Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 6/2003

01-11-2003 | Knee

The effects of anterior cruciate ligament reconstruction on tibial rotation during pivoting after descending stairs

Authors: S. Ristanis, G. Giakas, C. D. Papageorgiou, T. Moraiti, N. Stergiou, A. D. Georgoulis

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 6/2003

Login to get access

Abstract

Recent in vitro research suggests that ACL reconstruction does not restore tibial rotation. This study investigated rotational knee joint stability in vivo during a combined descending and pivoting movement that applies a high rotational load to the knee joint. We studied 20 ACL reconstructed patients (bone–patellar tendon–bone graft) and 15 matched controls with a six-camera optoelectronic system performing the examined movement. In the control group the results showed no significant differences in the amount of tibial rotation between the two sides. No significant differences were also found between the contralateral intact leg of the ACL group and the healthy control. However, a significant difference was found within the ACL reconstructed group and between the reconstructed and the contralateral intact leg. Therefore ACL reconstruction may not restore tibial rotation even though anterior tibial translation has been reestablished.
Literature
1.
go back to reference Andriacchi T, Birac D (1993) Functional testing in the anterior cruciate ligament-deficient knee. Clin Orthop 228:40–47 Andriacchi T, Birac D (1993) Functional testing in the anterior cruciate ligament-deficient knee. Clin Orthop 228:40–47
2.
go back to reference Andriacchi TP, Andersson GBJ, Fermier RW et al (1980) A study of lower-limb mechanics during stair-climbing. J Bone Joint Surg Am 62:749–757PubMed Andriacchi TP, Andersson GBJ, Fermier RW et al (1980) A study of lower-limb mechanics during stair-climbing. J Bone Joint Surg Am 62:749–757PubMed
3.
go back to reference Bach BRJ, Tradonsky S, Bojchuk J et al (1998) Arthroscopically assisted anterior cruciate ligament reconstruction using patellar tendon autograft. Five- to nine-year follow-up evaluation. Am J Sports Med 26:20–29PubMed Bach BRJ, Tradonsky S, Bojchuk J et al (1998) Arthroscopically assisted anterior cruciate ligament reconstruction using patellar tendon autograft. Five- to nine-year follow-up evaluation. Am J Sports Med 26:20–29PubMed
4.
go back to reference Brandsson S, Karlsson J, Sward L et al (2002) Kinematics and laxity of the knee joint after anterior cruciate ligament reconstruction. Pre- and postoperative radiostereometric studies. Am J Sports Med 30:361–367PubMed Brandsson S, Karlsson J, Sward L et al (2002) Kinematics and laxity of the knee joint after anterior cruciate ligament reconstruction. Pre- and postoperative radiostereometric studies. Am J Sports Med 30:361–367PubMed
5.
go back to reference Bush-Joseph CA, Hurwitz DE, Patel RR et al (2001) Dynamic function after anterior cruciate ligament reconstruction with autologous patellar tendon. Am J Sports Med 29:36–41 Bush-Joseph CA, Hurwitz DE, Patel RR et al (2001) Dynamic function after anterior cruciate ligament reconstruction with autologous patellar tendon. Am J Sports Med 29:36–41
6.
go back to reference Cappozzo A, Catani F, Leardini A et al (1996) Position and orientation in space of bones during movement: experimental artefacts. Clin Biomech 11:90–100CrossRef Cappozzo A, Catani F, Leardini A et al (1996) Position and orientation in space of bones during movement: experimental artefacts. Clin Biomech 11:90–100CrossRef
7.
go back to reference Chambers H, Sutherland D (2002) A practical guide to gait analysis. J Am Acad Orthop Surg 10:222–231PubMed Chambers H, Sutherland D (2002) A practical guide to gait analysis. J Am Acad Orthop Surg 10:222–231PubMed
8.
