Effect of fixation angle and graft tension in double-bundle anterior cruciate ligament reconstruction on knee biomechanics View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-03-01

AUTHORS

Yusuke Sasaki, Shih-Sheng Chang, Masataka Fujii, Daisuke Araki, Junjun Zhu, Brandon Marshall, Monica Linde-Rosen, Patrick Smolinski, Freddie H. Fu

ABSTRACT

PurposeTo compare the effect of graft fixation angle and tension in double-bundle anterior cruciate ligament (ACL) reconstruction on knee biomechanics.MethodsFourteen cadaver knees were tested using a robotic system under two loadings: (1) an 89-N anterior tibial load (ATL) at full extension (FE), 15°, 30°, 45°, 60°, and 90°, and (2) combined 7 N m valgus and 5 N m internal tibial torques (simulated pivot-shift test) at FE, 15° and 30°. Four graft fixation angles and tensions were used for the anteromedial (AM) and posterolateral (PL) bundles, respectively: (Recon 1) 30°/20N and FE/20N, (Recon 2) 30°/30N and FE/10N, (Recon 3) 45°/20N and 15°/20N, and (Recon 4) 45°/30N and 15°/10N.ResultsAll fixation protocols closely restored the intact knee kinematics under ATL and simulated pivot-shift loading. For the AM bundle under ATL, the in situ force (ISF) with Recon 3 at the FE was significantly lower than that of the intact knee. For the PL bundle under ATL, the ISF with Recon 3 at the FE, 15° and 30° was significantly higher than that of the intact knee. In PL bundle under simulated pivot-shift loading, the ISF with Recon 1 and Recon 2 at FE was lower and the ISF of the PL bundle with Recon 3 at the 15° was higher than that of the intact knee.ConclusionThe AM-45°/30N and PL-15°/10N fixation most closely matched intact knee kinematics; however, stabilizing the knee during anterior tibial translation may risk an imbalance of the AM and the PL bundle loading. The results indicate that ACL bundle forces may not be restored even if the clinical assessment shows good results with the Lachman test and pivot-shift test. This may alter the loading on other structures of the knee. More... »

PAGES

2892-2898

References to SciGraph publications

  • 2011-07-28. Effects of different initial bundle tensioning strategies on the outcome of double-bundle ACL reconstruction: a cohort study in BMC SPORTS SCIENCE, MEDICINE AND REHABILITATION
  • 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
  • 2013-09-24. Effect of femoral tunnel position on graft tension curves and knee stability in anatomic double-bundle anterior cruciate ligament reconstruction in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 1995-07. Determination of thein situ forces and force distribution within the human anterior cruciate ligament in ANNALS OF BIOMEDICAL ENGINEERING
  • 2014-07-05. Effect of graft fixation sequence on knee joint biomechanics in double-bundle anterior cruciate ligament reconstruction in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • <error retrieving object. in <ERROR RETRIEVING OBJECT
  • 2006-11-10. Anatomical two-bundle versus Rosenberg’s isometric bi-socket ACL reconstruction: a biomechanical comparison in laxity match pretension in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2011-09-29. Clinical comparison of two suspensory fixation devices for anatomic double-bundle anterior cruciate ligament reconstruction in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2013-12-17. Anatomic single- versus double-bundle ACL reconstruction: a meta-analysis in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2005-09-28. The effect of initial graft tension on postoperative clinical outcome in anterior cruciate ligament reconstruction with semitendinosus tendon. in ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
  • 2007-01-10. Double-bundle versus single-bundle anterior cruciate ligament reconstruction: a prospective, randomize clinical study in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-015-3552-5

    DOI

    http://dx.doi.org/10.1007/s00167-015-3552-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1028124166

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/25726160


    Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
    Incoming Citations Browse incoming citations for this publication using opencitations.net

    JSON-LD is the canonical representation for SciGraph data.

    TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

    [
      {
        "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
        "about": [
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Medical and Health Sciences", 
            "type": "DefinedTerm"
          }, 
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Clinical Sciences", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Anterior Cruciate Ligament Injuries", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Anterior Cruciate Ligament Reconstruction", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Biomechanical Phenomena", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Cadaver", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Humans", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Knee Joint", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Middle Aged", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Stress, Mechanical", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Tibia", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Torque", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Transplants", 
            "type": "DefinedTerm"
          }, 
          {
            "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
            "name": "Weight-Bearing", 
            "type": "DefinedTerm"
          }
        ], 
        "author": [
          {
            "affiliation": {
              "alternateName": "Department of Orthopaedic Surgery, Asahikawa Medical University, Asahikawa, Japan", 
              "id": "http://www.grid.ac/institutes/grid.252427.4", 
              "name": [
                "Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA", 
                "Department of Orthopaedic Surgery, Asahikawa Medical University, Asahikawa, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Sasaki", 
            "givenName": "Yusuke", 
            "id": "sg:person.01303142435.10", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01303142435.10"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA", 
              "id": "http://www.grid.ac/institutes/grid.21925.3d", 
              "name": [
                "Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Chang", 
            "givenName": "Shih-Sheng", 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA", 
              "id": "http://www.grid.ac/institutes/grid.21925.3d", 
              "name": [
                "Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Fujii", 
            "givenName": "Masataka", 
            "id": "sg:person.01335061136.00", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01335061136.00"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA", 
              "id": "http://www.grid.ac/institutes/grid.21925.3d", 
              "name": [
                "Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Araki", 
            "givenName": "Daisuke", 
            "id": "sg:person.01271647131.47", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01271647131.47"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Mechanical Engineering and Material Science, University of Pittsburgh, Pittsburgh, PA, USA", 
              "id": "http://www.grid.ac/institutes/grid.21925.3d", 
              "name": [
                "Department of Mechanical Engineering and Material Science, University of Pittsburgh, Pittsburgh, PA, USA"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Zhu", 
            "givenName": "Junjun", 
            "id": "sg:person.011004600555.34", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011004600555.34"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Mechanical Engineering and Material Science, University of Pittsburgh, Pittsburgh, PA, USA", 
              "id": "http://www.grid.ac/institutes/grid.21925.3d", 
              "name": [
                "Department of Mechanical Engineering and Material Science, University of Pittsburgh, Pittsburgh, PA, USA"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Marshall", 
            "givenName": "Brandon", 
            "id": "sg:person.011602161155.11", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011602161155.11"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA", 
              "id": "http://www.grid.ac/institutes/grid.21925.3d", 
              "name": [
                "Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Linde-Rosen", 
            "givenName": "Monica", 
            "id": "sg:person.01013501345.17", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01013501345.17"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Mechanical Engineering and Material Science, University of Pittsburgh, Pittsburgh, PA, USA", 
