of in situ forces in the anterior cruciate ligament in response to rotator loads. J Orthop Res 22:85–89CrossRef
13.
Zurück zum Zitat Galway HR, MacIntosh DL (1980) The lateral pivot shift: a symptom and sign of anterior cruciate ligament insufficiency. Clin Orthop Relat Res 147:45–50PubMed Galway HR, MacIntosh DL (1980) The lateral pivot shift: a symptom and sign of anterior cruciate ligament insufficiency. Clin Orthop Relat Res 147:45–50PubMed
14.
Zurück zum Zitat Hoshino Y, Kuroda R, Nagamune K, Yagi M, Mizuno K, Yamaguchi M, Muratsu H, Yoshiya S, Kurosaka M (2007) In vivo measurement of the pivot-shift test in the anterior cruciate ligament-deficient knee using an electromagnetic device. Am J Sports Med 35:1098–1104PubMedCrossRef Hoshino Y, Kuroda R, Nagamune K, Yagi M, Mizuno K, Yamaguchi M, Muratsu H, Yoshiya S, Kurosaka M (2007) In vivo measurement of the pivot-shift test in the anterior cruciate ligament-deficient knee using an electromagnetic device. Am J Sports Med 35:1098–1104PubMedCrossRef
15.
Zurück zum Zitat Hughston JC, Andrews JR, Cross MJ, Moschi A (1976) Classification of knee ligament instabilities. Part I. The medial compartment and cruciate ligaments. J Bone Joint Surg Am 58:159–172PubMed Hughston JC, Andrews JR, Cross MJ, Moschi A (1976) Classification of knee ligament instabilities. Part I. The medial compartment and cruciate ligaments. J Bone Joint Surg Am 58:159–172PubMed
16.
Zurück zum Zitat Ishibashi Y, Rudy TW, Livesay GA, Stone JD, Fu FH, Woo SLY (1997) The effect of anterior cruciate ligament graft fixation site at the tibia on knee stability: evaluation using a robotic testing system. Arthroscopy 13:177–182PubMedCrossRef Ishibashi Y, Rudy TW, Livesay GA, Stone JD, Fu FH, Woo SLY (1997) The effect of anterior cruciate ligament graft fixation site at the tibia on knee stability: evaluation using a robotic testing system. Arthroscopy 13:177–182PubMedCrossRef
17.
Zurück zum Zitat Iriuchishima T, Tajima G, Ingham SJ, Shen W, Horaguchi T, Saito A, Smolinski P, Fu FH (2009) Intercondylar roof impingement pressure after anterior cruciate ligament reconstruction in a porcine model. Knee Surg Sports Traumatol Arthrosc 17:590–594PubMedCrossRef Iriuchishima T, Tajima G, Ingham SJ, Shen W, Horaguchi T, Saito A, Smolinski P, Fu FH (2009) Intercondylar roof impingement pressure after anterior cruciate ligament reconstruction in a porcine model. Knee Surg Sports Traumatol Arthrosc 17:590–594PubMedCrossRef
18.
Zurück zum Zitat Kato Y, Ingham SJM, Kramer S, Smolinski P, Saito A, Fu FH (2010) Effect of tunnel position for anatomic single-bundle ACL reconstruction on knee biomechanics in a porcine model. Knee Surg Sports Traumatol Arthrosc 18:2–10PubMedCrossRef Kato Y, Ingham SJM, Kramer S, Smolinski P, Saito A, Fu FH (2010) Effect of tunnel position for anatomic single-bundle ACL reconstruction on knee biomechanics in a porcine model. Knee Surg Sports Traumatol Arthrosc 18:2–10PubMedCrossRef
19.
Zurück zum Zitat Kocher MS, Steadman JR, Briggs KK, Sterett WI, Hawkins RJ (2004) Relationships between objective assessment of ligament stability and subjective assessment of symptoms and function after anterior cruciate ligament reconstruction. Am J Sports Med 32:629–634PubMedCrossRef Kocher MS, Steadman JR, Briggs KK, Sterett WI, Hawkins RJ (2004) Relationships between objective assessment of ligament stability and subjective assessment of symptoms and function after anterior cruciate ligament reconstruction. Am J Sports Med 32:629–634PubMedCrossRef
