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Knee Surgery, Sports Traumatology, Arthroscopy

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01.05.2014 | Knee

A comparison of dynamic rotational knee instability between anatomic single-bundle and over-the-top anterior cruciate ligament reconstruction using triaxial accelerometry

verfasst von: Shigehiro Asai, Akira Maeyama, Yuichi Hoshino, Bunsei Goto, Umberto Celentano, Shigeaki Moriyama, Patrick Smolinski, Freddie H. Fu

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 5/2014

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Abstract

Purpose

Recently, single-bundle (SB) anterior cruciate ligament (ACL) reconstruction has been advanced by the anatomic concept, but the biomechanical outcome of the anatomic method has not been fully investigated, especially for rotational instability. Anatomic SB and the single over-the-top procedures are the treatment of choice for primary cases and revision or skeletally immature cases, respectively. The purpose of this study was to investigate the dynamic rotational instability of anatomic SB and over-the-top reconstruction during a pivot shift test using triaxial accelerometry.

Methods

Eight fresh frozen human cadaveric knees were used in this study. Rotational instability measurement was conducted during a pivot shift test by the use of a triaxial accelerometer attached to the tibia. The tests were performed in the ACL-intact, ACL-deficient and ACL-reconstructed knees with two different procedures (anatomic SB and over-the-top). The acceleration in three directions and the magnitude of acceleration were measured to evaluate rotational instability and compare between four different knee states.

Results

The overall magnitude of acceleration was significantly different (P < 0.01) between the ACL-intact knees and the ACL-deficient knees. Both anatomic SB and over-the-top ACL reconstruction significantly reduced the overall magnitude of acceleration compared to the ACL-deficient knees, but still had larger accelerations compared to the ACL-intact knees. There was no significant difference for the overall magnitude of acceleration between anatomic SB and over-the-top reconstruction procedure.

Conclusion

Over-the-top reconstruction provides comparable result to anatomic SB reconstruction in terms of controlling the dynamic rotational stability. Over-the-top reconstruction might be one of the options for revision cases and in skeletally immature patients.

Abebe ES, Moorman CT III, Dziedzic TS, Spritzer CE, Cothran RL, Taylor DC, Garrett WE Jr, DeFrate LE (2009) Femoral tunnel placement during anterior cruciate ligament reconstruction. An in vivo imaging analysis comparing transtibial and 2- incision tibial tunnel-independent techniques. Am J Sports Med 37:1904–1911PubMedCrossRef

Ahldén M, Hoshino Y, Samuelsson K, Araujo P, Musahl V, Karlsson J (2012) Dynamic knee laxity measurement devices. Knee Surg Sports Traumatol Arthrosc 20:621–632PubMedCrossRef

Andrews M, Noyes FR, Barber-Westin SD (1994) Anterior cruciate ligament allograft reconstruction in the skeletally immature athlete. Am J Sports Med 22:48–54PubMedCrossRef

Arnold MP, Kooloos J, van Kampen A (2001) Single-incision technique misses the anatomical femoral anterior cruciate ligament insertion: a cadaver study. Knee Surg Sports Traumatol Arthrosc 9:194–199PubMedCrossRef

Ayeni OR, Chahal M, Tran MN, Sprague S (2012) Pivot shift as an outcome measure for ACL reconstruction: a systematic review. Knee Surg Sports Traumatol Arthrosc 20:767–777PubMedCrossRef

Bedi A, Musahl V, Steuber V, Kendoff D, Choi D, Allen AA, Pearle AD, Altchek DW (2011) Transtibial versus anteromedial portal reaming in anterior cruciate ligament reconstruction: an anatomic and biomechanical evaluation of surgical technique. Arthroscopy 27:380–390PubMedCrossRef

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

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, 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 84:1075–1081PubMedCrossRef

10.

Cohen SB, Fu FH (2007) Three-portal technique for anterior cruciate ligament reconstruction: use of a central medial portal. Arthroscopy 23:325PubMedCrossRef

11.

Debandi A, Maeyama A, Hoshino Y, Asai S, Goto B, Smolinski P, Fu FH (2013) The effect of tunnel placement on rotational stability after ACL reconstruction: evaluation with use of triaxial acceletometry in a porcine model. Knee Surg Sports Traumatol Arthrosc 21:589–595PubMedCrossRef

12.

