Biomechanical evaluation of anatomic single- and double-bundle anterior cruciate ligament reconstruction techniques using the quadriceps tendon
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| 024 | 7 | 0 | |a 10.1007/s00167-014-3462-y |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3462-y | ||
| 245 | 0 | 0 | |a Biomechanical evaluation of anatomic single- and double-bundle anterior cruciate ligament reconstruction techniques using the quadriceps tendon |h [Elektronische Daten] |c [Donghwi Kim, Shigehiro Asai, Chan-Woong Moon, Sun-Chul Hwang, Sahnghoon Lee, Kenan Keklikci, Monica Linde-Rosen, Patrick Smolinski, Freddie Fu] |
| 520 | 3 | |a Purpose: Quadriceps tendon grafts have renewed interest for ACL reconstruction; however, biomechanical studies comparing anatomic single-bundle (SB) and double-bundle (DB) reconstruction techniques are rare. The purpose of this study was to compare the knee biomechanics in four different types of anatomic ACL reconstruction techniques, using the quadriceps tendon in a human cadaver. Methods: Four different tibial (T) and femoral (F) tunnel configurations, (a) DB-2F-2T, (b) DB-2F-1T, (c) SB-1F-1T and (d) DB-1F-2T, were used for ACL reconstruction using the split quadriceps tendon with patella bone. Ten cadaver knees were subjected to an 89N anterior tibial load and combined 7Nm valgus and 5Nm internal torques. The anterior tibial translation (ATT) and in situ force were measured using a robotic system for the ACL-intact, ACL-deficient and ACL-reconstructed knees. Results: DB reconstructions mostly restored ATT to the intact ACL. The in situ forces under the anterior load in the DB reconstructions were similar to the intact ACL, but that of the SB reconstruction was different at 30°, 60° and 90° of flexion (P<0.05). Under combined torques, the in situ force of the SB graft was less than that of intact ACL at 0°, 15° and 30° of knee flexion (P<0.05), while that of the ACL DB reconstruction was similar to the intact ACL. Conclusion: DB ACL reconstruction using quadriceps tendon can restore biomechanics of the knee to that of the intact ACL regardless of whether three or four tunnels are used, but SB reconstruction does not. | |
| 540 | |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 | ||
| 690 | 7 | |a Anatomic ACL reconstruction |2 nationallicence | |
| 690 | 7 | |a Quadriceps |2 nationallicence | |
| 690 | 7 | |a Biomechanics |2 nationallicence | |
| 690 | 7 | |a Single-bundle |2 nationallicence | |
| 690 | 7 | |a Double-bundle |2 nationallicence | |
| 700 | 1 | |a Kim |D Donghwi |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | |
| 700 | 1 | |a Asai |D Shigehiro |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | |
| 700 | 1 | |a Moon |D Chan-Woong |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | |
| 700 | 1 | |a Hwang |D Sun-Chul |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | |
| 700 | 1 | |a Lee |D Sahnghoon |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | |
| 700 | 1 | |a Keklikci |D Kenan |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | |
| 700 | 1 | |a Linde-Rosen |D Monica |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | |
| 700 | 1 | |a Smolinski |D Patrick |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | |
| 700 | 1 | |a Fu |D Freddie |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/3(2015-03-01), 687-695 |x 0942-2056 |q 23:3<687 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3462-y |q text/html |z Onlinezugriff via DOI |
| 898 | |a BK010053 |b XK010053 |c XK010000 | ||
| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
| 949 | |B NATIONALLICENCE |F NATIONALLICENCE |b NL-springer | ||
| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3462-y |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kim |D Donghwi |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Asai |D Shigehiro |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Moon |D Chan-Woong |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Hwang |D Sun-Chul |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Lee |D Sahnghoon |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Keklikci |D Kenan |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Linde-Rosen |D Monica |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Smolinski |D Patrick |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Fu |D Freddie |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, Suite 1011, 15213, Pittsburgh, PA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/3(2015-03-01), 687-695 |x 0942-2056 |q 23:3<687 |1 2015 |2 23 |o 167 | ||