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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-12-2015 | Knee

Static and dynamic tibial translation before, 5 weeks after, and 5 years after anterior cruciate ligament reconstruction

Authors: Sofi Tagesson, Birgitta Öberg, Joanna Kvist

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2015

Abstract

Purpose

To evaluate static and dynamic tibial translation before, 5 weeks after, and 5 years after anterior cruciate ligament (ACL) reconstruction. To explore whether static and dynamic tibial translation are correlated.

Methods

Ten patients undergoing quadruple hamstring tendon graft ACL reconstruction were evaluated before, 5 weeks after, and 5 years after ACL reconstruction. Sagittal tibial translation was measured during the Lachman test (static translation) and during gait (dynamic translation) using a CA-4000 electrogoniometer.

Results

Five years after ACL reconstruction, static tibial translation did not differ between knees (Lachman test 90 N and 134 N n.s.). In contrast, there was greater maximal anterior tibial translation during gait in ACL-reconstructed knees than in uninjured knees (5.5 ± 1.4 vs. 4.5 ± 1.6 mm, P = 0.028). There were no differences in static or dynamic tibial translation between the 5-year follow-up and before ACL reconstruction or between the 5-year follow-up and the 5-week follow-up. There were no correlations between static and dynamic tibial translation.

Conclusion

Although static tibial translation did not differ between knees 5 years after ACL reconstruction, dynamic tibial translation during gait was greater in ACL-reconstructed knees than in uninjured knees. Neither static nor dynamic tibial translation changed 5 years after ACL reconstruction as compared to before surgery and 5 weeks after surgery. Static tibial translation did not correlate with dynamic tibial translation.

Clinical relevance

This study indicates that although the knee is stable during static measurements, kinematics during gait is impaired 5 years after ACL reconstruction. This may affect the return to sport and risk of osteoarthritis.

Level of evidence

Case series, Level IV.

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Title: Static and dynamic tibial translation before, 5 weeks after, and 5 years after anterior cruciate ligament reconstruction
Authors: Sofi Tagesson
Birgitta Öberg
Joanna Kvist
Publication date: 01-12-2015
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-3279-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Static and dynamic tibial translation before, 5 weeks after, and 5 years after anterior cruciate ligament reconstruction

Abstract

Purpose

Methods

Results

Conclusion

Clinical relevance

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Clinical relevance

Level of evidence

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