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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 1/2010

01.01.2010 | Knee

Clinical relevance of static and dynamic tests after anatomical double-bundle ACL reconstruction

verfasst von: Simone Bignozzi, Stefano Zaffagnini, Nicola Lopomo, Freddie H. Fu, James J. Irrgang, Maurilio Marcacci

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 1/2010

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Abstract

A computer navigation system was used to collect kinematic data of 18 subjects undergoing ACL reconstruction. Surgical procedure was an anatomical four-tunnel hamstring double-bundle reconstruction. Static laxity and dynamic laxity were analyzed before and after graft passage and fixation. Correlations between static and dynamic laxities as well as with the preoperative IKDC score were determined. Static and dynamic laxities were significantly reduced after anatomic double-bundle ACL reconstruction (P < 0.05). There were no significant correlations between static and dynamic laxities (r < 0.4, P > 0.05). The preoperative IKDC score was only related to preoperative dynamic laxity (P < 0.01). The dynamic evaluation of pivot shift is able to better describe knee laxity, in particular rotational laxities and has no correlation with static laxity.
Literatur
1.
Zurück zum Zitat Ahn JH, Lee SH (2007) Anterior cruciate ligament double-bundle reconstruction with hamstring tendon autografts. Arthroscopy 23:109e1–109e4 Ahn JH, Lee SH (2007) Anterior cruciate ligament double-bundle reconstruction with hamstring tendon autografts. Arthroscopy 23:109e1–109e4
2.
Zurück zum Zitat Amis AA, Zavras TD (1995) Isometricity and graft placement during anterior cruciate ligament reconstruction. Knee 2:5–17CrossRef Amis AA, Zavras TD (1995) Isometricity and graft placement during anterior cruciate ligament reconstruction. Knee 2:5–17CrossRef
3.
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
4.
Zurück zum Zitat Bull AMJ, Earnshaw PH, Smith A, Katchburian MV, Hassan ANA, Amis AA (2002) Intraoperative measurement of knee kinematics in reconstruction of the anterior cruciate ligament. J Bone Jt Surg Br 84:1075–1081CrossRef Bull AMJ, Earnshaw PH, Smith A, Katchburian MV, Hassan ANA, Amis AA (2002) Intraoperative measurement of knee kinematics in reconstruction of the anterior cruciate ligament. J Bone Jt Surg Br 84:1075–1081CrossRef
5.
Zurück zum Zitat Chhabra A, Starman JS, Ferretti M, Vidal AF, Zantop T, Fu FH (2006) Anatomic, radiographic, biomechanical, and kinematic evaluation of the anterior cruciate ligament and its two functional bundles. J Bone Jt Surg Am 88(Suppl 4):2–10CrossRef Chhabra A, Starman JS, Ferretti M, Vidal AF, Zantop T, Fu FH (2006) Anatomic, radiographic, biomechanical, and kinematic evaluation of the anterior cruciate ligament and its two functional bundles. J Bone Jt Surg Am 88(Suppl 4):2–10CrossRef
6.
Zurück zum Zitat Colombet P, Robinson J, Christel P, Franceschi J, Djian P (2007) Using navigation to measure rotation kinematics during ACL reconstruction. Clin Orthop Relat Res 454:59–65CrossRefPubMed Colombet P, Robinson J, Christel P, Franceschi J, Djian P (2007) Using navigation to measure rotation kinematics during ACL reconstruction. Clin Orthop Relat Res 454:59–65CrossRefPubMed
7.
