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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

01.08.2009 | Arthroscopy and Sports Medicine

Periarticular muscle stimulation controls anterior tibial laxity after experimental ACL section: an experimental study

verfasst von: Nuria Bonsfills, Angel Nuñez, Enrique Gomez-Barrena

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 8/2009

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Abstract

Background and purpose

Besides current strategies to treat potentially disabling anterior cruciate ligament (ACL) injury, a new and innovative approach was designed based on electrical stimulation of the muscle to prevent unwanted displacement of the tibia relative to the femur. Our aim was to measure muscular strain and anterior tibial translation (ATT) in a controlled study using an animal model of ACL-deficient knee undergoing muscular electric stimulation.

Methods

Seventeen cat knees under tibial anterior traction of 24.5 N were studied before and after ACL transection. Muscular fiber length variation was obtained by ultrasonomicrometry and ATT by video recordings at the beginning, during, and at the end of the movement. Square pulses of 0.2 ms with 5 V were applied in trains of 500, 100, and 20 ms simultaneously to both the quadriceps and hamstrings before and immediately after traction.

Results

Electric stimulation of ACL-deficient knees normalized muscular strain to values of control knees. An increased resistance to muscular lengthening was observed in stimulated knees. Stimulation before traction maintained similar ATT than control knees during the subsequent traction.

Discussion

Electric muscular stimulation in the ACL-deficient knee provoked periarticular muscle contraction, controlling ATT when time-adjusted stimulus (before traction) was used. This suggested that artificially inducing the muscular response could help to control anterior knee laxity after ACL injury.

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Titel: Periarticular muscle stimulation controls anterior tibial laxity after experimental ACL section: an experimental study
verfasst von: Nuria Bonsfills
Angel Nuñez
Enrique Gomez-Barrena
Publikationsdatum: 01.08.2009
Verlag: Springer-Verlag
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 8/2009
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-008-0763-y

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