Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Journal of Orthopaedic Surgery and Research
Published in: Journal of Orthopaedic Surgery and Research 1/2016

Open Access 01-12-2016 | Research article

Kinematics of anterior cruciate ligament-deficient knees in a Chinese population during stair ascent

Authors: Chang Zhao, Chuangxin Lin, Wenhao Wang, Chun Zeng, Hang Fang, Jianying Pan, Daozhang Cai

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2016

Login to get access

Abstract

Background

The purpose of this study was to measure the tibiofemoral kinematics of anterior cruciate ligament (ACL) deficiency in a Chinese population and compare the kinematics with published data about a Caucasian population.

Methods

Unilateral knees of 18 Chinese ACL-deficient (ACL-D) subjects were studied while subjects ascended stairs. Kinematic alteration was compared between ACL-D knees and contralateral ACL-intact (ACL-I) knees. The kinematic alteration of ACL deficiency was also compared between the Chinese population and published data about a Caucasian population.

Results

A statistical difference was found in the three-dimensional rotations between ACL-D and ACL-I knees. In the sagittal plane, ACL-I knees had a larger flexion angle than ACL-D knees during 40 to 50 % of the activity during stair ascent (P < 0.027) and throughout the gait cycle. A significant difference in rotational motion between ACL-D and ACL-I knees was also observed in the frontal plane during 40 to 60 % (P < 0.017) of the activity and in the transverse plane during 70 to 80 % (P < 0.028) of the activity. A greater tibial varus was demonstrated in the Chinese population while the published data revealed external tibial rotation and a statistical difference in translation in the Caucasian population.