Zurück zum Zitat Daniel DM, Stone ML, Sachs R, Malcom L (1985) Instrumented measurement of anterior knee laxity in patients with acute anterior cruciate ligament disruption. Am J Sports Med 13:401–407CrossRefPubMed Daniel DM, Stone ML, Sachs R, Malcom L (1985) Instrumented measurement of anterior knee laxity in patients with acute anterior cruciate ligament disruption. Am J Sports Med 13:401–407CrossRefPubMed
8.
Zurück zum Zitat Edixhoven P, Huiskes R, de Graaf R, van Rens TJ, Slooff TJ (1987) Accuracy and reproducibility of instrumented knee-drawer tests. J Orthop Res 5:378–387CrossRefPubMed Edixhoven P, Huiskes R, de Graaf R, van Rens TJ, Slooff TJ (1987) Accuracy and reproducibility of instrumented knee-drawer tests. J Orthop Res 5:378–387CrossRefPubMed
9.
Zurück zum Zitat Ferretti A, Monaco E, Labianca L, Conteduca F, De Carli A (2008) Double-bundle anterior cruciate ligament reconstruction: a computer-assisted orthopaedic surgery study. Am J Sports Med 36:760–766CrossRefPubMed Ferretti A, Monaco E, Labianca L, Conteduca F, De Carli A (2008) Double-bundle anterior cruciate ligament reconstruction: a computer-assisted orthopaedic surgery study. Am J Sports Med 36:760–766CrossRefPubMed
10.
Zurück zum Zitat Forster IW, Warren-Smith CD, Tew M (1989) Is the KT1000 knee ligament arthrometer reliable? J Bone Jt Surg Br 71:843–847 Forster IW, Warren-Smith CD, Tew M (1989) Is the KT1000 knee ligament arthrometer reliable? J Bone Jt Surg Br 71:843–847
11.
Zurück zum Zitat Fukubayashi T, Torzilli PA, Sherman MF, Warren RF (1982) An in vitro biomechanical evaluation of anterior–posterior motion of the knee, tibial displacement, rotation, and torque. J Bone Jt Surg Am 64:258–264 Fukubayashi T, Torzilli PA, Sherman MF, Warren RF (1982) An in vitro biomechanical evaluation of anterior–posterior motion of the knee, tibial displacement, rotation, and torque. J Bone Jt Surg Am 64:258–264
12.
Zurück zum Zitat Gabriel MT, Wong EK, Woo SL, Yagi M, Debski RE (2004) Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads. J Orthop Res 22:85–89CrossRefPubMed Gabriel MT, Wong EK, Woo SL, Yagi M, Debski RE (2004) Distribution of in situ forces in the anterior cruciate ligament in response to rotatory loads. J Orthop Res 22:85–89CrossRefPubMed
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 Harner CD, Baek GH, Vogrin TM, Carlin GJ, Kashiwaguchi S, Woo SL (1999) Quantitative analysis of human cruciate ligament insertions. Arthroscopy 15:741–749PubMed Harner CD, Baek GH, Vogrin TM, Carlin GJ, Kashiwaguchi S, Woo SL (1999) Quantitative analysis of human cruciate ligament insertions. Arthroscopy 15:741–749PubMed
15.
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 35:1098–1104CrossRefPubMed 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 35:1098–1104CrossRefPubMed
16.
Zurück zum Zitat Jakob RP, Hassler H, Staeubli HU (1981) Observations on rotatory instability of the lateral compartment of the knee. Experimental studies on the functional anatomy and the pathomechanism of the true and the reversed pivot shift sign. Acta Orthop Scand Suppl 191:1–32PubMed Jakob RP, Hassler H, Staeubli HU (1981) Observations on rotatory instability of the lateral compartment of the knee. Experimental studies on the functional anatomy and the pathomechanism of the true and the reversed pivot shift sign. Acta Orthop Scand Suppl 191:1–32PubMed
17.
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 16:487–492CrossRefPubMed 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 16:487–492CrossRefPubMed
18.