go back to reference Daniel DM, Malcom LL, Losse G et al (1985) Instrumented measurement of anterior laxity of the knee. J Bone Joint Surg Am 67:720–726PubMed Daniel DM, Malcom LL, Losse G et al (1985) Instrumented measurement of anterior laxity of the knee. J Bone Joint Surg Am 67:720–726PubMed
9.
go back to reference Davis R, Ounpuu S, Tyburski D et al (1991) A gait analysis data collection and reduction technique. Hum Movement Sci 10:575–587CrossRef Davis R, Ounpuu S, Tyburski D et al (1991) A gait analysis data collection and reduction technique. Hum Movement Sci 10:575–587CrossRef
10.
go back to reference Devita P, Hortobagyi T, Barrier J (1998) Gait biomechanics are not normal after anterior cruciate ligament reconstruction and accelerated rehabilitation. Med Sci Sports Exerc 30:1481–1488PubMed Devita P, Hortobagyi T, Barrier J (1998) Gait biomechanics are not normal after anterior cruciate ligament reconstruction and accelerated rehabilitation. Med Sci Sports Exerc 30:1481–1488PubMed
11.
go back to reference Fox JM, Sherman OH, Markolf K (1985) Arthroscopic anterior cruciate ligament repair: preliminary results and instrumented testing for anterior stability. Arthroscopy 1:175–181PubMed Fox JM, Sherman OH, Markolf K (1985) Arthroscopic anterior cruciate ligament repair: preliminary results and instrumented testing for anterior stability. Arthroscopy 1:175–181PubMed
12.
go back to reference Gage J (1993) Gait analysis. An essential tool in the treatment of cerebral palsy. Clin Orthop 228:126–134 Gage J (1993) Gait analysis. An essential tool in the treatment of cerebral palsy. Clin Orthop 228:126–134
13.
go back to reference Georgoulis AD, Papadonikolakis A, Papageorgiou CD et al (2003) Three-dimensional tibiofemoral kinematics of the anterior cruciate deficient and reconstructed knee during walking. Am J Sports Med 31:75–79PubMed Georgoulis AD, Papadonikolakis A, Papageorgiou CD et al (2003) Three-dimensional tibiofemoral kinematics of the anterior cruciate deficient and reconstructed knee during walking. Am J Sports Med 31:75–79PubMed
14.
go back to reference Hara K, Kubo T, Suginoshita T et al (2000) Reconstruction of the anterior cruciate ligament using a double bundle. Arthroscopy 16:860–864PubMed Hara K, Kubo T, Suginoshita T et al (2000) Reconstruction of the anterior cruciate ligament using a double bundle. Arthroscopy 16:860–864PubMed
15.
go back to reference Jonsson H, Karrholm J, Elmqvist LG (1993) Laxity after cruciate ligament injury in 94 knees. The KT-1000 arthrometer versus roentgen stereophotogrammetry. Acta Orthop Scand 64:567–570 Jonsson H, Karrholm J, Elmqvist LG (1993) Laxity after cruciate ligament injury in 94 knees. The KT-1000 arthrometer versus roentgen stereophotogrammetry. Acta Orthop Scand 64:567–570
16.
go back to reference Kanamori A, Zeminski J, Rudi TW et al (2002) The effect of axial tibial torque on the function of the anterior cruciate ligament: a biomechanical study of a simulated pivot shift test. Arthroscopy 18:394–398CrossRefPubMed Kanamori A, Zeminski J, Rudi TW et al (2002) The effect of axial tibial torque on the function of the anterior cruciate ligament: a biomechanical study of a simulated pivot shift test. Arthroscopy 18:394–398CrossRefPubMed
17.
go back to reference Kowalk DL, Duncan JA, McCue FC et al (1997) Anterior cruciate ligament reconstruction and joint dynamics during stair climbing. Med Sci Sports Exerc 29:1406–1413PubMed Kowalk DL, Duncan JA, McCue FC et al (1997) Anterior cruciate ligament reconstruction and joint dynamics during stair climbing. Med Sci Sports Exerc 29:1406–1413PubMed
18.
go back to reference Levy IM, Torzilli PA, Warren RF (1982) The effect of medial meniscectomy on anterior-posterior motion of the knee. J Bone Joint Surg Am 64:883–888PubMed Levy IM, Torzilli PA, Warren RF (1982) The effect of medial meniscectomy on anterior-posterior motion of the knee. J Bone Joint Surg Am 64:883–888PubMed
19.
