Dynamic knee laxity measurement devices View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-12-31

AUTHORS

Mattias Ahldén, Yuichi Hoshino, Kristian Samuelsson, Paulo Araujo, Volker Musahl, Jón Karlsson

ABSTRACT

PurposeStudies have reported that knee kinematics and rotational laxity are not restored to native levels following traditional anterior cruciate ligament (ACL) reconstruction. This has led to the development of anatomic ACL reconstruction, which aims to restore native knee kinematics and long-term knee health by replicating normal anatomy as much as possible. The purpose of this review is to give an overview of current dynamic knee laxity measurement devices with the purpose of investigating the significance of dynamic laxity measurement of the knee. Gait analysis is not included.MethodsThe subject was discussed with experts in the field in order to perform a level V review. MEDLINE was searched according to the discussions for relevant articles using multiple different search terms. All found abstracts were read and scanned for relevance to the subject. The reference lists of the relevant articles were searched for additional articles related to the subject.ResultsThere are a variety of techniques reported to measure dynamic laxity of the knee. Technical development of methods is one important part toward better understanding of knee kinematics. Validation of devices has shown to be difficult due to the lack of gold standard. Different studies use various methods to examine different components of dynamic laxity, which makes comparisons between studies challenging.ConclusionSeveral devices can be used to evaluate dynamic laxity of the knee. At the present time, the devices are continuously under development. Future implementation should include primary basic research, including validation and reliability testing, as well as part of individualized surgery and clinical follow-up.Level of evidenceDiagnostic study, Level V. More... »

PAGES

621-632

References to SciGraph publications

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  • 2010-08-24. A prospective randomised study of anatomical single-bundle versus double-bundle anterior cruciate ligament reconstruction: quantitative evaluation using an electromagnetic measurement system in INTERNATIONAL ORTHOPAEDICS
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  • 2011-05-18. Will early reconstruction prevent abnormal kinematics after ACL injury? Two-year follow-up using dynamic radiostereometry in 14 patients operated with hamstring autografts in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2010-05-18. Lateral compartment translation predicts the grade of pivot shift: a cadaveric and clinical analysis in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2011-09-10. The effect of distal femur bony morphology on in vivo knee translational and rotational kinematics in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2009-12-18. Rotational laxity greater in patients with contralateral anterior cruciate ligament injury than healthy volunteers in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2009-07-03. Knee laxity measurements after anterior cruciate ligament reconstruction, using either bone–patellar–tendon–bone or hamstring tendon autografts, with special emphasis on comparison over time in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2011-08-18. Optimal measurement of clinical rotational test for evaluating anterior cruciate ligament insufficiency in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
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  • 2009-12-15. Mechanized pivot shift test achieves greater accuracy than manual pivot shift test in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2010-11-08. Comparison between clinical grading and navigation data of knee laxity in ACL-deficient knees in BMC SPORTS SCIENCE, MEDICINE AND REHABILITATION
  • 2006-05-04. New intraoperative protocol for kinematic evaluation of ACL reconstruction: preliminary results in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2011-05-04. Image-matching technique can detect rotational and AP instabilities in chronic ACL-deficient knees in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • <error retrieving object. in <ERROR RETRIEVING OBJECT
  • 2000-07. Improperly placed anterior cruciate ligament grafts: correlation between radiological parameters and clinical results in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-011-1848-7

    DOI

    http://dx.doi.org/10.1007/s00167-011-1848-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1045880477

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/22210516


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    44 schema:description PurposeStudies have reported that knee kinematics and rotational laxity are not restored to native levels following traditional anterior cruciate ligament (ACL) reconstruction. This has led to the development of anatomic ACL reconstruction, which aims to restore native knee kinematics and long-term knee health by replicating normal anatomy as much as possible. The purpose of this review is to give an overview of current dynamic knee laxity measurement devices with the purpose of investigating the significance of dynamic laxity measurement of the knee. Gait analysis is not included.MethodsThe subject was discussed with experts in the field in order to perform a level V review. MEDLINE was searched according to the discussions for relevant articles using multiple different search terms. All found abstracts were read and scanned for relevance to the subject. The reference lists of the relevant articles were searched for additional articles related to the subject.ResultsThere are a variety of techniques reported to measure dynamic laxity of the knee. Technical development of methods is one important part toward better understanding of knee kinematics. Validation of devices has shown to be difficult due to the lack of gold standard. Different studies use various methods to examine different components of dynamic laxity, which makes comparisons between studies challenging.ConclusionSeveral devices can be used to evaluate dynamic laxity of the knee. At the present time, the devices are continuously under development. Future implementation should include primary basic research, including validation and reliability testing, as well as part of individualized surgery and clinical follow-up.Level of evidenceDiagnostic study, Level V.
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