In vivo laxity of stable versus anterior cruciate liagment-injured knees using a navigation system: a comparative study

Wiley - Tập 17 - Trang 941-945 - 2009
Eun Kyoo Song1, Jong Keun Seon1, Sang Jin Park1,2, Chang Ich Hur1, Dam Seon Lee1
1Department of Orthopedics, Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, Korea
2Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, Jeonnam, Korea

Tóm tắt

We compared antero-posterior translation and internal–external rotation of the tibia in stable knees without anterior cruciate ligament (ACL) injury with those of ACL injured knees using a navigation system and suggest an objective data. Forty-four patients treated for a meniscal tear without ACL injury were allocated to stable group, and 41 patients were allocated to ACL injury group. Antero-posterior displacement and rotation of knees were measured in 0, 30, 60 and 90 degrees of flexion using navigation. Mean anterior displacements were 3.6 ± 2.0, 6.7 ± 2.7, 6.0 ± 2.4 and 4.7 ± 1.8 mm at 0, 30, 60 and 90 degrees of flexion, respectively, in stable group, and 6.8 ± 3.6, 14.7 ± 3.5, 11.9 ± 4.6 and 8.5 ± 4.0 mm in ACL injury group. Mean total rotation values were 18.8 ± 4.5°, 31.4 ± 4.2°, 30.1 ± 5.1° and 29.2 ± 5.9° in stable group and 22.7 ± 6.9°, 37.6 ± 5.8°, 34.0 ± 9.4° and 31.8 ± 8.8° in ACL injury group. Quantitative values of antero-posterior translations and rotations of stable and ACL injured knees were obtained using a navigation system. The laxity data may be useful to establish the diagnosis of an ACL injury and evaluation of post-operative results.

Tài liệu tham khảo

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