              "id": "http://www.grid.ac/institutes/grid.21925.3d", 
              "name": [
                "Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA", 
                "Department of Mechanical Engineering and Material Science, University of Pittsburgh, Pittsburgh, PA, USA"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Smolinski", 
            "givenName": "Patrick", 
            "id": "sg:person.0750707015.72", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0750707015.72"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Department of Mechanical Engineering and Material Science, University of Pittsburgh, Pittsburgh, PA, USA", 
              "id": "http://www.grid.ac/institutes/grid.21925.3d", 
              "name": [
                "Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA", 
                "Department of Mechanical Engineering and Material Science, University of Pittsburgh, Pittsburgh, PA, USA"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Fu", 
            "givenName": "Freddie H.", 
            "id": "sg:person.0706577466.24", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0706577466.24"
            ], 
            "type": "Person"
          }
        ], 
        "citation": [
          {
            "id": "sg:pub.10.1007/s00167-013-2693-7", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1053743235", 
              "https://doi.org/10.1007/s00167-013-2693-7"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00167-011-1687-6", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1019801403", 
              "https://doi.org/10.1007/s00167-011-1687-6"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00167-006-0274-8", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1015613434", 
              "https://doi.org/10.1007/s00167-006-0274-8"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00167-006-0172-0", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1041039544", 
              "https://doi.org/10.1007/s00167-006-0172-0"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00167-014-3158-3", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1010855726", 
              "https://doi.org/10.1007/s00167-014-3158-3"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1186/1758-2555-3-15", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1018039754", 
              "https://doi.org/10.1186/1758-2555-3-15"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00402-005-0045-x", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1052595281", 
              "https://doi.org/10.1007/s00402-005-0045-x"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/bf02584446", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1001301649", 
              "https://doi.org/10.1007/bf02584446"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00167-006-0254-z", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1019699934", 
              "https://doi.org/10.1007/s00167-006-0254-z"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00264-010-1110-9", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1037923584", 
              "https://doi.org/10.1007/s00264-010-1110-9"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00167-013-2811-6", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1020715960", 
              "https://doi.org/10.1007/s00167-013-2811-6"
            ], 
            "type": "CreativeWork"
          }
        ], 
        "datePublished": "2015-03-01", 
        "datePublishedReg": "2015-03-01", 
        "description": "PurposeTo compare the effect of graft fixation angle and tension in double-bundle anterior cruciate ligament (ACL) reconstruction on knee biomechanics.MethodsFourteen cadaver knees were tested using a robotic system under two loadings: (1) an 89-N anterior tibial load (ATL) at full extension (FE), 15\u00b0, 30\u00b0, 45\u00b0, 60\u00b0, and 90\u00b0, and (2) combined 7\u00a0N\u00a0m valgus and 5\u00a0N\u00a0m internal tibial torques (simulated pivot-shift test) at FE, 15\u00b0 and 30\u00b0. Four graft fixation angles and tensions were used for the anteromedial (AM) and posterolateral (PL) bundles, respectively: (Recon 1) 30\u00b0/20N and FE/20N, (Recon 2) 30\u00b0/30N and FE/10N, (Recon 3) 45\u00b0/20N and 15\u00b0/20N, and (Recon 4) 45\u00b0/30N and 15\u00b0/10N.ResultsAll fixation protocols closely restored the intact knee kinematics under ATL and simulated pivot-shift loading. For the AM bundle under