Measurement of laxity in the anterior cruciate ligament-deficient knee: a comparison of three different methods in vitro.

Autor: Khan RT; Musculoskeletal Surgery, Imperial College London, London, UK., Lie DT, Cashman PM, Thomas RW, Amis AA
Jazyk: angličtina
Zdroj: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine [Proc Inst Mech Eng H] 2007 Aug; Vol. 221 (6), pp. 653-63.
DOI: 10.1243/09544119JEIM182
Abstrakt: The aim of this study was to compare in-vitro measurements of anteroposterior laxity in the anterior cruciate ligament (ACL)-deficient knee using three different methods: an Instron materials-testing machine, then a KT-2000 arthrometer, and finally by Roentgen stereophotogrammetric analysis (RSA). Eight ACL-deficient human cadaver knees were used. Total displacement was measured between 90 N anterior and 90 N posterior tibiofemoral drawer forces at both 20 degrees and 90 degrees knee flexion. Laxity ranged from 11.5 to 27.6 mm at 20 degrees and from 8.7 to 23.9 mm at 90degrees. A statistically significant difference was not found between the mean RSA and KT-2000 measurements. However, the mean Instron measurements of laxity were significantly (3-4 mm) higher than both RSA and KT-2000 measurements. The clinical methods of RSA and the KT-2000 measurements agreed well but appeared to underestimate tibiofemoral anteroposterior laxity compared with the materials-testing machine. These findings may be helpful in the future comparison of different studies.
Databáze: MEDLINE