Rolimeter measurements are suitable as substitutes to stress radiographs in the evaluation of posterior knee laxity

Verfasser / Beitragende:
[Jürgen Höher, Ralph Akoto, Philip Helm, Sven Shafizadeh, Bertil Bouillon, Maurice Balke]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/4(2015-04-01), 1107-1112
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-2901-0  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2901-0 
245 0 0 |a Rolimeter measurements are suitable as substitutes to stress radiographs in the evaluation of posterior knee laxity  |h [Elektronische Daten]  |c [Jürgen Höher, Ralph Akoto, Philip Helm, Sven Shafizadeh, Bertil Bouillon, Maurice Balke] 
520 3 |a Purpose: The quantification of posterior knee laxity is crucial in the evaluation of injuries to the posterior cruciate ligament (PCL) as it has important implications to the treatment for these injuries. The objective of this study was to compare the test results of stress radiography and instrumented drawer testing (Rolimeter) for the assessment of posterior knee laxity in patients with PCL injury. Methods: In 45 patients with an injury to the PCL, lateral radiographs of both knees were obtained under anterior and posterior tibial load (150N) using a standardized approach. Patients with injury of the ACL to either knee were excluded from the study. During the same clinic visit, an instrumented measurement of anterior-posterior knee laxity was performed at 90° of knee flexion by an experienced examiner using the Rolimeter device. The mean side-to-side differences (SSD) of both (radiographic and instrumented) measurements were compared to each other, and the correlation was calculated using the Pearson coefficient. Results: The SSD (affected/healthy side) of posterior translation determined from the radiographs was 8.2±3.2mm, and the SSD of the instrumented measurement testing was 7.6±3.2mm. The mean difference between radiographic and Rolimeter test results was 1.8±1.5mm. The Pearson's correlation coefficient revealed a good correlation between both measurements of 0.74. Conclusions: It may be suggested by the results of this study that under the absence of an ACL injury and a fixed posterior drawer sign, the Rolimeter is a suitable tool to assess the posterior laxity of the knee in the clinical setting. Its advantages are the absence of radiation to the patient, its availability, and the low cost. Therefore, the Rolimeter device may serve as a valuable alternative to stress radiography in the evaluation of PCL-injured patients. Level of evidence: II. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Instrumented knee laxity measurement  |2 nationallicence 
690 7 |a Posterior cruciate ligament  |2 nationallicence 
690 7 |a Stress radiography  |2 nationallicence 
700 1 |a Höher  |D Jürgen  |u Department of Trauma and Orthopaedic Surgery, Clinic for Sports Traumatology, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
700 1 |a Akoto  |D Ralph  |u Department of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
700 1 |a Helm  |D Philip  |u Department of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
700 1 |a Shafizadeh  |D Sven  |u Department of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
700 1 |a Bouillon  |D Bertil  |u Department of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
700 1 |a Balke  |D Maurice  |u Department of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1107-1112  |x 0942-2056  |q 23:4<1107  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2901-0  |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/s00167-014-2901-0  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Höher  |D Jürgen  |u Department of Trauma and Orthopaedic Surgery, Clinic for Sports Traumatology, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Akoto  |D Ralph  |u Department of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Helm  |D Philip  |u Department of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shafizadeh  |D Sven  |u Department of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bouillon  |D Bertil  |u Department of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Balke  |D Maurice  |u Department of Trauma and Orthopaedic Surgery, Cologne-Merheim Medical Center, University of Witten-Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1107-1112  |x 0942-2056  |q 23:4<1107  |1 2015  |2 23  |o 167