ATL, the in situ force (ISF) with Recon 3 at the FE was significantly lower than that of the intact knee. For the PL bundle under ATL, the ISF with Recon 3 at the FE, 15\u00b0 and 30\u00b0 was significantly higher than that of the intact knee. In PL bundle under simulated pivot-shift loading, the ISF with Recon 1 and Recon 2 at FE was lower and the ISF of the PL bundle with Recon 3 at the 15\u00b0 was higher than that of the intact knee.ConclusionThe AM-45\u00b0/30N and PL-15\u00b0/10N fixation most closely matched intact knee kinematics; however, stabilizing the knee during anterior tibial translation may risk an imbalance of the AM and the PL bundle loading. The results indicate that ACL bundle forces may not be restored even if the clinical assessment shows good results with the Lachman test and pivot-shift test. This may alter the loading on other structures of the knee.", 
        "genre": "article", 
        "id": "sg:pub.10.1007/s00167-015-3552-5", 
        "inLanguage": "en", 
        "isAccessibleForFree": false, 
        "isPartOf": [
          {
            "id": "sg:journal.1104512", 
            "issn": [
              "0942-2056", 
              "1433-7347"
            ], 
            "name": "Knee Surgery, Sports Traumatology, Arthroscopy", 
            "publisher": "Springer Nature", 
            "type": "Periodical"
          }, 
          {
            "issueNumber": "9", 
            "type": "PublicationIssue"
          }, 
          {
            "type": "PublicationVolume", 
            "volumeNumber": "24"
          }
        ], 
        "keywords": [
          "anterior tibial load", 
          "double-bundle anterior cruciate ligament reconstruction", 
          "anterior cruciate ligament reconstruction", 
          "pivot-shift loading", 
          "cruciate ligament reconstruction", 
          "graft fixation angles", 
          "intact knee kinematics", 
          "PL bundle", 
          "fixation angle", 
          "intact knee", 
          "full extension", 
          "ligament reconstruction", 
          "knee biomechanics", 
          "knee kinematics", 
          "internal tibial torque", 
          "anterior tibial translation", 
          "pivot shift test", 
          "Lachman test", 
          "posterolateral bundle", 
          "AM bundle", 
          "tibial translation", 
          "tibial torque", 
          "graft tension", 
          "tibial load", 
          "clinical assessment", 
          "situ forces", 
          "knee", 
          "anteromedial", 
          "cadaver knees", 
          "biomechanics", 
          "fixation", 
          "PurposeTo", 
          "valgus", 
          "bundles", 
          "test", 
          "effect", 
          "PL-15", 
          "ISF", 
          "reconstruction", 
          "assessment", 
          "imbalance", 
          "better results", 
          "results", 
          "kinematics", 
          "Recon 1", 
          "tension", 
          "Recon 2", 
          "translation", 
          "robotic system", 
          "loading", 
          "angle", 
          "load", 
          "system", 
          "extension", 
          "force", 
          "torque", 
          "structure"
        ], 
        "name": "Effect of fixation angle and graft tension in double-bundle anterior cruciate ligament reconstruction on knee biomechanics", 
        "pagination": "2892-2898", 
        "productId": [
          {
            "name": "dimensions_id", 
            "type": "PropertyValue", 
            "value": [
              "pub.1028124166"
            ]
          }, 
          {
            "name": "doi", 
            "type": "PropertyValue", 
            "value": [
              "10.1007/s00167-015-3552-5"
            ]
          }, 
          {
            "name": "pubmed_id", 
            "type": "PropertyValue", 
            "value": [
              "25726160"
            ]
          }
        ], 
        "sameAs": [
          "https://doi.org/10.1007/s00167-015-3552-5", 
          "https://app.dimensions.ai/details/publication/pub.1028124166"
        ], 
        "sdDataset": "articles", 
        "sdDatePublished": "2022-05-20T07:30", 
        "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
        "sdPublisher": {
          "name": "Springer Nature - SN SciGraph project", 
          "type": "Organization"
        }, 
        "sdSource": "s3://com-springernature-scigraph/baseset/20220519/entities/gbq_results/article/article_653.jsonl", 
        "type": "ScholarlyArticle", 
        "url": "https://doi.org/10.1007/s00167-015-3552-5"
      }
    ]
     

