In vivo length change patterns of the medial and lateral collateral ligaments along the flexion path of the knee

Verfasser / Beitragende:
[Ali Hosseini, Wei Qi, Tsung-Yuan Tsai, Yujie Liu, Harry Rubash, Guoan Li]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 3055-3061
Format:
Artikel (online)
ID: 605458537
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024 7 0 |a 10.1007/s00167-014-3306-9  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3306-9 
245 0 0 |a In vivo length change patterns of the medial and lateral collateral ligaments along the flexion path of the knee  |h [Elektronische Daten]  |c [Ali Hosseini, Wei Qi, Tsung-Yuan Tsai, Yujie Liu, Harry Rubash, Guoan Li] 
520 3 |a Purpose: The knowledge of the function of the collateral ligaments—i.e., superficial medial collateral ligament (sMCL), deep medial collateral ligament (dMCL) and lateral collateral ligament (LCL)—in the entire range of knee flexion is important for soft tissue balance during total knee arthroplasty (TKA). The objective of this study was to investigate the length changes of different portions (anterior, middle and posterior) of the sMCL, dMCL and LCL during in vivo weightbearing flexion from full extension to maximal knee flexion. Methods: Using a dual fluoroscopic imaging system, eight healthy knees were imaged while performing a lunge from full extension to maximal flexion. The length changes of each portion of the collateral ligaments were measured along the flexion path of the knee. Results: All anterior portions of the collateral ligaments were shown to have increasing length with flexion except that of the sMCL, which showed a reduction in length at high flexion. The middle portions showed minimal change in lengths except that of the sMCL, which showed a consistent reduction in length with flexion. All posterior portions showed reduction in lengths with flexion. Conclusions: These data indicated that every portion of the ligaments may play important roles in knee stability at different knee flexion range. The soft tissue releasing during TKA may need to consider the function of the ligament portions along the entire flexion path including maximum flexion. Level of evidence: III. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a In vivo length change pattern  |2 nationallicence 
690 7 |a Medial collateral ligament  |2 nationallicence 
690 7 |a Lateral collateral ligament  |2 nationallicence 
690 7 |a Lunge  |2 nationallicence 
700 1 |a Hosseini  |D Ali  |u Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, GRJ 1215, 02114, Boston, MA, USA  |4 aut 
700 1 |a Qi  |D Wei  |u Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, GRJ 1215, 02114, Boston, MA, USA  |4 aut 
700 1 |a Tsai  |D Tsung-Yuan  |u Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, GRJ 1215, 02114, Boston, MA, USA  |4 aut 
700 1 |a Liu  |D Yujie  |u Department of Orthopaedic Surgery, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
700 1 |a Rubash  |D Harry  |u Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, GRJ 1215, 02114, Boston, MA, USA  |4 aut 
700 1 |a Li  |D Guoan  |u Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, GRJ 1215, 02114, Boston, MA, USA  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 3055-3061  |x 0942-2056  |q 23:10<3055  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3306-9  |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/s00167-014-3306-9  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hosseini  |D Ali  |u Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, GRJ 1215, 02114, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Qi  |D Wei  |u Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, GRJ 1215, 02114, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tsai  |D Tsung-Yuan  |u Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, GRJ 1215, 02114, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Liu  |D Yujie  |u Department of Orthopaedic Surgery, Chinese PLA General Hospital, 28 Fuxing Road, 100853, Beijing, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rubash  |D Harry  |u Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, GRJ 1215, 02114, Boston, MA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Li  |D Guoan  |u Bioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital/Harvard Medical School, 55 Fruit Street, GRJ 1215, 02114, Boston, MA, 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), 3055-3061  |x 0942-2056  |q 23:10<3055  |1 2015  |2 23  |o 167