The necessity of clinical application of tibial reduction for detection of underestimated posterolateral rotatory instability in combined posterior cruciate ligament and posterolateral corner deficient knee
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| 024 | 7 | 0 | |a 10.1007/s00167-014-3138-7 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00167-014-3138-7 | ||
| 245 | 0 | 4 | |a The necessity of clinical application of tibial reduction for detection of underestimated posterolateral rotatory instability in combined posterior cruciate ligament and posterolateral corner deficient knee |h [Elektronische Daten] |c [Han-Jun Lee, Yong-Beom Park, Young-Bong Ko, Seong-Hwan Kim, Hyeok-Bin Kwon, Dong-Seok Yu, Young-Bok Jung] |
| 520 | 3 | |a Purpose: The purpose of this study was to evaluate the usefulness of tibial reduction during dial test for clinical detection of underestimated posterolateral rotatory instability (PLRI) in combined posterior cruciate ligament (PCL)-posterolateral corner (PLC) deficient knee in terms of external rotation laxity and clinical outcomes. Methods: Twenty-one patients who classified as grade I PLRI using dial test with subluxated tibia, but classified as grade II with tibial reduction evaluated retrospectively. The mean follow-up was 39.3months (range 24-61months). Each patient was evaluated by the following variables: posterior translation and varus laxity on radiograph, KT-1000 arthrometer, dial test (reduced and subluxated position), International Knee Documentation Committee, Orthopädische Arbeitsgruppe Knie scoring system and Tegner activity scale. Results: There were significant improvements in posterior tibial translation (8.6±2.0 to 2.1±1.0mm; P<0.001), varus laxity (3.3±1.3 to 1.4±0.5mm; P<0.001) and external rotation (13.2°±0.8° to 3.6°±1.1° at 30°, 13.3°±0.9° to 3.6°±0.9° at 90°; P<0.001). The clinical scores were improved significantly at the last follow-up (P<0.001). The external tibial rotation during dial test with tibial reduction increased from 6.8°±0.9 to 13.2°±0.8° at 30° of knee flexion, from 7.0°±0.8° to 13.3°±0.9° at 90° (P<0.001). Conclusions: The clinical application of reduction of posteriorly subluxated tibia during the dial test was essential for an appropriate treatment of underestimated PLRI in combined PCL-PLC deficient knee. Level of evidence: Retrospective case series, Level IV. | |
| 540 | |a Springer-Verlag Berlin Heidelberg, 2014 | ||
| 690 | 7 | |a Posterior cruciate ligament |2 nationallicence | |
| 690 | 7 | |a Posterolateral rotator instability |2 nationallicence | |
| 690 | 7 | |a Dial test |2 nationallicence | |
| 690 | 7 | |a Tibial reduction |2 nationallicence | |
| 700 | 1 | |a Lee |D Han-Jun |u Department of Orthopaedic Surgery, Chung-Ang University School of Medicine, Seoul, Korea |4 aut | |
| 700 | 1 | |a Park |D Yong-Beom |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Irwon-dong 50, Gangnam-gu, 135-710, Seoul, Korea |4 aut | |
| 700 | 1 | |a Ko |D Young-Bong |u Department of Orthopaedic Surgery, Chung-Ang University School of Medicine, Seoul, Korea |4 aut | |
| 700 | 1 | |a Kim |D Seong-Hwan |u Department of Orthopaedic Surgery, Chung-Ang University School of Medicine, Seoul, Korea |4 aut | |
| 700 | 1 | |a Kwon |D Hyeok-Bin |u Department of Orthopaedic Surgery, Chung-Ang University School of Medicine, Seoul, Korea |4 aut | |
| 700 | 1 | |a Yu |D Dong-Seok |u Department of Orthopaedic Surgery, Guro TnTn Hospital, Seoul, Korea |4 aut | |
| 700 | 1 | |a Jung |D Young-Bok |u Department of Orthopaedic Surgery, Hyundae General Hospital, Namyangju-si, Korea |4 aut | |
| 773 | 0 | |t Knee Surgery, Sports Traumatology, Arthroscopy |d Springer Berlin Heidelberg |g 23/10(2015-10-01), 3062-3069 |x 0942-2056 |q 23:10<3062 |1 2015 |2 23 |o 167 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00167-014-3138-7 |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 | ||
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| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00167-014-3138-7 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Lee |D Han-Jun |u Department of Orthopaedic Surgery, Chung-Ang University School of Medicine, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Park |D Yong-Beom |u Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Irwon-dong 50, Gangnam-gu, 135-710, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Ko |D Young-Bong |u Department of Orthopaedic Surgery, Chung-Ang University School of Medicine, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kim |D Seong-Hwan |u Department of Orthopaedic Surgery, Chung-Ang University School of Medicine, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kwon |D Hyeok-Bin |u Department of Orthopaedic Surgery, Chung-Ang University School of Medicine, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Yu |D Dong-Seok |u Department of Orthopaedic Surgery, Guro TnTn Hospital, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Jung |D Young-Bok |u Department of Orthopaedic Surgery, Hyundae General Hospital, Namyangju-si, Korea |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), 3062-3069 |x 0942-2056 |q 23:10<3062 |1 2015 |2 23 |o 167 | ||