Effect of axial loading during knee flexion on ACL end-to-end distance in healthy and ACL-deficient knees

Verfasser / Beitragende:
[Ki-Mo Jang, Minho Chang, Tae Bae, Jae Kim, Ju Jung, Bong Kyung, Sanghoon Chae, Joon Wang]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/4(2015-04-01), 1179-1187
Format:
Artikel (online)
ID: 605458960
LEADER caa a22 4500
001 605458960
003 CHVBK
005 20210128100231.0
007 cr unu---uuuuu
008 210128e20150401xx s 000 0 eng
024 7 0 |a 10.1007/s00167-014-2935-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2935-3 
245 0 0 |a Effect of axial loading during knee flexion on ACL end-to-end distance in healthy and ACL-deficient knees  |h [Elektronische Daten]  |c [Ki-Mo Jang, Minho Chang, Tae Bae, Jae Kim, Ju Jung, Bong Kyung, Sanghoon Chae, Joon Wang] 
520 3 |a Purpose: The purpose of this study was to determine the effect of physiological axial loading during knee flexion on changes in anterior cruciate ligament (ACL) end-to-end distance for normal and ACL-deficient knees. Methods: Biomechanical tests were conducted on ten cadaveric knees using an Instron machine. We gathered positional data of the tibia and femur at low to middle flexion angles (0°, 15°, 30°, 45° and 60°) with/without axial loading. First, no external load was applied to the specimens at each angle, and then, a 1000-N axial load was applied to the knees. The same test protocols were repeated after transection of the ACL. Using computer software (Geomagic Studio 10), we regenerated positional data and calculated the end-to-end distances of the anteromedial, posterolateral and the entire ACL bundle at each angle. Results: Compared with ACL-intact knees without axial loading, knees under axial loading did not show significant increases in end-to-end distance. Under axial loading, we found no significant differences in end-to-end distances between bundles in ACL-intact knees according to the increase in knee flexion angle. After ACL transection, axial loading significantly increased end-to-end distances of all three bundles (P<0.001), and the distances increased significantly with flexion angle (P<0.05 at all angles in all bundles). Conclusion: The changing patterns of the ACL end-to-end distance in ACL-deficient knees were different from those in healthy knees after applying physiological axial loading, and the ACL end-to-end distances in ACL-deficient knees increased remarkably as knee flexion angles increased. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Anterior cruciate ligament  |2 nationallicence 
690 7 |a Physiological axial loading  |2 nationallicence 
690 7 |a End-to-end distance  |2 nationallicence 
690 7 |a Anterior cruciate ligament transection  |2 nationallicence 
690 7 |a Excessive femoral roll-back  |2 nationallicence 
700 1 |a Jang  |D Ki-Mo  |u Department of Orthopaedic Surgery, Guro Hospital, Korea University School of Medicine, Seoul, South Korea  |4 aut 
700 1 |a Chang  |D Minho  |u School of Mechanical Engineering, Korea University, Seoul, South Korea  |4 aut 
700 1 |a Bae  |D Tae  |u Department of Biomedical Engineering, Jungwon University, Goesan, South Korea  |4 aut 
700 1 |a Kim  |D Jae  |u Department of Orthopaedic Surgery, Ansan Hospital, Korea University School of Medicine, Seoul, South Korea  |4 aut 
700 1 |a Jung  |D Ju  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong, Kangnam-Gu, 135-710, Seoul, South Korea  |4 aut 
700 1 |a Kyung  |D Bong  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong, Kangnam-Gu, 135-710, Seoul, South Korea  |4 aut 
700 1 |a Chae  |D Sanghoon  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong, Kangnam-Gu, 135-710, Seoul, South Korea  |4 aut 
700 1 |a Wang  |D Joon  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong, Kangnam-Gu, 135-710, Seoul, South Korea  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/4(2015-04-01), 1179-1187  |x 0942-2056  |q 23:4<1179  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2935-3  |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/s00167-014-2935-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jang  |D Ki-Mo  |u Department of Orthopaedic Surgery, Guro Hospital, Korea University School of Medicine, Seoul, South Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chang  |D Minho  |u School of Mechanical Engineering, Korea University, Seoul, South Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bae  |D Tae  |u Department of Biomedical Engineering, Jungwon University, Goesan, South Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Jae  |u Department of Orthopaedic Surgery, Ansan Hospital, Korea University School of Medicine, Seoul, South Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Jung  |D Ju  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong, Kangnam-Gu, 135-710, Seoul, South Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kyung  |D Bong  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong, Kangnam-Gu, 135-710, Seoul, South Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chae  |D Sanghoon  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong, Kangnam-Gu, 135-710, Seoul, South Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Joon  |u Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong, Kangnam-Gu, 135-710, Seoul, South Korea  |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), 1179-1187  |x 0942-2056  |q 23:4<1179  |1 2015  |2 23  |o 167