Conclusions

ACL-D knees show different kinematics than ACL-I knees in the Chinese population. ACL-I knees had a larger flexion angle than ACL-D knees in the middle stage of the activity during stair ascent. A significant difference in rotational motion between ACL-D and ACL-I knees was also observed in the frontal plane during the middle phase and in the transverse plane during the terminal phase of the activity. A greater tibial varus was demonstrated in the Caucasian population while the published data revealed external tibial rotation and a statistical difference in translation in the Caucasian population.
Literature
1.
Andriacchi TP, Dyrby CO. Interactions between kinematics and loading during walking for the normal and ACL deficient knee. J Biomech. 2005;38(2):293–8.CrossRefPubMed
2.
Andriacchi TP, Mundermann A. The role of ambulatory mechanics in the initiation and progression of knee osteoarthritis. Curr Opin Rheumatol. 2006;18(5):514–8.CrossRefPubMed
3.
Astephen JL, Deluzio KJ, Caldwell GE, Dunbar MJ, Hubley-Kozey CL. Gait and neuromuscular pattern changes are associated with differences in knee osteoarthritis severity levels. J Biomech. 2008;41(4):868–76.CrossRefPubMed
4.
Beard DJ, Soundarapandian RS, O’Connor JJ, Dodd CAF. Gait and electromyographic analysis of anterior cruciate ligament deficient subjects. Gait Posture. 1996;4(2):83–8.CrossRef
5.
Besier TF, Lloyd DG, Cochrane JL, Ackland TR. External loading of the knee joint during running and cutting maneuvers. Med Sci Sports Exerc. 2001;33(7):1168–75.CrossRefPubMed
6.
Boden BP, Breit I, Sheehan FT. Tibiofemoral alignment: contributing factors to noncontact anterior cruciate ligament injury. J Bone Joint Surg Am. 2009;91(10):2381–9.CrossRefPubMedPubMedCentral
7.
Bulgheroni P, Bulgheroni MV, Andrini L, Guffanti P, Giughello A. Gait patterns after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 1997;5(1):14–21.CrossRefPubMed
8.
Chung SC, Chan WL, Wong SH. Lower limb alignment in anterior cruciate ligament-deficient versus -intact knees. J Orthop Surg. 2011;19(3):303–8.
9.
Defrate LE, Papannagari R, Gill TJ, Moses JM, Pathare NP, Li G. The 6 degrees of freedom kinematics of the knee after anterior cruciate ligament deficiency: an in vivo imaging analysis. Am J Sports Med. 2006;34(8):1240–6.CrossRefPubMed
10.
Dienst M, Schneider G, Altmeyer K, et al. Correlation of intercondylar notch cross sections to the ACL size: a high resolution MR tomographic in vivo analysis. Arch Orthop Trauma Surg. 2007;127(4):253–60.CrossRefPubMed
11.
Gao B, Cordova ML, Zheng NN. Three-dimensional joint kinematics of ACL-deficient and ACL-reconstructed knees during stair ascent and descent. Hum Mov Sci. 2012;31(1):222–35.CrossRefPubMed
12.
Gao B, Zheng NN. Alterations in three-dimensional joint kinematics of anterior cruciate ligament-deficient and -reconstructed knees during walking. Clin Biomech (Bristol, Avon). 2010;25(3):222–9.CrossRef
13.
Garling EH, Wolterbeek N, Velzeboer S, et al. Co-contraction in RA patients with a mobile bearing total knee prosthesis during a step-up task. Knee Surg Sports Traumatol Arthrosc. 2008;16(8):734–40.CrossRefPubMedPubMedCentral
14.
Hall M, Stevermer CA, Gillette JC. Gait analysis post anterior cruciate ligament reconstruction: knee osteoarthritis perspective. Gait Posture. 2012;36(1):56–60.CrossRefPubMed
15.
Hart JM, Ko JW, Konold T, Pietrosimone B. Sagittal plane knee joint moments following anterior cruciate ligament injury and reconstruction: a systematic review. Clin Biomech (Bristol, Avon). 2010;25(4):277–83.CrossRef
16.
Irvine CH, Snook SH, Sparshatt JH. Stairway risers and treads: acceptable and preferred dimensions. Appl Ergon. 1990;21(3):215–25.CrossRefPubMed
17.
Kozanek M, Hosseini A, de Velde SK, et al. Kinematic evaluation of the step-up exercise in anterior cruciate ligament deficiency. Clin Biomech (Bristol, Avon). 2011;26(9):950–4.CrossRef
18.
19.
Lewek M, Rudolph K, Axe M, Snyder-Mackler L. The effect of insufficient quadriceps strength on gait after anterior cruciate ligament reconstruction. Clin Biomech (Bristol, Avon). 2002;17(1):56–63.CrossRef
20.
Li J-S, Hosseini A, Cancre L, Ryan N, Rubash HE, Li G. Kinematic characteristics of the tibiofemoral joint during a step-up activity. Gait Posture. 2013;38(4):712–6.CrossRefPubMedPubMedCentral
21.
Loudon JK, Jenkins W, Loudon KL. The relationship between static posture and ACL injury in female athletes. J Orthop Sports Phys Ther. 1996;24(2):91–7.CrossRefPubMed
22.
Moro-oka TA, Hamai S, Miura H, et al. Dynamic activity dependence of in vivo normal knee kinematics. J Orthop Res. 2008;26(4):428–34.CrossRefPubMed
23.
Myer GD, Ford KR, Hewett TE. The effects of gender on quadriceps muscle activation strategies during a maneuver that mimics a high ACL injury risk position. J Electromyogr Kinesiol. 2005;15(2):181–9.CrossRefPubMed
24.
Perry MC, Morrissey MC, King JB, Morrissey D, Earnshaw P. Effects of closed versus open kinetic chain knee extensor resistance training on knee laxity and leg function in patients during the 8- to 14-week post-operative period after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2005;13(5):357–69.CrossRefPubMed
25.
Reider B, Arcand MA, Diehl LH, et al. Proprioception of the knee before and after anterior cruciate ligament reconstruction. J Arthrosc Relat Surg. 2003;19(1):2–12.CrossRef
26.
Seon JK, Song EK, Park SJ. Osteoarthritis after anterior cruciate ligament reconstruction using a patellar tendon autograft. Int Orthop. 2006;30(2):94–8.CrossRefPubMedPubMedCentral
27.
Shelbourne KD, Gray T, Benner RW. Intercondylar notch width measurement differences between African American and white men and women with intact anterior cruciate ligament knees. Am J Sports Med. 2007;35(8):1304–7.CrossRefPubMed
28.
Takeda K, Hasegawa T, Kiriyama Y, et al. Kinematic motion of the anterior cruciate ligament deficient knee during functionally high and low demanding tasks. J Biomech. 2014;47(10):2526–30.CrossRefPubMed
29.
Thambyah A, Thiagarajan P, Goh Cho Hong J. Knee joint moments during stair climbing of patients with anterior cruciate ligament deficiency. Clin Biomech (Bristol, Avon). 2004;19(5):489–96.CrossRef
30.
Van de Velde SK, Bingham JT, Hosseini A, et al. Increased tibiofemoral cartilage contact deformation in patients with anterior cruciate ligament deficiency. Arthritis Rheum. 2009;60(12):3693–702.CrossRefPubMedPubMedCentral
31.
Vergis A, Gillquist J. Sagittal plane translation of the knee during stair walking. Comparison of healthy and anterior cruciate ligament--deficient subjects. Am J Sports Med. 1998;26(6):841–6.PubMed
32.
Wilk KE, Macrina LC, Cain EL, Dugas JR, Andrews JR. Recent advances in the rehabilitation of anterior cruciate ligament injuries. J Orthop Sports Phys Ther. 2012;42(3):153–71.CrossRefPubMed
33.
Yau WP, Chiu KY, Fok AW, Yan CH, Ng FY. Distal femur rotation relates to joint obliquity in ACL-deficient Chinese. Clin Orthop Relat Res. 2013;471(5):1458–64.CrossRefPubMed
34.
Zihlmann MS, Gerber H, Stacoff A, Burckhardt K, Szekely G, Stussi E. Three-dimensional kinematics and kinetics of total knee arthroplasty during level walking using single plane video-fluoroscopy and force plates: a pilot study. Gait Posture. 2006;24(4):475–81.CrossRefPubMed
Metadata
Title
Kinematics of anterior cruciate ligament-deficient knees in a Chinese population during stair ascent
Authors
Chang Zhao
Chuangxin Lin
Wenhao Wang
Chun Zeng
Hang Fang
Jianying Pan
Daozhang Cai
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2016
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-016-0423-9

Other articles of this Issue 1/2016

Journal of Orthopaedic Surgery and Research 1/2016 Go to the issue

Research article

Surgical treatment of popliteal cyst: a systematic review and meta-analysis

Research article

Enlarged anterior cervical diskectomy and fusion in the treatment of severe localised ossification of the posterior longitudinal ligament

Research article

The morphological features of different Schatzker types of tibial plateau fractures: a three-dimensional computed tomography study

Research article

Clinical and radiological outcome of minimally invasive posterior lumbar interbody fusion in primary versus revision surgery

Research article

A study on the clinical outcomes of patients with revision surgery for adjacent segment disease after 10-year’s anterior cervical spine surgery

Research article

Acetabular labrum blood flow in developmental dysplasia of the hip: an intraoperative in vivo study using laser Doppler flowmetry