Zurück zum Zitat Li G, Moses JM, Papannagari R, Pathare NP, DeFrate LE, Gill TJ (2006) Anterior cruciate ligament deficiency alters the in vivo motion of the tibiofemoral cartilage contact points in both the anteroposterior and mediolateral directions. J Bone Jt Surg Am 88:1826–1834CrossRef Li G, Moses JM, Papannagari R, Pathare NP, DeFrate LE, Gill TJ (2006) Anterior cruciate ligament deficiency alters the in vivo motion of the tibiofemoral cartilage contact points in both the anteroposterior and mediolateral directions. J Bone Jt Surg Am 88:1826–1834CrossRef
19.
Zurück zum Zitat Li G, Papannagari R, DeFrate LE, Yoo JD, Park SE, Gill TJ (2007) The effects of ACL deficiency on mediolateral translation and varus–valgus rotation. Acta Orthop 78:355–360CrossRefPubMed Li G, Papannagari R, DeFrate LE, Yoo JD, Park SE, Gill TJ (2007) The effects of ACL deficiency on mediolateral translation and varus–valgus rotation. Acta Orthop 78:355–360CrossRefPubMed
20.
Zurück zum Zitat Mae T, Shino K, Matsumoto N, Nakata K, Nakamura N, Iwahashi T (2006) Force sharing between two grafts in the anatomical two-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 14:505–509CrossRefPubMed Mae T, Shino K, Matsumoto N, Nakata K, Nakamura N, Iwahashi T (2006) Force sharing between two grafts in the anatomical two-bundle anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 14:505–509CrossRefPubMed
21.
Zurück zum Zitat Martelli S, Zaffagnini S, Bignozzi S, Lopomo N, Marcacci M (2007) Description and validation of a navigation system for intra-operative evaluation of knee laxity. Comput Aided Surg 12:181–188CrossRefPubMed Martelli S, Zaffagnini S, Bignozzi S, Lopomo N, Marcacci M (2007) Description and validation of a navigation system for intra-operative evaluation of knee laxity. Comput Aided Surg 12:181–188CrossRefPubMed
22.
Zurück zum Zitat Martelli S, Zaffagnini S, Bignozzi S, Lopomo NF, Iacono F, Marcacci M (2007) Kin-nav navigation system for kinematic assessment in anterior cruciate ligament reconstruction: features, use, and perspectives. Proc Inst Mech Eng [H] 221:725–737 Martelli S, Zaffagnini S, Bignozzi S, Lopomo NF, Iacono F, Marcacci M (2007) Kin-nav navigation system for kinematic assessment in anterior cruciate ligament reconstruction: features, use, and perspectives. Proc Inst Mech Eng [H] 221:725–737
23.
Zurück zum Zitat Mott HW (1983) Semitendinosus anatomic reconstruction for cruciate ligament insufficiency. Clin Orthop Relat Res 172:90–92PubMed Mott HW (1983) Semitendinosus anatomic reconstruction for cruciate ligament insufficiency. Clin Orthop Relat Res 172:90–92PubMed
24.
Zurück zum Zitat Papannagari R, Gill TJ, Defrate LE, Moses JM, Petruska AJ, Li G (2006) In vivo kinematics of the knee after anterior cruciate ligament reconstruction: a clinical and functional evaluation. Am J Sports Med 34:2006–2012CrossRefPubMed Papannagari R, Gill TJ, Defrate LE, Moses JM, Petruska AJ, Li G (2006) In vivo kinematics of the knee after anterior cruciate ligament reconstruction: a clinical and functional evaluation. Am J Sports Med 34:2006–2012CrossRefPubMed
25.
Zurück zum Zitat Pinskerova V, Maquet P, Freeman MA (2003) The anatomic literature relating to the knee from 1836 to 1917: an historic note. Clin Orthop Relat Res 410:13–18CrossRefPubMed Pinskerova V, Maquet P, Freeman MA (2003) The anatomic literature relating to the knee from 1836 to 1917: an historic note. Clin Orthop Relat Res 410:13–18CrossRefPubMed
26.
