A mechanical pivot-shift device for continuously applying defined loads to cadaveric knees
| LEADER | caa a22 4500 | ||
|---|---|---|---|
| 001 | 605458200 | ||
| 003 | CHVBK | ||
| 005 | 20210128100227.0 | ||
| 007 | cr unu---uuuuu | ||
| 008 | 210128e20151001xx s 000 0 eng | ||
| 024 | 7 | 0 | |a 10.1007/s00167-015-3775-5 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-015-3775-5 | ||
| 245 | 0 | 2 | |a A mechanical pivot-shift device for continuously applying defined loads to cadaveric knees |h [Elektronische Daten] |c [Mark Sena, Ryan DellaMaggioria, Jeffrey Lotz, Brian Feeley] |
| 520 | 3 | |a Purpose: Current techniques to study the biomechanics of the pivot-shift utilize either static or poorly defined loading conditions. Here, a novel mechanical pivot-shift device that continuously applies well-defined loads to cadaveric knees is characterized and validated against the manual pivot-shift. Methods: Six fresh-frozen human lower limb specimens were potted at the femur, mounted on a hinged testing base, and fitted with the mechanical device. Five mechanical and manual pivot-shift tests were performed on each knee by two examiners before and after transecting the ACL. Three-dimensional kinematics (anterior and internal-rotary displacements, and posterior and external-rotary velocities) and kinetics (forces and moments applied to the tibia by the device) were recorded using an optical navigation system and 6-axis load cell. Analysis of variance and Bland-Altman statistics were used to gauge repeatability within knees, reproducibility between knees, agreement between the mechanical and manual test methods, and agreement between examiners. Results: The forces and moments applied by the device were continuous and repeatable/reproducible to within 4/10% of maximum recorded values. Kinematic variables (excluding external-rotary velocity) were qualitatively and quantitatively similar to manual pivot-shift kinematics, and were more repeatable and reproducible. Conclusion: The presented device induces pivot-shift-like kinematics by applying highly repeatable three-dimensional loads to cadaver knees. It is based on a simple mechanical principle and designed using easily obtainable components. Consequently, the device enables orthopaedic biomechanists to easily and reliably quantify the effect of ACL injury and reconstruction on pivot-shift kinematics. | |
| 540 | |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 | ||
| 690 | 7 | |a ACL |2 nationallicence | |
| 690 | 7 | |a Pivot-shift |2 nationallicence | |
| 690 | 7 | |a Rotational instability |2 nationallicence | |
| 690 | 7 | |a Force |2 nationallicence | |
| 690 | 7 | |a Moment |2 nationallicence | |
| 690 | 7 | |a Device |2 nationallicence | |
| 700 | 1 | |a Sena |D Mark |u Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, University of California, San Francisco 1500 Owens Ave, 94158, San Francisco, CA, USA |4 aut | |
| 700 | 1 | |a DellaMaggioria |D Ryan |u Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, University of California, San Francisco 1500 Owens Ave, 94158, San Francisco, CA, USA |4 aut | |
| 700 | 1 | |a Lotz |D Jeffrey |u Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, University of California, San Francisco 1500 Owens Ave, 94158, San Francisco, CA, USA |4 aut | |
| 700 | 1 | |a Feeley |D Brian |u Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, University of California, San Francisco 1500 Owens Ave, 94158, San Francisco, CA, USA |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/10(2015-10-01), 2900-2908 |x 0942-2056 |q 23:10<2900 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-015-3775-5 |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/s00167-015-3775-5 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Sena |D Mark |u Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, University of California, San Francisco 1500 Owens Ave, 94158, San Francisco, CA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a DellaMaggioria |D Ryan |u Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, University of California, San Francisco 1500 Owens Ave, 94158, San Francisco, CA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Lotz |D Jeffrey |u Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, University of California, San Francisco 1500 Owens Ave, 94158, San Francisco, CA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Feeley |D Brian |u Sports Medicine and Shoulder Surgery, Department of Orthopaedic Surgery, University of California, San Francisco 1500 Owens Ave, 94158, San Francisco, CA, USA |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/10(2015-10-01), 2900-2908 |x 0942-2056 |q 23:10<2900 |1 2015 |2 23 |o 167 | ||