Effect of graft fixation sequence on knee joint biomechanics in double-bundle anterior cruciate ligament reconstruction

Verfasser / Beitragende:
[Dongliang Shi, Jingbin Zhou, Can Yapici, Monica Linde-Rosen, Patrick Smolinski, Freddie Fu]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/3(2015-03-01), 655-660
Format:
Artikel (online)
ID: 605457980
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024 7 0 |a 10.1007/s00167-014-3158-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3158-3 
245 0 0 |a Effect of graft fixation sequence on knee joint biomechanics in double-bundle anterior cruciate ligament reconstruction  |h [Elektronische Daten]  |c [Dongliang Shi, Jingbin Zhou, Can Yapici, Monica Linde-Rosen, Patrick Smolinski, Freddie Fu] 
520 3 |a Purpose: To investigate the effect of graft fixation sequence in double-bundle anterior cruciate ligament (ACL) reconstruction on knee biomechanics. Methods: Twelve mature porcine knees underwent double-bundle ACL reconstruction with a randomized fixation order of the two graft bundles. The knees were subjected to external loadings of (1) an 89N anterior tibial load at 30°, 60° and 90° of knee flexion and (2) 4N-m internal and external tibial torques at 30° and 60° of knee flexion for ACL intact, deficient and reconstructed states. Knee kinematics and in situ graft forces were measured under the applied loads. Results: The anterior tibial translation of the two reconstructions was not different from each other but was significantly different from the intact ACL. There was no difference in internal and external rotations between the intact knees and the reconstructions. At lower flexion angles, the graft that was fixed last (whether anteromedial or posterolateral) tended to carry significantly higher in situ load under anterior tibial loading and tibial torques. Conclusion: While a difference in knee kinematics may not be observable with different graft fixation sequences, fixation sequence can alter the in situ forces that the grafts bear under knee loading. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Anterior cruciate ligament reconstruction  |2 nationallicence 
690 7 |a Graft fixation sequence  |2 nationallicence 
690 7 |a In situ force  |2 nationallicence 
690 7 |a Kinematics  |2 nationallicence 
700 1 |a Shi  |D Dongliang  |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA  |4 aut 
700 1 |a Zhou  |D Jingbin  |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA  |4 aut 
700 1 |a Yapici  |D Can  |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA  |4 aut 
700 1 |a Linde-Rosen  |D Monica  |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA  |4 aut 
700 1 |a Smolinski  |D Patrick  |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA  |4 aut 
700 1 |a Fu  |D Freddie  |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/3(2015-03-01), 655-660  |x 0942-2056  |q 23:3<655  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3158-3  |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/s00167-014-3158-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shi  |D Dongliang  |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zhou  |D Jingbin  |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yapici  |D Can  |u Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 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, 1010 Kaufmann Building, 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, 1010 Kaufmann Building, 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, 1010 Kaufmann Building, 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), 655-660  |x 0942-2056  |q 23:3<655  |1 2015  |2 23  |o 167