    Download the RDF metadata as:  json-ld nt turtle xml License info

    HOW TO GET THIS DATA PROGRAMMATICALLY:

    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00167-015-3552-5'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00167-015-3552-5'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00167-015-3552-5'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00167-015-3552-5'


     

    This table displays all metadata directly associated to this object as RDF triples.

    272 TRIPLES      22 PREDICATES      106 URIs      87 LITERALS      19 BLANK NODES

    Subject Predicate Object
    1 sg:pub.10.1007/s00167-015-3552-5 schema:about N085ddb95db8848b09ed432605bcad06f
    2 N3c616b4ebaa2453fa3537c224c6f90f2
    3 N45ab6aa074954820a1ee5d564fc767ca
    4 N4d993661df1a497292ef14b03ecf9f40
    5 N4f8dc94b9d614a2387905bb77e3a2396
    6 N5b72722affe74b64adc3b73889515be3
    7 N98bed3902a2b467fb3192a78747eb665
    8 Nc30c9bc12f9047b6a69b7bf6c28e7ffc
    9 Ncf8a8513b8a341089d57a1e02d19ee60
    10 Ndef8a71561ad4b7eaa7bf442ff82edee
    11 Ndf7b6c6facfa4c13b7104b7031395a1b
    12 Nf487eb5b75c94683b66ff9b75b4ad712
    13 anzsrc-for:11
    14 anzsrc-for:1103
    15 schema:author Nb2cd8ec058764c64bfa3420cb20c05ac
    16 schema:citation sg:pub.10.1007/bf02584446
    17 sg:pub.10.1007/s00167-006-0172-0
    18 sg:pub.10.1007/s00167-006-0254-z
    19 sg:pub.10.1007/s00167-006-0274-8
    20 sg:pub.10.1007/s00167-011-1687-6
    21 sg:pub.10.1007/s00167-013-2693-7
    22 sg:pub.10.1007/s00167-013-2811-6
    23 sg:pub.10.1007/s00167-014-3158-3
    24 sg:pub.10.1007/s00264-010-1110-9
    25 sg:pub.10.1007/s00402-005-0045-x
    26 sg:pub.10.1186/1758-2555-3-15
    27 schema:datePublished 2015-03-01
    28 schema:datePublishedReg 2015-03-01
    29 schema:description PurposeTo compare the effect of graft fixation angle and tension in double-bundle anterior cruciate ligament (ACL) reconstruction on knee biomechanics.MethodsFourteen cadaver knees were tested using a robotic system under two loadings: (1) an 89-N anterior tibial load (ATL) at full extension (FE), 15°, 30°, 45°, 60°, and 90°, and (2) combined 7 N m valgus and 5 N m internal tibial torques (simulated pivot-shift test) at FE, 15° and 30°. Four graft fixation angles and tensions were used for the anteromedial (AM) and posterolateral (PL) bundles, respectively: (Recon 1) 30°/20N and FE/20N, (Recon 2) 30°/30N and FE/10N, (Recon 3) 45°/20N and 15°/20N, and (Recon 4) 45°/30N and 15°/10N.ResultsAll fixation protocols closely restored the intact knee kinematics under ATL and simulated pivot-shift loading. For the AM bundle under ATL, the in situ force (ISF) with Recon 3 at the FE was significantly lower than that of the intact knee. For the PL bundle under ATL, the ISF with Recon 3 at the FE, 15° and 30° was significantly higher than that of the intact knee. In PL bundle under simulated pivot-shift loading, the ISF with Recon 1 and Recon 2 at FE was lower and the ISF of the PL bundle with Recon 3 at the 15° was higher than that of the intact knee.ConclusionThe AM-45°/30N and PL-15°/10N fixation most closely matched intact knee kinematics; however, stabilizing the knee during anterior tibial translation may risk an imbalance of the AM and the PL bundle loading. The results indicate that ACL bundle forces may not be restored even if the clinical assessment shows good results with the Lachman test and pivot-shift test. This may alter the loading on other structures of the knee.
    30 schema:genre article
    31 schema:inLanguage en
    32 schema:isAccessibleForFree false
    33 schema:isPartOf N0b20a04b3d9e43d59f044a66f74b40fd
    34 Nbf4587fba77b4b94af01ec6f0e8d4845
    35 sg:journal.1104512
    36 schema:keywords AM bundle
    37 ISF
    38 Lachman test
    39 PL bundle
    40 PL-15
    41 PurposeTo
    42 Recon 1
    43 Recon 2
