caa a22 4500 605458618 CHVBK 20210128100229.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00167-015-3584-x doi (NATIONALLICENCE)springer-10.1007/s00167-015-3584-x Posterior tibial translation resulting from the posterior drawer manoeuver in cadaveric knee specimens: a systematic review [Elektronische Daten] [Marcin Kowalczuk, Marie-Claude Leblanc, Benjamin Rothrauff, Richard Debski, Volker Musahl, Nicole Simunovic, Olufemi Ayeni] 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. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2015 Posterior cruciate ligament rupture nationallicence Posterior cruciate ligament injury nationallicence Posterior drawer nationallicence Knee instability nationallicence Kowalczuk Marcin Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada aut Leblanc Marie-Claude Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada aut Rothrauff Benjamin Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA aut Debski Richard Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA aut Musahl Volker Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA aut Simunovic Nicole Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada aut Ayeni Olufemi Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 2974-2982 0942-2056 23:10<2974 2015 23 167 https://doi.org/10.1007/s00167-015-3584-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-015-3584-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kowalczuk Marcin Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada aut NATIONALLICENCE 700 1- Leblanc Marie-Claude Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada aut NATIONALLICENCE 700 1- Rothrauff Benjamin Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Debski Richard Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Musahl Volker Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Simunovic Nicole Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada aut NATIONALLICENCE 700 1- Ayeni Olufemi Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, McMaster University, 1200 Main Street West, 4E175, L8S 3Z5, Hamilton, ON, Canada aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/10(2015-10-01), 2974-2982 0942-2056 23:10<2974 2015 23 167