Quantitative comparison of the pivot shift test results before and after anterior cruciate ligament reconstruction by using the three-dimensional electromagnetic measurement system

Verfasser / Beitragende:
[Kanto Nagai, Yuichi Hoshino, Yuichiro Nishizawa, Daisuke Araki, Takehiko Matsushita, Tomoyuki Matsumoto, Koji Takayama, Kouki Nagamune, Masahiro Kurosaka, Ryosuke Kuroda]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 2876-2881
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-015-3776-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-015-3776-4 
245 0 0 |a Quantitative comparison of the pivot shift test results before and after anterior cruciate ligament reconstruction by using the three-dimensional electromagnetic measurement system  |h [Elektronische Daten]  |c [Kanto Nagai, Yuichi Hoshino, Yuichiro Nishizawa, Daisuke Araki, Takehiko Matsushita, Tomoyuki Matsumoto, Koji Takayama, Kouki Nagamune, Masahiro Kurosaka, Ryosuke Kuroda] 
520 3 |a Purpose: Tibial acceleration during the pivot shift test is a potential quantitative parameter to evaluate rotational laxity of anterior cruciate ligament (ACL) insufficiency. However, clinical application of this measurement has not been fully examined. This study aimed to measure and compare tibial acceleration before and after ACL reconstruction (ACLR) in ACL-injured patients. We hypothesized tibial acceleration would be reduced by ACLR and tibial acceleration would be consistent in the same knee at different time points. Methods: Seventy ACL-injured patients who underwent ACLR were enrolled. Tibial acceleration during the pivot shift test was measured using an electromagnetic measurement system before ALCR and at the second-look arthroscopy 1year post-operatively. Tibial acceleration was compared to clinical grading and between ACL-injured/ACL-reconstructed and contralateral knees. Results: Pre-operative tibial acceleration was increased stepwise with the increase in clinical grading (P<0.01). Tibial acceleration in ACL-injured knee (1.9±1.2m/s2) was larger than that in the contralateral knee (0.8±0.3m/s2, P<0.01), and reduced to 0.9±0.3m/s2 post-operatively (P<0.01). There was no difference between ACL-reconstructed and contralateral knee (n.s.). Tibial acceleration in contralateral knees was consistent pre- and post-operatively (n.s.). Conclusion: Tibial acceleration measurement demonstrated increased rotational laxity in ACL-injured knees and its reduction by ALCR. Additionally, consistent measurements were obtained in ACL-intact knees at different time points. Therefore, tibial acceleration during the pivot shift test could provide quantitative evaluation of rotational stability before and after ACL reconstruction. Level of evidence: III. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 
690 7 |a Rotational instability  |2 nationallicence 
690 7 |a Pivot shift test  |2 nationallicence 
690 7 |a Electromagnetic measurement system  |2 nationallicence 
690 7 |a Acceleration  |2 nationallicence 
690 7 |a Anterior cruciate ligament injury  |2 nationallicence 
690 7 |a ACL reconstruction  |2 nationallicence 
700 1 |a Nagai  |D Kanto  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
700 1 |a Hoshino  |D Yuichi  |u Department of Orthopaedic Surgery, Kobe Kaisei Hospital, Kobe, Japan  |4 aut 
700 1 |a Nishizawa  |D Yuichiro  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
700 1 |a Araki  |D Daisuke  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
700 1 |a Matsushita  |D Takehiko  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
700 1 |a Matsumoto  |D Tomoyuki  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
700 1 |a Takayama  |D Koji  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
700 1 |a Nagamune  |D Kouki  |u Department of Human and Artificial Intelligent Systems, Graduate School of Engineering, University of Fukui, Fukui, Japan  |4 aut 
700 1 |a Kurosaka  |D Masahiro  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
700 1 |a Kuroda  |D Ryosuke  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 2876-2881  |x 0942-2056  |q 23:10<2876  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-015-3776-4  |q text/html  |z Onlinezugriff via DOI 
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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/s00167-015-3776-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nagai  |D Kanto  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hoshino  |D Yuichi  |u Department of Orthopaedic Surgery, Kobe Kaisei Hospital, Kobe, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nishizawa  |D Yuichiro  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Araki  |D Daisuke  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Matsushita  |D Takehiko  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Matsumoto  |D Tomoyuki  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takayama  |D Koji  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nagamune  |D Kouki  |u Department of Human and Artificial Intelligent Systems, Graduate School of Engineering, University of Fukui, Fukui, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kurosaka  |D Masahiro  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kuroda  |D Ryosuke  |u Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, 650-0017, Kobe, Japan  |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), 2876-2881  |x 0942-2056  |q 23:10<2876  |1 2015  |2 23  |o 167