    44 angle
    45 anterior cruciate ligament reconstruction
    46 anterior tibial load
    47 anterior tibial translation
    48 anteromedial
    49 assessment
    50 better results
    51 biomechanics
    52 bundles
    53 cadaver knees
    54 clinical assessment
    55 cruciate ligament reconstruction
    56 double-bundle anterior cruciate ligament reconstruction
    57 effect
    58 extension
    59 fixation
    60 fixation angle
    61 force
    62 full extension
    63 graft fixation angles
    64 graft tension
    65 imbalance
    66 intact knee
    67 intact knee kinematics
    68 internal tibial torque
    69 kinematics
    70 knee
    71 knee biomechanics
    72 knee kinematics
    73 ligament reconstruction
    74 load
    75 loading
    76 pivot shift test
    77 pivot-shift loading
    78 posterolateral bundle
    79 reconstruction
    80 results
    81 robotic system
    82 situ forces
    83 structure
    84 system
    85 tension
    86 test
    87 tibial load
    88 tibial torque
    89 tibial translation
    90 torque
    91 translation
    92 valgus
    93 schema:name Effect of fixation angle and graft tension in double-bundle anterior cruciate ligament reconstruction on knee biomechanics
    94 schema:pagination 2892-2898
    95 schema:productId N0f8e5ac80c394c538189c4f44f6f0729
    96 N5da305b987784a78b995dbb3b6df4c57
    97 Naf0409be4a8846289c1f9f04e1ff6b73
    98 schema:sameAs https://app.dimensions.ai/details/publication/pub.1028124166
    99 https://doi.org/10.1007/s00167-015-3552-5
    100 schema:sdDatePublished 2022-05-20T07:30
    101 schema:sdLicense https://scigraph.springernature.com/explorer/license/
    102 schema:sdPublisher Nc6c617263d514911ad5444d2f9eabbd5
    103 schema:url https://doi.org/10.1007/s00167-015-3552-5
    104 sgo:license sg:explorer/license/
    105 sgo:sdDataset articles
    106 rdf:type schema:ScholarlyArticle
    107 N02ece02aa58449a6afc67c695bd3b371 rdf:first sg:person.011602161155.11
    108 rdf:rest Na2b933eba2c54f10af67ef992f429b8b
    109 N085ddb95db8848b09ed432605bcad06f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    110 schema:name Humans
    111 rdf:type schema:DefinedTerm
    112 N0b20a04b3d9e43d59f044a66f74b40fd schema:issueNumber 9
    113 rdf:type schema:PublicationIssue
    114 N0f8e5ac80c394c538189c4f44f6f0729 schema:name dimensions_id
    115 schema:value pub.1028124166
    116 rdf:type schema:PropertyValue
    117 N241d682f3b4d4205b36691aaca7b1617 schema:affiliation grid-institutes:grid.21925.3d
    118 schema:familyName Chang
    119 schema:givenName Shih-Sheng
    120 rdf:type schema:Person
    121 N3c616b4ebaa2453fa3537c224c6f90f2 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    122 schema:name Biomechanical Phenomena
    123 rdf:type schema:DefinedTerm
    124 N41d457d7b93941478f49358c31c5ff2f rdf:first sg:person.01271647131.47
    125 rdf:rest Nfe0729326995493fb3928dfc5099a7e4
    126 N45ab6aa074954820a1ee5d564fc767ca schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    127 schema:name Tibia
    128 rdf:type schema:DefinedTerm
    129 N4d993661df1a497292ef14b03ecf9f40 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    130 schema:name Anterior Cruciate Ligament Injuries
    131 rdf:type schema:DefinedTerm
    132 N4eabbdb6740e491a88b581b3993e1104 rdf:first sg:person.01335061136.00
    133 rdf:rest N41d457d7b93941478f49358c31c5ff2f
    134 N4f8dc94b9d614a2387905bb77e3a2396 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    135 schema:name Transplants
    136 rdf:type schema:DefinedTerm
    137 N5b72722affe74b64adc3b73889515be3 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    138 schema:name Middle Aged
    139 rdf:type schema:DefinedTerm
    140 N5da305b987784a78b995dbb3b6df4c57 schema:name doi
    141 schema:value 10.1007/s00167-015-3552-5
    142 rdf:type schema:PropertyValue