Fu FH (2008) The clock-face reference: simple but nonanatomic. Arthroscopy 24:1433PubMedCrossRef

13.

Galway BA, MacIntosh DL (1980) The lateral pivot shift: a symptom and sign of anterior cruciate ligament insufficiency. Clin Orthop Relat Res 147:45–50PubMed

14.

Georgoulis AD, Ristanis S, Chouliaras V, Moraiti C, Stergiou N (2007) Tibial rotation is not restored after ACL reconstruction with hamstring graft. Clin Orthop Relat Res 454:89–94PubMedCrossRef

15.

Harner CD (2004) Double bundle or double trouble? Arthroscopy 20:1013–1014PubMedCrossRef

16.

Heming JF, Rand J, Steiner E (2007) Anatomic limitation of transtibial drilling in anterior cruciate ligament reconstruction. Am J Sports Med 35:1708–1715PubMedCrossRef

17.

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

18.

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

19.

Jonsson H, Elmqvist L, Karrhom J, Tegner Y (1994) Over-the-top or tunnel reconstruction of the anterior cruciate ligament? A prospective randomized study of 54 patients. J Bone Joint Surg Br 76:82–87PubMed

20.

Karlson JA, Steiner ME, Brown CH, Johnston J (1994) Anterior cruciate ligament reconstruction using gracilis and semitendinosus tendon. Am J Sports Med 22:659–666PubMedCrossRef

21.

Kocher MS, Saxon HS, Hovis WD, Hawkins RJ (2002) Management and complications of anterior cruciate ligament injuries in skeletally immature patients: survey of the herodicus society and the ACL study group. J Pediatr Orthop 22:452–457PubMedCrossRef

22.

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

23.

Kondo E, Merican AM, Yasuda K, Amis AA (2011) Biomechanical comparison of anatomic double-bundle, anatomic single-bundle, and nonanatomic single-bundle anterior cruciate ligament reconstructions. Am J Sports Med 39:279–288PubMedCrossRef

24.

Kopf S, Forsythe B, Wong AK, Tashman S, Anderst W, Irrgang JJ, Fu FH (2010) Nonanatomic tunnel position in traditional transtibial single-bundle anterior cruciate ligament reconstruction evaluated by three-dimensional computed tomography. J Bone Joint Surg Am 94:1427–1431CrossRef

25.

Kuroda R, Hoshino Y, Kubo S, Araki D, Oka S, Nagamune K, Kurosaka M (2012) Similarities and differences of diagnostic manual tests for anterior cruciate ligament insufficiency: a global survey and kinematics assessment. Am J Sports Med 40:91–99PubMedCrossRef

26.

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

27.

Lee MC, Seong SC, Lee S, Chang CB, Park YK, Jo H, Kim CH (2007) Vertical femoral tunnel placement results in rotation knee laxity after anterior cruciate ligament reconstruction. Arthroscopy 23:771–778PubMedCrossRef

28.

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

29.

Lertwanich P, Kato Y, Martins CAQ, Maeyama A, Ingham SJM, Kramer S, Linde-Rosen M, Smolinski P, Fu FH (2011) A biomechanical comparison of 2 femoral fixation techniques for anterior cruciate ligament reconstruction in skeletally immature patients: over-the-top fixation versus transphyseal technique. Arthroscopy 27:672–680PubMedCrossRef

30.

Lo IKY, Kirkley A, Fowler PJ, Miniaci A (1997) The outcome of operative treated anterior cruciate ligament disruptions in the skeletally immature child. Arthroscopy 13:627–634PubMedCrossRef

31.

Loh JC, Fukuda Y, Tsuda E, Steadman RJ, Fu FH, Woo SL-Y (2002) Knee stability and graft function following anterior cruciate ligament reconstruction: comparison between 11 o’clock and 10 o’clock femoral tunnel placement. Arthroscopy 19:297–304CrossRef

32.

Lopomo N, Signorelli C, Bonanzinga T, Marcheggiani Muccioli GM, Visani A, Zaffagnini S (2012) Quantitative assessment of pivot-shift using inertial sensors. Knee Surg Sports Traumatol Arthrosc 20:713–717PubMedCrossRef

33.

Losee RE (1983) Concepts of the pivot shift. Clin Orthop Relat Res 172:45–51PubMed

34.

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

35.

