Biomechanical effect of posterolateral corner sectioning after ACL injury and reconstruction

Verfasser / Beitragende:
[Tommaso Bonanzinga, Cecilia Signorelli, Nicola Lopomo, Alberto Grassi, Maria Neri, Giuseppe Filardo, Stefano Zaffagnini, Maurilio Marcacci]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 2918-2924
Format:
Artikel (online)
ID: 605458227
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024 7 0 |a 10.1007/s00167-015-3696-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-015-3696-3 
245 0 0 |a Biomechanical effect of posterolateral corner sectioning after ACL injury and reconstruction  |h [Elektronische Daten]  |c [Tommaso Bonanzinga, Cecilia Signorelli, Nicola Lopomo, Alberto Grassi, Maria Neri, Giuseppe Filardo, Stefano Zaffagnini, Maurilio Marcacci] 
520 3 |a Purpose: Posterolateral corner structures functionally interact with the ACL. The aim of this study was to investigate the capability of an isolated ACL reconstruction control laxity parameters in a knee with combined ACL and PLC and the increase in terms of laxity produced by the resection of the PC in an ACL-deficient knee. Method: An in vitro cadaveric study was performed on seven knees. The joints were analysed in the following conditions: intact, after ACL resection, after popliteus complex resection, after ACL reconstruction and after LCL. Testing laxity parameters were recorded with an intra-operative navigation system and defined as: AP displacement at 30° and 90° of flexion (AP30 and AP90) applying a 130N load and IE at 30° and 90° of knee flexion with a 5N load. Results: Sectioning the ACL significantly increased the AP30 at 30° and 90° of knee flexion (p<0.05). At 90° of knee flexion, the resection of the LCL determined a significant increase in terms of AP laxity (p<0.05). At 90° has been found a significant difference for the IE laxity (p<0.05) after PC resection. Sectioning the LCL produced a significant increase in IE laxity at 30° and 90° of knee flexion (p<0.05). Conclusion: Isolated ACL reconstruction is able to control the AP laxity with a combined complete lesion of the PLC at 30° of knee flexion, but not at higher angle of knee flexion. Considering the IE rotations, the reconstruction was not sufficient not even to control a partial lesion of the PLC. These findings suggest that additional surgical procedures should be considerate even when facing combined PLC lesion. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 
690 7 |a Posterolateral corner  |2 nationallicence 
690 7 |a ACL  |2 nationallicence 
690 7 |a Combined lesions  |2 nationallicence 
690 7 |a Kinematics  |2 nationallicence 
690 7 |a Laxity  |2 nationallicence 
700 1 |a Bonanzinga  |D Tommaso  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
700 1 |a Signorelli  |D Cecilia  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
700 1 |a Lopomo  |D Nicola  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
700 1 |a Grassi  |D Alberto  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
700 1 |a Neri  |D Maria  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
700 1 |a Filardo  |D Giuseppe  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
700 1 |a Zaffagnini  |D Stefano  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
700 1 |a Marcacci  |D Maurilio  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 2918-2924  |x 0942-2056  |q 23:10<2918  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-015-3696-3  |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/s00167-015-3696-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bonanzinga  |D Tommaso  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Signorelli  |D Cecilia  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lopomo  |D Nicola  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Grassi  |D Alberto  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Neri  |D Maria  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Filardo  |D Giuseppe  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Zaffagnini  |D Stefano  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Marcacci  |D Maurilio  |u Clinica Ortopedica e Traumatologica II, Laboratorio di Biomeccanica ed Innovazione Tecnologica, Istituto Ortopedico Rizzoli, via di Barbiano, 1/10, 40136, Bologna, Italy  |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), 2918-2924  |x 0942-2056  |q 23:10<2918  |1 2015  |2 23  |o 167