    143 N8ac33653e233402588ff587cf21aa92c rdf:first sg:person.0706577466.24
    144 rdf:rest rdf:nil
    145 N98bed3902a2b467fb3192a78747eb665 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    146 schema:name Torque
    147 rdf:type schema:DefinedTerm
    148 N9944df50e40f4fd7ae6df5d4525bdf1a rdf:first N241d682f3b4d4205b36691aaca7b1617
    149 rdf:rest N4eabbdb6740e491a88b581b3993e1104
    150 N9c304237cfab4f56a108c0355314e18f rdf:first sg:person.0750707015.72
    151 rdf:rest N8ac33653e233402588ff587cf21aa92c
    152 Na2b933eba2c54f10af67ef992f429b8b rdf:first sg:person.01013501345.17
    153 rdf:rest N9c304237cfab4f56a108c0355314e18f
    154 Naf0409be4a8846289c1f9f04e1ff6b73 schema:name pubmed_id
    155 schema:value 25726160
    156 rdf:type schema:PropertyValue
    157 Nb2cd8ec058764c64bfa3420cb20c05ac rdf:first sg:person.01303142435.10
    158 rdf:rest N9944df50e40f4fd7ae6df5d4525bdf1a
    159 Nbf4587fba77b4b94af01ec6f0e8d4845 schema:volumeNumber 24
    160 rdf:type schema:PublicationVolume
    161 Nc30c9bc12f9047b6a69b7bf6c28e7ffc schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    162 schema:name Knee Joint
    163 rdf:type schema:DefinedTerm
    164 Nc6c617263d514911ad5444d2f9eabbd5 schema:name Springer Nature - SN SciGraph project
    165 rdf:type schema:Organization
    166 Ncf8a8513b8a341089d57a1e02d19ee60 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    167 schema:name Stress, Mechanical
    168 rdf:type schema:DefinedTerm
    169 Ndef8a71561ad4b7eaa7bf442ff82edee schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    170 schema:name Cadaver
    171 rdf:type schema:DefinedTerm
    172 Ndf7b6c6facfa4c13b7104b7031395a1b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    173 schema:name Weight-Bearing
    174 rdf:type schema:DefinedTerm
    175 Nf487eb5b75c94683b66ff9b75b4ad712 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
    176 schema:name Anterior Cruciate Ligament Reconstruction
    177 rdf:type schema:DefinedTerm
    178 Nfe0729326995493fb3928dfc5099a7e4 rdf:first sg:person.011004600555.34
    179 rdf:rest N02ece02aa58449a6afc67c695bd3b371
    180 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
    181 schema:name Medical and Health Sciences
    182 rdf:type schema:DefinedTerm
    183 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
    184 schema:name Clinical Sciences
    185 rdf:type schema:DefinedTerm
    186 sg:journal.1104512 schema:issn 0942-2056
    187 1433-7347
    188 schema:name Knee Surgery, Sports Traumatology, Arthroscopy
    189 schema:publisher Springer Nature
    190 rdf:type schema:Periodical
    191 sg:person.01013501345.17 schema:affiliation grid-institutes:grid.21925.3d
    192 schema:familyName Linde-Rosen
    193 schema:givenName Monica
    194 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01013501345.17
    195 rdf:type schema:Person
    196 sg:person.011004600555.34 schema:affiliation grid-institutes:grid.21925.3d
    197 schema:familyName Zhu
    198 schema:givenName Junjun
    199 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011004600555.34
    200 rdf:type schema:Person
    201 sg:person.011602161155.11 schema:affiliation grid-institutes:grid.21925.3d
    202 schema:familyName Marshall
    203 schema:givenName Brandon
    204 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011602161155.11
    205 rdf:type schema:Person
    206 sg:person.01271647131.47 schema:affiliation grid-institutes:grid.21925.3d
    207 schema:familyName Araki
    208 schema:givenName Daisuke
    209 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01271647131.47
    210 rdf:type schema:Person
    211 sg:person.01303142435.10 schema:affiliation grid-institutes:grid.252427.4
    212 schema:familyName Sasaki
    213 schema:givenName Yusuke
    214 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01303142435.10
