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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-04-2012 | Knee

Can the pivot-shift be eliminated by anatomic double-bundle anterior cruciate ligament reconstruction?

Authors: Stefano Zaffagnini, Giulio Maria Marcheggiani Muccioli, Nicola Lopomo, Cecilia Signorelli, Tommaso Bonanzinga, Costanza Musiani, Papakonstantinou Vassilis, Marco Nitri, Maurilio Marcacci

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2012

Abstract

Purpose

To assess the ability of anatomic double-bundle anterior cruciate ligament reconstruction in eliminating the pivot-shift phenomenon when identified by a quantitative measuring system (computer navigation or magnetic resonance imaging).

Methods

Literature review. Medline, Google Scholar and Cochrane Reviews computerized databases research using the keywords “pivot-shift,” “anterior cruciate ligament reconstruction” and “double bundle.” Twelve (7 in vitro and 5 in vivo) studies met the inclusion criteria.

Results

There was a wide variation in the absolute value of translation and rotation measured after anatomic double-bundle anterior cruciate ligament reconstruction. There were also differences in fixation methods, pivot-shift execution conditions, applied stresses during the pivot-shift, calculation methods and reference systems utilized by measurement systems.

Conclusions

The double-bundle reconstruction was shown to over-constrain the knee with respect to the intact value, especially closer to knee extension. This review demonstrated that anatomic double-bundle anterior cruciate ligament reconstruction is able to eliminate pathological translations and rotations during the pivot-shift phenomenon, as identified by quantitative measurement systems.

Level of evidence

Review of Level III studies, Level III.

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Title: Can the pivot-shift be eliminated by anatomic double-bundle anterior cruciate ligament reconstruction?
Authors: Stefano Zaffagnini
Giulio Maria Marcheggiani Muccioli
Nicola Lopomo
Cecilia Signorelli
Tommaso Bonanzinga
Costanza Musiani
Papakonstantinou Vassilis
Marco Nitri
Maurilio Marcacci
Publication date: 01-04-2012
Publisher: Springer-Verlag
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-1897-6

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Can the pivot-shift be eliminated by anatomic double-bundle anterior cruciate ligament reconstruction?

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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