Differences in tibial rotation during walking in ACL reconstructed and healthy contralateral knees
| Autor: | Sean F. Scanlan, Chris O. Dyrby, Thomas P. Andriacchi, Ajit M.W. Chaudhari |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male musculoskeletal diseases Knee Joint Rotation Movement Anterior cruciate ligament Biomedical Engineering Biophysics Walking Kinematics Osteoarthritis Article Arthropathy medicine Humans Orthopedics and Sports Medicine Tibia Anterior Cruciate Ligament Range of Motion Articular Gait Orthodontics business.industry Anterior Cruciate Ligament Injuries Rehabilitation Biomechanics Anatomy Plastic Surgery Procedures musculoskeletal system medicine.disease Treatment Outcome medicine.anatomical_structure Female business human activities |
| Zdroj: | Journal of Biomechanics. 43:1817-1822 |
| ISSN: | 0021-9290 |
| Popis: | This study tested the hypotheses that in patients with a successful anterior cruciate ligament (ACL) reconstruction, the internal-external rotation, varus-valgus, and knee flexion position of reconstructed knees would be different from uninjured contralateral knees during walking. Twenty-six subjects with unilateral ACL reconstructions (avg 31 years, 1.7 m, 68 kg, 15 female, 24 months past reconstruction) and no other history of serious lower limb injury walked at a self-selected speed in the gait laboratory, with the uninjured contralateral knee as a matched control. Kinematic measurements of tibiofemoral motion were made using a previously-described point-cluster technique. Repeated-measures ANOVA (alpha=0.017) was used to compare ACL-reconstructed knees to their contralateral knees at four distinct points during the stance phase of walking. An offset towards external tibial rotation in ACL-reconstructed knees was maintained over all time points (95%CI 2.3+/-1.3 degrees ). Twenty-two out of twenty-six individuals experienced an average external tibial rotation offset throughout stance phase. Varus-valgus rotation and knee flexion were not significantly different between reconstructed and contralateral knees. These findings show that differences in tibial rotation during walking exist in ACL reconstructed knees compared to healthy contralateral knees, providing a potential explanation why these patients are at higher risk of knee osteoarthritis in the long-term. |
| Databáze: | OpenAIRE |
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