Instrument-based anterolateral rotatory laxity assessment of the knee has a high intra-observer and inter-observer reliability: a systematic review.

Autor: Martinez-Cano JP; Departamento de Ortopedia, Fundación Valle del Lili, Carrera 98 No. 18-49, Cali 760032, Colombia; Universidad Icesi, Calle 18 No. 122-135, Cali 760031, Colombia. Electronic address: juan.martinez.ca@fvl.org.co., Familiari F; Department of Orthopaedic and Trauma Surgery, Magna Graecia University, 88100 Catanzaro, Italy. Electronic address: filippofamiliari@unicz.it., Vinagre G; Department of Orthopaedic Surgery and Traumatology, Complexo Hospitalar do Médio Ave, Porto 4761-917, Portugal; Department of Orthopaedic Surgery and Traumatology, Hospital Lusíadas, Porto 4050-115, Portugal. Electronic address: gustavovinagre@gustavovinagre.com., Moatshe G; Oslo Sport Trauma Research Center, Norwegian School of Sports Science, Oslo 0806, Norway; Orthopaedic Clinic, Oslo University Hospital and University of Oslo, Oslo 0369, Norway. Electronic address: gilbertmoatshe@gmail.com., Gomez-Sierra MA; Departamento de Ortopedia, Fundación Valle del Lili, Carrera 98 No. 18-49, Cali 760032, Colombia; Universidad Icesi, Calle 18 No. 122-135, Cali 760031, Colombia., Marín Fermín T; Aspetar Orthopaedic and Sports Medicine Hospital, Sports City Street, Inside Aspire Zone, Al Buwairda St, 29222, Doha, Qatar. Electronic address: theodorakysmarin@yahoo.com.
Jazyk: angličtina
Zdroj: Journal of ISAKOS : joint disorders & orthopaedic sports medicine [J ISAKOS] 2024 Apr; Vol. 9 (2), pp. 221-226. Date of Electronic Publication: 2023 Jul 25.
DOI: 10.1016/j.jisako.2023.07.007
Abstrakt: Importance: A reliable evaluation of anterolateral rotatory instability in the anterior cruciate ligament (ACL) deficient knee is important to help surgeons determine which patients might need concurrent anterolateral augmentation procedures.
Objective: The purpose of this study was to systematically review studies that assess the intra-observer and inter-observer reliability of instruments used to measure anterolateral rotatory laxity of the knee.
Evidence Review: A comprehensive literature review was conducted according to the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, using PubMed, Embase, Scopus, and Google Scholar databases for original, English-language studies evaluating the reliability of objective or instrument-based anterolateral rotatory laxity of the knee until October 31, 2022. Reliability data were extracted from text, tables, and figures.
Findings: Twelve studies, with patients between the ages of 14-63 years, were included. The instruments used to measure anterolateral rotatory knee laxity included inertial sensors (n ​= ​9), magnetic resonance imaging (n ​= ​1), and navigation systems (n ​= ​2). The global intra-observer intraclass correlation coefficient for these devices was between 0.63 and 0.97, and the global inter-observer reliability was between 0.63 and 0.99.
Conclusion and Relevance: Instrument-based anterolateral rotatory knee laxity assessment has moderate to good intra- and inter-observer reliability. Evaluating anterolateral instability in ACL-deficient knees with these devices could help in decision-making when considering anterolateral augmentation.
Level of Evidence: IV.
(Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE