Measurements of tibial rotation during a simulated pivot shift manoeuvre using a gyroscopic sensor

Verfasser / Beitragende:
[Frank Petrigliano, Per Borgstrom, William Kaiser, David McAllister, Keith Markolf]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/8(2015-08-01), 2237-2243
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-3015-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3015-4 
245 0 0 |a Measurements of tibial rotation during a simulated pivot shift manoeuvre using a gyroscopic sensor  |h [Elektronische Daten]  |c [Frank Petrigliano, Per Borgstrom, William Kaiser, David McAllister, Keith Markolf] 
520 3 |a Purpose: The pivot shift has been correlated with patient-reported outcomes and knee function following ACL injury and reconstruction. Tibial rotation has been recognized as an important component to the pivot shift motion path. However, few methodologies exist to quantify tibial rotation in the clinical setting. The purpose of this study was to validate the use of a wireless gyroscopic sensor to measure axial rotation of the tibia during a manually simulated pivot shift manoeuvre in cadaveric specimens. We hypothesized that integrated gyroscopic measurements of tibial rotation velocity (tibial rotation) would be highly correlated with tibial rotations simultaneously recorded with a rotary potentiometer during a simulated pivot shift motion under intact and ACL-deficient conditions. Methods: Gyroscopic measurements of rotational velocity were integrated and calibrated to a known arc of rotation. The gyroscope was mounted on the distal tibia with its axis aligned to the tibial shaft. Ten simulations of a pivot shift motion pathway were performed on nine cadaveric knees under intact and ACL-deficient conditions. Logistic regression was used to compare gyroscopic and potentiometer measurements of tibial rotation for both test conditions. Results: Gyroscopic measurements of maximum external tibial rotation during the simulated pivot shift motion pathway were strongly correlated with potentiometer measurements of external tibial rotation in both the intact and ACL-deficient states (R 2=0.984). Conclusion: The gyroscope evaluated in this cadaveric study was capable of accurately recording tibial rotation during a simulated pivot shift motion pathway. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Pivot shift  |2 nationallicence 
690 7 |a Gyroscope  |2 nationallicence 
690 7 |a Rotational laxity  |2 nationallicence 
690 7 |a Non-invasive  |2 nationallicence 
690 7 |a Quantification  |2 nationallicence 
700 1 |a Petrigliano  |D Frank  |u Department of Orthopaedic Surgery, David Geffen School of Medicine, UCLA, 10833 Le Conte Ave., 90095-6902, Los Angeles, CA, USA  |4 aut 
700 1 |a Borgstrom  |D Per  |u Department of Electrical Engineering, Wireless Health Institute, UCLA, Los Angeles, CA, USA  |4 aut 
700 1 |a Kaiser  |D William  |u Department of Electrical Engineering, Wireless Health Institute, UCLA, Los Angeles, CA, USA  |4 aut 
700 1 |a McAllister  |D David  |u Department of Orthopaedic Surgery, David Geffen School of Medicine, UCLA, 10833 Le Conte Ave., 90095-6902, Los Angeles, CA, USA  |4 aut 
700 1 |a Markolf  |D Keith  |u Department of Orthopaedic Surgery, David Geffen School of Medicine, UCLA, 10833 Le Conte Ave., 90095-6902, Los Angeles, CA, USA  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2237-2243  |x 0942-2056  |q 23:8<2237  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3015-4  |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/s00167-014-3015-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Petrigliano  |D Frank  |u Department of Orthopaedic Surgery, David Geffen School of Medicine, UCLA, 10833 Le Conte Ave., 90095-6902, Los Angeles, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Borgstrom  |D Per  |u Department of Electrical Engineering, Wireless Health Institute, UCLA, Los Angeles, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kaiser  |D William  |u Department of Electrical Engineering, Wireless Health Institute, UCLA, Los Angeles, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a McAllister  |D David  |u Department of Orthopaedic Surgery, David Geffen School of Medicine, UCLA, 10833 Le Conte Ave., 90095-6902, Los Angeles, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Markolf  |D Keith  |u Department of Orthopaedic Surgery, David Geffen School of Medicine, UCLA, 10833 Le Conte Ave., 90095-6902, Los Angeles, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/8(2015-08-01), 2237-2243  |x 0942-2056  |q 23:8<2237  |1 2015  |2 23  |o 167