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Determination of an Optimal Kinematic Protocol for Computer-Assisted Evaluation of Anterior Cruciate Ligament Deficiency

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Abstract

The recent development of computer-assisted techniques for surgery, anterior cruciate ligament (ACL) reconstruction in particular, provides new ways of improving intraoperative kinematic evaluation and final functional outcome. In this paper we have tried to identify the optimal protocol for ACL evaluation, which can fully exploit the novel capability of electronic sensors and computer elaboration. In this work we statistically compared the main clinical tests that are used for knee evaluation and three different numerical methods for kinematic analysis. Results showed that only passive tests that investigate rotational and anteroposterior stability could discriminate ACL status and that the most effective protocol for computerized evaluation should be based on the Lachman and Drawer test, and forced internal–external rotations at full extension for pigs and 60° , elaborated with the functional method (Martelli et al. Comput. Methods Programs Biomed. 62:77–86, 2000). © 2001 Biomedical Engineering Society.

PAC01: 8719St, 8780-y

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Authors and Affiliations

  1. Ministry of Healthcare, Istituti Ortopedici Rizzoli, Bologna, Italy

    S. Martelli, S. Zaffagnini & B. Falcioni

  2. Department of Physics, University of Bologna, Bologna, Italy

    M. Motta

Authors
  1. S. Martelli
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  2. S. Zaffagnini
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  3. B. Falcioni
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  4. M. Motta
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Martelli, S., Zaffagnini, S., Falcioni, B. et al. Determination of an Optimal Kinematic Protocol for Computer-Assisted Evaluation of Anterior Cruciate Ligament Deficiency. Annals of Biomedical Engineering 29, 1112–1121 (2001). https://doi.org/10.1114/1.1424917

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