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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2015

01-04-2015 | Knee

Biomechanical comparison of rotational activities between anterior cruciate ligament- and posterior cruciate ligament-reconstructed patients

Authors: Bee Oh Lim, Han Sol Shin, Yong Seuk Lee

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2015

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Abstract

Purpose

The purpose of this study was to compare the early functional recovery using biomechanical properties between anterior cruciate ligament (ACL)- and posterior cruciate ligament (PCL)-reconstructed patients and to determine the biomechanical deficit of PCL-reconstructed patients compared to ACL-reconstructed patients.

Methods

A motion analysis system was used to measure and calculate kinematic and kinetic data for 10 patients who underwent PCL-reconstructed patients [experimental group (group 1)], 10 ACL-reconstructed patients (group 2), and 10 healthy subjects (group 3) during 45°, 90°, 135°, and 180° cutting and turn running tasks. Groups 1 and 2 were assessed at 3 (return to daily activity) and 6 months (return to light sports) postoperatively.

Results

At 3 months postoperatively, compared to groups 2 and 3, group 1 showed a decrease in knee flexion angle, extension moment, valgus moment, external rotational moment, ground reaction force, and increased hamstring–quadriceps ratio. At 6 months postoperatively, results from group 1 resembled those of groups 2 and 3 over time.

Conclusions

Patients who underwent PCL reconstruction showed some biomechanical deficits in performance of activities requiring rotation, compared to those who underwent ACL reconstruction. Therefore, the modification of a rehabilitation programme for patients who underwent PCL reconstruction would be necessary for improvement of the biomechanical properties during performance of dynamic activities.

Level of evidence

Case–control study, Level III.
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Metadata
Title
Biomechanical comparison of rotational activities between anterior cruciate ligament- and posterior cruciate ligament-reconstructed patients
Authors
Bee Oh Lim
Han Sol Shin
Yong Seuk Lee
Publication date
01-04-2015
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-2959-8

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