20.
Zurück zum Zitat Kondo E, Yasuda K, Azuma H, Tanabe Y, Yagi T (2008) Prospective clinical comparisons of anatomic double-bundle versus single-bundle anterior cruciate ligament reconstruction procedures in 328 consecutive patients. Am J Sports Med 36:1675–1688PubMedCrossRef Kondo E, Yasuda K, Azuma H, Tanabe Y, Yagi T (2008) Prospective clinical comparisons of anatomic double-bundle versus single-bundle anterior cruciate ligament reconstruction procedures in 328 consecutive patients. Am J Sports Med 36:1675–1688PubMedCrossRef
21.
Zurück zum Zitat Lane CG, Warren RF, Stanford FC, Kendoff D, Pearle AD (2008) In vivo analysis of the pivot shift phenomenon during computer navigated ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 16:487–492PubMedCrossRef Lane CG, Warren RF, Stanford FC, Kendoff D, Pearle AD (2008) In vivo analysis of the pivot shift phenomenon during computer navigated ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 16:487–492PubMedCrossRef
22.
Zurück zum Zitat Leitze Z, Losee RE, Jokl P, Johnson TR, Feagin JA (2005) Implications of the pivot shift in the ACL-deficient knee. Clin Orthop Relat Res 436:229–236PubMedCrossRef Leitze Z, Losee RE, Jokl P, Johnson TR, Feagin JA (2005) Implications of the pivot shift in the ACL-deficient knee. Clin Orthop Relat Res 436:229–236PubMedCrossRef
23.
Zurück zum Zitat Lopomo N, Zaffagnini S, Bignozzi S, Visani A, Marcacci M (2010) Pivot-shift test: analysis and quantification of knee laxity parameters using a navigation system. J Orthop Res 28:164–169PubMed Lopomo N, Zaffagnini S, Bignozzi S, Visani A, Marcacci M (2010) Pivot-shift test: analysis and quantification of knee laxity parameters using a navigation system. J Orthop Res 28:164–169PubMed
24.
Zurück zum Zitat Losee RE (1983) Concepts of the pivot-shift. Clin Orthop Relat Res 72:45–51 Losee RE (1983) Concepts of the pivot-shift. Clin Orthop Relat Res 72:45–51
25.
Zurück zum Zitat Maeyama A, Naito M, Moriyama S, Yoshimura I (2008) Evaluation of dynamic instability of the dysplastic hip with use of triaxial accelerometry. J Bone Joint Surg Am 90:85–92PubMedCrossRef Maeyama A, Naito M, Moriyama S, Yoshimura I (2008) Evaluation of dynamic instability of the dysplastic hip with use of triaxial accelerometry. J Bone Joint Surg Am 90:85–92PubMedCrossRef
26.
Zurück zum Zitat Maeyama A, Naito M, Moriyama S, Yoshimura I (2009) Periacetabular osteotomy reduces the dynamic instability of dysplastic hips. J Bone Joint Surg Br 91-B:1438–1442CrossRef Maeyama A, Naito M, Moriyama S, Yoshimura I (2009) Periacetabular osteotomy reduces the dynamic instability of dysplastic hips. J Bone Joint Surg Br 91-B:1438–1442CrossRef
27.
Zurück zum Zitat Matsumoto H (1990) Mechanism of the pivot shift. J Bone Joint Surg Br 72-B:816–821 Matsumoto H (1990) Mechanism of the pivot shift. J Bone Joint Surg Br 72-B:816–821
28.
Zurück zum Zitat Noyes FR, Grood ES, Cummings JF, Wroble RR (1991) An analysis of the pivot-shift phenomenon: the knee motions and subluxations induced by different examiners. Am J Sports Med 19:148–155PubMedCrossRef Noyes FR, Grood ES, Cummings JF, Wroble RR (1991) An analysis of the pivot-shift phenomenon: the knee motions and subluxations induced by different examiners. Am J Sports Med 19:148–155PubMedCrossRef
29.