Maeyama A, Naito M, Moriyama S, Yoshimura I (2009) Periacetabular osteotomy reduces the dynamic instability of dysplastic hips. J Bone Joint Surg Br 91:1438–1442PubMedCrossRef

36.

Maeyama A, Hoshino Y, Debandi A, Kato Y, Saeki K, Asai S, Goto B, Smolinski P, Fu FH (2011) Evaluation of rotational instability in the anterior cruciate ligament deficient knee using triaxial accelerometer: a biomechanics model in porcine knees. Knee Surg Sports Traumatol Arthrosc 19:1233–1238PubMedCrossRef

37.

Markolf KL, Park S, Jackson SR, McAllister DR (2009) Anterior-posterior and rotator stability of single and double-bundle anterior cruciate ligament reconstructions. J Bone Joint Surg Am 91:107–118PubMedCrossRef

38.

Musahl V, Plaksey A, VanScyoc A, Sasaki T, Debski RE, McMahon PJ, Fu FH (2005) Varying femoral tunnels between the anatomic footprint and isometric position. Am J Sports Med 33:712–718PubMedCrossRef

39.

Øiestad BE, Holm I, Aune AK, Gunderson R, Myklebust G, Engebretsen L, Fosdahl MA, Risberg MA (2010) Knee function and prevalence of knee osteoarthritis after anterior cruciate ligament reconstruction: a prospective study with 10 to 15 years of follow-up. Am J Sports Med 38:2201–2210PubMedCrossRef

40.

Radford WJP, Amis AA (1990) Biomechanics of a double prosthetic ligament in the anterior cruciate deficient knee. J Bone Joint Surg Br 72:1038–1043PubMed

41.

Scopp JM, Jasper LE, Belkoff SM, Moorman CT (2004) The effect of oblique femoral tunnel placement on rotational constrain of knee reconstructed using patellar tendon autograft. Arthroscopy 20:294–299PubMedCrossRef

42.

Siebold R (2007) Observation on bone tunnel enlargement after double-bundle anterior cruciate ligament reconstruction. Arthroscopy 23:291–298PubMedCrossRef

43.

Shino K, Horibe S, Hamada M, Nakamura N, Nakata K, Toritsuka Y, Mae T (2002) Allograft anterior cruciate ligament reconstruction. Tech Knee Surg 1:78–85CrossRef

44.

Tashman S, Collon D, Anderson K, Kolowich P, Anderst W (2004) Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction. Am J Sports Med 32:975–983PubMedCrossRef

45.

van Eck CF, Schreiber VM, Liu TT, Fu FH (2010) The anatomic approach to primary, revision and augmentation anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 18:1154–1163PubMedCrossRef

46.

Yagi M, Wrong EK, Kanamori A, Debski RE, Fu FH, Woo SL-Y (2002) Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction. Am J Sports Med 30:660–666PubMed

47.

Yiannakopoulos CK, Fules PJ, Korres DS, Mowbray MAS (2005) Revision anterior cruciate ligament surgery using the over-the-top femoral route. Arthroscopy 21:243–247PubMedCrossRef

48.

Zaffagnini S, Marcheggiani Muccioli GM, Lopomo N, Signorelli C, Bonanzinga T, Musiani C, Vassilis P, Nitri M, Macacci M (2012) Can the pivot-shift be eliminate by anatomic double-bundle anterior cruciate ligament reconstruction? Knee Surg Sports Traumatol Arthrosc 20:743–751PubMedCrossRef

49.

Zampeli F, Pappas E, Giotis D, Hantes ME, Georgoulis AD (2012) Kinematic predictors of subjective outcome after anterior cruciate ligament reconstruction : an in vivo motion analysis study. Knee Surg Sports Traumatol Arthrosc 20:785–792PubMedCrossRef

50.

Zantop T, Diermann N, Schumacher T, Schanz S, Fu FH, Peterson W (2008) Anatomical and nonanatomical double-bundle anterior cruciate ligament reconstruction. Am J Sports Med 36:678–685PubMedCrossRef

Titel: A comparison of dynamic rotational knee instability between anatomic single-bundle and over-the-top anterior cruciate ligament reconstruction using triaxial accelerometry
verfasst von: Shigehiro Asai
Akira Maeyama
Yuichi Hoshino
Bunsei Goto
Umberto Celentano
Shigeaki Moriyama
Patrick Smolinski
Freddie H. Fu
Publikationsdatum: 01.05.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 5/2014
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-013-2499-7

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