Effect of ACL reconstruction and tibial rotation on anterior knee laxity

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Title translated into German:Auswirkung von vorderer Kreuzbandrekonstruktion und Tibiarotation auf die vordere Kniegelenkinstabilität
Author:Guskiewicz, Kevin M.; Perrin, David H.; Martin, David E.; Kahler, David M.; Gansneder, Bruce M.; McCue, Frank C.
Published in:Journal of athletic training
Published:30 (1995), 3 , S. 243-246, Lit.
Format: Publications (Database SPOLIT)
Publication Type: Journal article
Media type: Electronic resource (online) Print resource
Language:English
ISSN:1062-6050, 0160-8320, 1938-162X
Keywords:
Online Access:
Identification number:PU199605107780
Source:BISp
id PU199605107780
bisp-collection db
format Literatur
last_indexed 2012-03-12T09:24:34Z
first_indexed 2001-07-24T13:28:42Z
publication_source BISp
subformat Zeitschriftenartikel
hierarchy_top_id JO00000000720
hierarchy_parent_id JOI1995250c0000720
hierarchy_top_title Journal of athletic training
hierarchy_parent_title Journal of athletic training, 1995, 3
is_hierarchy_id PU199605107780
is_hierarchy_title Effect of ACL reconstruction and tibial rotation on anterior knee laxity
hierarchy_sequence 0243
recordtype bisparticle
publishDate 1995
publishDate_facet 1995
language eng
title Effect of ACL reconstruction and tibial rotation on anterior knee laxity
spellingShingle Effect of ACL reconstruction and tibial rotation on anterior knee laxity
Diagnostische Verfahren
Gelenkinstabilität
Kniegelenkdiagnostik
Kreuzband, vorderes
Kreuzbandplastik
Orthopädie
Rotation
Sportmedizin
Tibia
title_sort effect of acl reconstruction and tibial rotation on anterior knee laxity
title_short Effect of ACL reconstruction and tibial rotation on anterior knee laxity
title_alt Auswirkung von vorderer Kreuzbandrekonstruktion und Tibiarotation auf die vordere Kniegelenkinstabilität
title_alt_lang deu
media_type Elektronische Ressource (online)
Gedruckte Ressource
city Dallas (Tex)
abstract The anterior cruciate ligament (ACL) is the primary restraint to anterior translation of the tibia on the femur. Research suggests that resistance to anterior translation changes as the tibia is rotated internally and externally. This study assessed the degree to which ACL reconstruction and tibial rotation affects anterior knee laxity. Nine subjects with ACL lesions and functional instabilities participated in the study. Subjects were measured 1 to 10 days before surgery and 6 to 8 months after ACL reconstruction using the KT-1000 knee arthrometer. A mechanical leg stabilizer was used to assess anterior translation at 20ø of knee flexion in three positions: internal rotation of 15ø, neutral, and external rotation of 15ø. Subjects were measured at 89 and 67 N of anterior force. Data were analyzed with a three-factor (test x position x force) repeated measures ANOVA. Following surgery, reduction in laxity (mm) for the three positions (internal rotation, neutral, and external rotation) was 1.9, 2.8, and 3.4, respectively, at 89 N and 1.5, 2.0, and 2.6, respectively, at 67 N. The degree of reduction in laxity (presurgery to postsurgery) was dependent upon rotation and force, and was greatest in external rotation and least in internal rotation pre- to postsurgery. We concluded that ACL reconstruction using a patellar tendon graft significantly decreased anterior tibial translation at all three positions, but a greater amount of reduction was observed postsurgically at the externally rotated position. This supports the theory that mechanical blocks and secondary restraints such as a taut mid-third of the iliotibial tract may interfere with clinical laxity tests in some positions of tibial rotation. Fixing the tibia in an externally rotated position may decrease the effect of secondary restraints and improve sensitivity in testing for ACL laxity. Verf.-Referat
abstract_lang eng
abstract_type author
author2 Guskiewicz, Kevin M.
Perrin, David H.
Martin, David E.
Kahler, David M.
Gansneder, Bruce M.
McCue, Frank C.
author_facet Guskiewicz, Kevin M.
Perrin, David H.
Martin, David E.
Kahler, David M.
Gansneder, Bruce M.
McCue, Frank C.
author2-role Autor
Autor
Autor
Autor
Autor
Autor
author_author_facet Guskiewicz, Kevin M.
Perrin, David H.
Martin, David E.
Kahler, David M.
Gansneder, Bruce M.
McCue, Frank C.
spelling Guskiewicz, Kevin M.
Perrin, David H.
Martin, David E.
Kahler, David M.
Gansneder, Bruce M.
McCue, Frank C.





McCue, Frank C. III
1062-6050
0160-8320
1938-162X
1202960-9
Diagnostische Verfahren
Gelenkinstabilität
Kniegelenkdiagnostik
Kreuzband, vorderes
Kreuzbandplastik
Orthopädie
Rotation
Sportmedizin
Tibia
anterior cruciate ligament
cruciate ligament plastic
diagnostic procedures
joint instability
knee-joint diagnostics
orthopedics
rotation
sports medicine
tibia
Gelenkinsuffizienz
Drehung
Körperdrehung
Schienbein
Lachman-Test
Diagnose
Diagnosemethode
Diagnostik
Untersuchungsdiagnostik
Medizin
Geschichte der Medizin
Untersuchung, sportmedizinische
Wasserdampf
articular instability
instability of a joint
Effect of ACL reconstruction and tibial rotation on anterior knee laxity
PU199605107780
199605107780
issn 1062-6050
0160-8320
1938-162X
zdb 1202960-9
url http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1317869/pdf/jathtrain00023-0053.pdf
url-type fulltext
url-free 1
topic Diagnostische Verfahren
Gelenkinstabilität
Kniegelenkdiagnostik
Kreuzband, vorderes
Kreuzbandplastik
Orthopädie
Rotation
Sportmedizin
Tibia
topic_facet Diagnostische Verfahren
Gelenkinstabilität
Kniegelenkdiagnostik
Kreuzband, vorderes
Kreuzbandplastik
Orthopädie
Rotation
Sportmedizin
Tibia
topic_en anterior cruciate ligament
cruciate ligament plastic
diagnostic procedures
joint instability
knee-joint diagnostics
orthopedics
rotation
sports medicine
tibia
topic_en_facet anterior cruciate ligament
cruciate ligament plastic
diagnostic procedures
joint instability
knee-joint diagnostics
orthopedics
rotation
sports medicine
tibia
synonym Gelenkinsuffizienz
Drehung
Körperdrehung
Schienbein
Lachman-Test
Diagnose
Diagnosemethode
Diagnostik
Untersuchungsdiagnostik
Medizin
Geschichte der Medizin
Untersuchung, sportmedizinische
Wasserdampf
synonym_en articular instability
instability of a joint
journal_facet Journal of athletic training
container_title Journal of athletic training
container_volume 30
container_issue 3
container_start_page S. 243-246
has_references 1
institution BISp
journal_fac JO00000000720
journal_year 1995
journal_issue 3
_version_ 1655184444799057921
score 12,860832