Zurück zum Zitat Slocum DB, James SL, Larson RL, Singer KM (1976) Clinical test for anterolateral rotary instability of the knee. Clin Orthop Relat Res 118:63–69PubMed Slocum DB, James SL, Larson RL, Singer KM (1976) Clinical test for anterolateral rotary instability of the knee. Clin Orthop Relat Res 118:63–69PubMed
30.
Zurück zum Zitat Sommerlath K, Lysholm J, Gillquist J (1991) The long-term course after treatment of acute anterior cruciate ligament ruptures. A 9–16 years followup. Am J Sports Med 19:156–162PubMedCrossRef Sommerlath K, Lysholm J, Gillquist J (1991) The long-term course after treatment of acute anterior cruciate ligament ruptures. A 9–16 years followup. Am J Sports Med 19:156–162PubMedCrossRef
31.
Zurück zum Zitat Tashiro Y, Okazaki K, Miura H, Matsuda S, Yasunaga T, Hashizume M, Nakanishi Y, Iwamoto Y (2009) Quantitative assessment of rotatory instability after anterior cruciate ligament reconstruction. Am J Sports Med 37:909–916PubMedCrossRef Tashiro Y, Okazaki K, Miura H, Matsuda S, Yasunaga T, Hashizume M, Nakanishi Y, Iwamoto Y (2009) Quantitative assessment of rotatory instability after anterior cruciate ligament reconstruction. Am J Sports Med 37:909–916PubMedCrossRef
32.
Zurück zum Zitat Yagi M, Wong EK, Kanamori A, Debski RE, Fu FH, Woo SL (2002) Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med 30:660–666PubMed Yagi M, Wong EK, Kanamori A, Debski RE, Fu FH, Woo SL (2002) Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med 30:660–666PubMed
33.
Zurück zum Zitat Zamarra G, Fisher MB, Woo SL, Cerulli G (2010) Biomechanical evaluation of using one hamstrings tendon for ACL reconstruction: a human cadaveric study. Knee Surg Sports Traumatol Arthorosc 18:11–19CrossRef Zamarra G, Fisher MB, Woo SL, Cerulli G (2010) Biomechanical evaluation of using one hamstrings tendon for ACL reconstruction: a human cadaveric study. Knee Surg Sports Traumatol Arthorosc 18:11–19CrossRef
34.
Zurück zum Zitat Zantop T, Schumacher T, Diermann N, Schanz S, Raschke MJ, Petersen W (2006) Anterolateral rotational knee instability: role of posterolateral structures. Winner of the AGA-DonJoy Award 2006. Orthop Trauma Surg 127:743–752CrossRef Zantop T, Schumacher T, Diermann N, Schanz S, Raschke MJ, Petersen W (2006) Anterolateral rotational knee instability: role of posterolateral structures. Winner of the AGA-DonJoy Award 2006. Orthop Trauma Surg 127:743–752CrossRef
Metadaten
Titel
Evaluation of rotational instability in the anterior cruciate ligament deficient knee using triaxial accelerometer: a biomechanical model in porcine knees
verfasst von
Akira Maeyama
Yuichi Hoshino
Anibal Debandi
Yuki Kato
Kazuhiko Saeki
Shigehiro Asai
Bunsei Goto
Patrick Smolinski
Freddie H. Fu
Publikationsdatum
01.08.2011
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 8/2011
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-010-1382-z

Weitere Artikel der Ausgabe 8/2011

Knee Surgery, Sports Traumatology, Arthroscopy 8/2011 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Knie-TEP: Kein Vorteil durch antibiotikahaltigen Knochenzement

29.05.2024 Periprothetische Infektionen Nachrichten

Zur Zementierung einer Knie-TEP wird in Deutschland zu über 98% Knochenzement verwendet, der mit einem Antibiotikum beladen ist. Ob er wirklich besser ist als Zement ohne Antibiotikum, kann laut Registerdaten bezweifelt werden.

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.