Rotational Stability of the Knee in a Comparative Study of Anterior Cruciate Ligament Reconstruction Using the Double-Bundle and Single-Bundle Techniques

被引:2
作者
DElia, Caio Oliveira [1 ,2 ,3 ]
Bitar, Alexandre Carneiro [1 ,3 ]
Orselli, Maria Isabel [1 ,3 ]
Castropil, Wagner [1 ,3 ]
Duarte, Marcos [1 ,4 ]
Camanho, Gilberto [1 ,2 ]
机构
[1] Res performed Inst Vita, Sao Paulo, SP, Brazil
[2] Fac Med Univ Sao Paulo FMUSP, Inst Ortopedia & Traumatol IOT, Sao Paulo, SP, Brazil
[3] Inst Vita, Sao Paulo, SP, Brazil
[4] Univ Fed ABC, Santo Andre, SP, Brazil
来源
ARCHIVES OF BONE AND JOINT SURGERY-ABJS | 2022年 / 10卷 / 09期
关键词
Anterior cruciate ligament; Anatomy; Anterior cruciate ligament reconstruction; Biomechanical phenomena; EXCESSIVE TIBIAL ROTATION; ORIENTATION IN-SPACE; PATELLAR TENDON; ACL RECONSTRUCTION; POSTEROLATERAL BUNDLES; BIOMECHANICAL ANALYSIS; HAMSTRING TENDON; AUTOGRAFTS; KINEMATICS; DEFICIENT;
D O I
10.22038/ABJS.2022.57558.2852
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: The purpsose of this study was to evaluate the biomechanical outcomes of patients who underwent ACL reconstruction either with the DB or SB technique. We hypothesized that the DB technique would provide better rotation control of the knee following ACL reconstruction.Methods: The study included seventy-five participants (26 DB, 22 SB, and 27 healthy volunteers). Only cases with at least one year of postoperative follow-up were included. The participants performed three different demand tasks: walk task, walk and change direction, and stair descent and change direction, which was tracked using a three-dimensional 4-camera optoelectronic system. The following kinematic data were analyzed: tibial rotation amplitude and maximal internal and external rotation. Knees with ACL reconstruction were compared to contralateral knees with intact ACL and healthy knees. Clinical outcomes were determined using the subjective and objective International Knee Documentation Committee (IKDC) questionnaire and a manual arthrometer (KT 1000).Results: Both surgical groups exhibited similar clinical outcomes (mean subjective IKDC 91 SB vs. 90 DB, P=0.815; KT 1000 difference: 2mm in both groups, P=0.772). The vertical component of the ground force reaction revealed no differences between the surgical and control groups (P>0.05). Tibial rotation amplitude and maximal internal and external rotation were similar between the control, SB, and DB groups in all three different demand tasks (P>0.05).Conclusion: ACL reconstruction using either the SB or DB technique can restore rotational control to the level of a healthy knee. No clinical or functional differences were found between the SB and DB surgical options.
引用
收藏
页码:775 / 784
页数:10
相关论文
共 54 条
[1]   Correcting for deformation in skin-based marker systems [J].
Alexander, EJ ;
Andriacchi, TP .
JOURNAL OF BIOMECHANICS, 2001, 34 (03) :355-361
[2]   The functions of the fibre bundles of the anterior cruciate ligament in anterior drawer, rotational laxity and the pivot shift [J].
Amis, Andrew A. .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2012, 20 (04) :613-620
[3]   A STUDY OF LOWER-LIMB MECHANICS DURING STAIR-CLIMBING [J].
ANDRIACCHI, TP ;
ANDERSSON, GBJ ;
FERMIER, RW ;
STERN, D ;
GALANTE, JO .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1980, 62 (05) :749-757
[4]   Interactions between kinematics and loading during walking for the normal and ACL deficient knee [J].
Andriacchi, TP ;
Dyrby, CO .
JOURNAL OF BIOMECHANICS, 2005, 38 (02) :293-298
[5]   POSITION AND ORIENTATION IN-SPACE OF BONES DURING MOVEMENT - ANATOMICAL FRAME DEFINITION AND DETERMINATION [J].
CAPPOZZO, A ;
CATANI, F ;
DELLA CROCE, U ;
LEARDINI, A .
CLINICAL BIOMECHANICS, 1995, 10 (04) :171-178
[6]   Position and orientation in space of bones during movement: Experimental artefacts [J].
Cappozzo, A ;
Catani, F ;
Leardini, A ;
Benedetti, MG ;
DellaCroce, U .
CLINICAL BIOMECHANICS, 1996, 11 (02) :90-100
[7]   Anatomical single bundle anterior cruciate ligament reconstruction [J].
Carmont M.R. ;
Scheffler S. ;
Spalding T. ;
Brown J. ;
Sutton P.M. .
Current Reviews in Musculoskeletal Medicine, 2011, 4 (2) :65-72
[8]   Single-bundle versus double-bundle autologous anterior cruciate ligament reconstruction: a meta-analysis of randomized controlled trials at 5-year minimum follow-up [J].
Chen, Haitao ;
Chen, Biao ;
Tie, Kai ;
Fu, Zhengdao ;
Chen, Liaobin .
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2018, 13
[9]   Anatomic, radiographic, biomechanical, and kinematic evaluation of the anterior cruciate ligament and its two functional bundles [J].
Chhabra, Anikar ;
Starman, James S. ;
Ferretti, Mario ;
Vidal, Armando F. ;
Zantop, Thore ;
Fu, Freddie H. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2006, 88A :2-10
[10]   Effectiveness of reconstruction of the anterior cruciate ligament with quadrupled hamstrings and bone-patellar tendon-bone autografts - An in vivo study comparing tibial internal-external rotation [J].
Chouliaras, Vasileios ;
Ristanis, Stavros ;
Moraiti, Constantina ;
Stergiou, Nicholas ;
Georgoulis, Anastasios D. .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2007, 35 (02) :189-196