Zurück zum Zitat Robinson J, Carrat L, Granchi C, Colombet P (2007) Influence of anterior cruciate ligament bundles on knee kinematics: clinical assessment using computer-assisted navigation. Am J Sports Med 35:2006–2013CrossRefPubMed Robinson J, Carrat L, Granchi C, Colombet P (2007) Influence of anterior cruciate ligament bundles on knee kinematics: clinical assessment using computer-assisted navigation. Am J Sports Med 35:2006–2013CrossRefPubMed
27.
Zurück zum Zitat Sasaki SU, da Mota e Albuquerque RF, Pereira CAM, Gouveia GS, Vilela JCR, Alcarás FDL (2008) An in vitro biomechanical comparison of anterior cruciate ligament reconstruction: single bundle versus anatomical double-bundle techniques. Clinics 63:71–76CrossRefPubMed Sasaki SU, da Mota e Albuquerque RF, Pereira CAM, Gouveia GS, Vilela JCR, Alcarás FDL (2008) An in vitro biomechanical comparison of anterior cruciate ligament reconstruction: single bundle versus anatomical double-bundle techniques. Clinics 63:71–76CrossRefPubMed
28.
Zurück zum Zitat Siebold R, Dehler C, Ellert T (2008) Prospective randomized comparison of double-bundle versus single-bundle anterior cruciate ligament reconstruction. Arthroscopy 24:137–145PubMedCrossRef Siebold R, Dehler C, Ellert T (2008) Prospective randomized comparison of double-bundle versus single-bundle anterior cruciate ligament reconstruction. Arthroscopy 24:137–145PubMedCrossRef
29.
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
30.
Zurück zum Zitat Yasuda K, Kondo E, Ichiyama H, Kitamura N, Tanabe Y, Tohyama H, Minami A (2004) Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy 20:1015–1025PubMed Yasuda K, Kondo E, Ichiyama H, Kitamura N, Tanabe Y, Tohyama H, Minami A (2004) Anatomic reconstruction of the anteromedial and posterolateral bundles of the anterior cruciate ligament using hamstring tendon grafts. Arthroscopy 20:1015–1025PubMed
31.
Zurück zum Zitat Zaffagnini S, Bignozzi S, Martelli S, Imakiire N, Lopomo N, Marcacci M (2006) New intraoperative protocol for kinematic evaluation of ACL reconstruction: preliminary results. Knee Surg Sports Traumatol Arthrosc 14:811–816CrossRefPubMed Zaffagnini S, Bignozzi S, Martelli S, Imakiire N, Lopomo N, Marcacci M (2006) New intraoperative protocol for kinematic evaluation of ACL reconstruction: preliminary results. Knee Surg Sports Traumatol Arthrosc 14:811–816CrossRefPubMed
32.
Zurück zum Zitat Zelle BA, Brucker PU, Feng MT, Fu FH (2006) Anatomical double-bundle anterior cruciate ligament reconstruction. Sports Med 36:99–108CrossRefPubMed Zelle BA, Brucker PU, Feng MT, Fu FH (2006) Anatomical double-bundle anterior cruciate ligament reconstruction. Sports Med 36:99–108CrossRefPubMed
33.
Zurück zum Zitat Zelle BA, Vidal AF, Brucker PU, Fu FH (2007) Double-bundle reconstruction of the anterior cruciate ligament: anatomic and biomechanical rationale. J Am Acad Orthop Surg 15:87–96PubMed Zelle BA, Vidal AF, Brucker PU, Fu FH (2007) Double-bundle reconstruction of the anterior cruciate ligament: anatomic and biomechanical rationale. J Am Acad Orthop Surg 15:87–96PubMed
Metadaten
Titel
Clinical relevance of static and dynamic tests after anatomical double-bundle ACL reconstruction
verfasst von
Simone Bignozzi
Stefano Zaffagnini
Nicola Lopomo
Freddie H. Fu
James J. Irrgang
Maurilio Marcacci
Publikationsdatum
01.01.2010
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 1/2010
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-009-0853-6

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