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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-09-2014 | Knee

Individualized ACL reconstruction

Authors: Paulo H. Araujo, Mauricio Kfuri Junior, Bruno Ohashi, Yuichi Hoshino, Stephano Zaffagnini, Kristian Samuelsson, Jon Karlsson, Freddie Fu, Volker Musahl

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 9/2014

Abstract

The pivot shift test is the only physical examination test capable of predicting knee function and osteoarthritis development after an ACL injury. However, because interpretation and performance of the pivot shift are subjective in nature, the validity of the pivot shift is criticized for not providing objective information for a complete surgical planning for the treatment of rotatory knee laxity. The aim of ACL reconstruction was eliminating the pivot shift sign. Many structures and anatomical characteristics can influence the grading of the pivot shift test and are involved in the genesis and magnitude of rotatory instability after an ACL injury. The objective quantification of the pivot shift may be able to categorize knee laxity and provide adequate information on which structures are affected besides the ACL. A new algorithm for rotational instability treatment is presented, accounting for patients’ unique anatomical characteristics and objective measurement of the pivot shift sign allowing for an individualized surgical treatment.

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Title: Individualized ACL reconstruction
Authors: Paulo H. Araujo
Mauricio Kfuri Junior
Bruno Ohashi
Yuichi Hoshino
Stephano Zaffagnini
Kristian Samuelsson
Jon Karlsson
Freddie Fu
Volker Musahl
Publication date: 01-09-2014
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 9/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-2928-2

At a glance: The STEP trials

Springer Medicine

Individualized ACL reconstruction

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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