Posterior tibial translation resulting from the posterior drawer manoeuver in cadaveric knee specimens: a systematic review

Verfasser / Beitragende:
[Marcin Kowalczuk, Marie-Claude Leblanc, Benjamin Rothrauff, Richard Debski, Volker Musahl, Nicole Simunovic, Olufemi Ayeni]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 2974-2982
Format:
Artikel (online)
ID: 605458618
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024 7 0 |a 10.1007/s00167-015-3584-x  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-015-3584-x 
245 0 0 |a Posterior tibial translation resulting from the posterior drawer manoeuver in cadaveric knee specimens: a systematic review  |h [Elektronische Daten]  |c [Marcin Kowalczuk, Marie-Claude Leblanc, Benjamin Rothrauff, Richard Debski, Volker Musahl, Nicole Simunovic, Olufemi Ayeni] 
520 3 |a Purpose: The purpose of this systematic review of cadaver-based biomechanical studies is to accurately quantify how much posterior tibial translation occurs during posterior drawer testing in normal and PCL-deficient knees. Methods: A search of the electronic databases, MEDLINE and EMBASE, was performed to identify relevant cadaveric studies that reported posterior tibial translation during posterior drawer testing. Studies were combined to determine overall increase in posterior tibial translation after PCL sectioning at 90° of flexion. Methodological quality of included studies was assessed by two reviewers using a novel clinometric tool. An intraclass correlation coefficient with 95% confidence intervals (CIs) was used to determine agreement between reviewers on quality scores. Results: Combined analysis of 244 cadaveric specimens from 23 studies in which the PCL was sectioned yielded a mean net increase in tibial translation of 10.7mm (95% CI 9.68-11.8) with posterior drawer testing. Posterior tibial translation among cadaveric specimens with no disruption to any ligamentous structures was found to be 5.4mm (95% CI 4.3-6.6). Conclusions: Cadaveric data support previous study findings of >8mm of posterior tibial translation on stress radiographs being indicative of isolated PCL insufficiency. Use of fixed reference points and strict control of tibial rotation are imperative to ensure accurate results in cadaveric studies and in the clinical setting when performing the posterior drawer examination. Level of evidence: III. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 
690 7 |a Posterior cruciate ligament rupture  |2 nationallicence 
690 7 |a Posterior cruciate ligament injury  |2 nationallicence 
690 7 |a Posterior drawer  |2 nationallicence 
690 7 |a Knee instability  |2 nationallicence 
700 1 |a Kowalczuk  |D Marcin  |u Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada  |4 aut 
700 1 |a Leblanc  |D Marie-Claude  |u Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada  |4 aut 
700 1 |a Rothrauff  |D Benjamin  |u Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA  |4 aut 
700 1 |a Debski  |D Richard  |u Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA  |4 aut 
700 1 |a Musahl  |D Volker  |u Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA  |4 aut 
700 1 |a Simunovic  |D Nicole  |u Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada  |4 aut 
700 1 |a Ayeni  |D Olufemi  |u Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 2974-2982  |x 0942-2056  |q 23:10<2974  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-015-3584-x  |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 review-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-015-3584-x  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kowalczuk  |D Marcin  |u Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Leblanc  |D Marie-Claude  |u Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rothrauff  |D Benjamin  |u Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Debski  |D Richard  |u Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Musahl  |D Volker  |u Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Simunovic  |D Nicole  |u Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ayeni  |D Olufemi  |u Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada  |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), 2974-2982  |x 0942-2056  |q 23:10<2974  |1 2015  |2 23  |o 167