    215 rdf:type schema:Person
    216 sg:person.01335061136.00 schema:affiliation grid-institutes:grid.21925.3d
    217 schema:familyName Fujii
    218 schema:givenName Masataka
    219 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01335061136.00
    220 rdf:type schema:Person
    221 sg:person.0706577466.24 schema:affiliation grid-institutes:grid.21925.3d
    222 schema:familyName Fu
    223 schema:givenName Freddie H.
    224 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0706577466.24
    225 rdf:type schema:Person
    226 sg:person.0750707015.72 schema:affiliation grid-institutes:grid.21925.3d
    227 schema:familyName Smolinski
    228 schema:givenName Patrick
    229 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0750707015.72
    230 rdf:type schema:Person
    231 sg:pub.10.1007/bf02584446 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001301649
    232 https://doi.org/10.1007/bf02584446
    233 rdf:type schema:CreativeWork
    234 sg:pub.10.1007/s00167-006-0172-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041039544
    235 https://doi.org/10.1007/s00167-006-0172-0
    236 rdf:type schema:CreativeWork
    237 sg:pub.10.1007/s00167-006-0254-z schema:sameAs https://app.dimensions.ai/details/publication/pub.1019699934
    238 https://doi.org/10.1007/s00167-006-0254-z
    239 rdf:type schema:CreativeWork
    240 sg:pub.10.1007/s00167-006-0274-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1015613434
    241 https://doi.org/10.1007/s00167-006-0274-8
    242 rdf:type schema:CreativeWork
    243 sg:pub.10.1007/s00167-011-1687-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019801403
    244 https://doi.org/10.1007/s00167-011-1687-6
    245 rdf:type schema:CreativeWork
    246 sg:pub.10.1007/s00167-013-2693-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053743235
    247 https://doi.org/10.1007/s00167-013-2693-7
    248 rdf:type schema:CreativeWork
    249 sg:pub.10.1007/s00167-013-2811-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1020715960
    250 https://doi.org/10.1007/s00167-013-2811-6
    251 rdf:type schema:CreativeWork
    252 sg:pub.10.1007/s00167-014-3158-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010855726
    253 https://doi.org/10.1007/s00167-014-3158-3
    254 rdf:type schema:CreativeWork
    255 sg:pub.10.1007/s00264-010-1110-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037923584
    256 https://doi.org/10.1007/s00264-010-1110-9
    257 rdf:type schema:CreativeWork
    258 sg:pub.10.1007/s00402-005-0045-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1052595281
    259 https://doi.org/10.1007/s00402-005-0045-x
    260 rdf:type schema:CreativeWork
    261 sg:pub.10.1186/1758-2555-3-15 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018039754
    262 https://doi.org/10.1186/1758-2555-3-15
    263 rdf:type schema:CreativeWork
    264 grid-institutes:grid.21925.3d schema:alternateName Department of Mechanical Engineering and Material Science, University of Pittsburgh, Pittsburgh, PA, USA
    265 Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA
    266 schema:name Department of Mechanical Engineering and Material Science, University of Pittsburgh, Pittsburgh, PA, USA
    267 Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA
    268 rdf:type schema:Organization
    269 grid-institutes:grid.252427.4 schema:alternateName Department of Orthopaedic Surgery, Asahikawa Medical University, Asahikawa, Japan
    270 schema:name Department of Orthopaedic Surgery, Asahikawa Medical University, Asahikawa, Japan
    271 Department of Orthopaedic Surgery, University of Pittsburgh, 3471 Fifth Avenue, 1010 Kaufmann Building, 15213, Pittsburgh, PA, USA
    272 rdf:type schema:Organization
     




    Preview window. Press ESC to close (or click here)


    ...