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Journal of Orthopaedic Surgery and Research
Published in: Journal of Orthopaedic Surgery and Research 1/2018

Open Access 01-12-2018 | Research article

Double-bundle anterior cruciate ligament reconstruction improves tibial rotational instability: analysis of squatting motion using a 2D/3D registration technique

Authors: Kenichi Kidera, Akihiko Yonekura, Takeshi Miyaji, Yusuke Nakazoe, Kazuyoshi Gamada, Kei Yoneta, Futoshi Ikuta, Masato Tomita, Takashi Miyamoto, Shiro Kajiyama, Akira Hozumi, Ko Chiba, Narihiro Okazaki, Takayuki Shida, Makoto Osaki

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2018

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Abstract

Background

The anterior cruciate ligament-deficient (ACLD) knee requires appropriate treatment for the patient to return to sports. The purpose of this study was to clarify the kinematics of the anterior cruciate ligament-deficient knee in squatting motion before and after double-bundle anterior cruciate ligament reconstruction (DB-ACLR) using a 2D/3D registration technique.

Methods

The subjects of this study were 10 men with confirmed unilateral ACL rupture who underwent DB-ACLR. Computed tomography (CT) of the knee joints was performed before DB-ACLR. Fluoroscopic imaging of the knee motion in squatting before and after DB-ACLR was also performed. The 2D/3D registration technique is a method of calculating positional relationships by projecting the 3D bone model created from the CT data onto the image extracted from the fluoroscopic images. The tibial anteroposterior (AP) and rotational positions were analyzed with reference to the femur.

Results

The tibial AP position of the ACLD knees was significantly anterior to the contralateral knees (p = 0.015). The tibial rotational position of the ACLD knees was significantly internally rotated compared to the contralateral knees (p < 0.001). Both tibial AP and rotational positions improved after DB-ACLR (p < 0.001), with no significant differences compared to the contralateral knees.

Conclusion

DB-ACLR improved not only tibial AP instability but also tibial rotational instability at knee flexion with weight-bearing. DB-ACLR appears to be a useful technique for normalizing the knee joint kinematics of ACLD knees.
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Metadata
Title
Double-bundle anterior cruciate ligament reconstruction improves tibial rotational instability: analysis of squatting motion using a 2D/3D registration technique
Authors
Kenichi Kidera
Akihiko Yonekura
Takeshi Miyaji
Yusuke Nakazoe
Kazuyoshi Gamada
Kei Yoneta
Futoshi Ikuta
Masato Tomita
Takashi Miyamoto
Shiro Kajiyama
Akira Hozumi
Ko Chiba
Narihiro Okazaki
Takayuki Shida
Makoto Osaki
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Journal of Orthopaedic Surgery and Research / Issue 1/2018
Electronic ISSN: 1749-799X
DOI
https://doi.org/10.1186/s13018-018-0825-y

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