go back to reference Loh J, Fukuda Y, Tsuda E et al (2003) Knee stability and graft function following anterior cruciate ligament reconstruction: comparison between 11 o’clock and 10 o’clock femoral tunnel placement. Arthroscopy 19:297–304CrossRefPubMed Loh J, Fukuda Y, Tsuda E et al (2003) Knee stability and graft function following anterior cruciate ligament reconstruction: comparison between 11 o’clock and 10 o’clock femoral tunnel placement. Arthroscopy 19:297–304CrossRefPubMed
20.
go back to reference Lucchetti L, Cappozzo A, Cappello A et al (1998) Skin movement artefact assessment and compensation in the estimation of knee-joint kinematics. J Biomech 31:977–984CrossRefPubMed Lucchetti L, Cappozzo A, Cappello A et al (1998) Skin movement artefact assessment and compensation in the estimation of knee-joint kinematics. J Biomech 31:977–984CrossRefPubMed
21.
go back to reference Markolf KL, Bargar WL, Shoemaker SC et al (1981) The role of joint load in knee stability. J Bone Joint Surg Am 63:570–585PubMed Markolf KL, Bargar WL, Shoemaker SC et al (1981) The role of joint load in knee stability. J Bone Joint Surg Am 63:570–585PubMed
22.
go back to reference Reinschmidt C, Bogert Avd, Nigg B et al (1997) Effect of skin movement on the analysis of skeletal knee joint motion during running. J Biomech 30:729–732CrossRefPubMed Reinschmidt C, Bogert Avd, Nigg B et al (1997) Effect of skin movement on the analysis of skeletal knee joint motion during running. J Biomech 30:729–732CrossRefPubMed
23.
go back to reference Sakane M, Fox RJ, Woo SL et al (1997) In situ forces in the anterior cruciate ligament and its bundles in response to anterior tibial loads. J Orthop Res 15:285–293PubMed Sakane M, Fox RJ, Woo SL et al (1997) In situ forces in the anterior cruciate ligament and its bundles in response to anterior tibial loads. J Orthop Res 15:285–293PubMed
24.
go back to reference Steiner M, Brown C, Zarins B et al (1990) Measurement of anterior-posterior displacement of the knee. A comparison of the results with instrumented devices and with clinical examination. J Bone Joint Surg Am 72:1307–1315PubMed Steiner M, Brown C, Zarins B et al (1990) Measurement of anterior-posterior displacement of the knee. A comparison of the results with instrumented devices and with clinical examination. J Bone Joint Surg Am 72:1307–1315PubMed
25.
go back to reference Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop 198:43–49PubMed Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop 198:43–49PubMed
26.
go back to reference Vergis A, Gillquist J (1998) Sagittal plane translation of the knee during stair walking. Comparison of healthy and anterior cruciate ligament-deficient subjects. Am J Sports Med 26:841–846PubMed Vergis A, Gillquist J (1998) Sagittal plane translation of the knee during stair walking. Comparison of healthy and anterior cruciate ligament-deficient subjects. Am J Sports Med 26:841–846PubMed
27.
go back to reference Woltring HJ (1986) A Fortran package for generalised, cross-validatory spline smoothing and differentiation. Adv Eng Software 8:104–107 Woltring HJ (1986) A Fortran package for generalised, cross-validatory spline smoothing and differentiation. Adv Eng Software 8:104–107
28.
go back to reference Woo SL, Kanamori A, Zeminski J et al (2002) The effectiveness of anterior cruciate ligament reconstruction by hamstrings and patellar tendon: a cadaveric study comparing anterior tibial load vs rotational loads. J Bone Joint Surg Am 84:907–914 Woo SL, Kanamori A, Zeminski J et al (2002) The effectiveness of anterior cruciate ligament reconstruction by hamstrings and patellar tendon: a cadaveric study comparing anterior tibial load vs rotational loads. J Bone Joint Surg Am 84:907–914
29.
go back to reference Wroble R, Ginkel LV, Grood E et al (1990) Repeatability of the KT-1000 arthrometer in a normal population. Am J Sports Med 18:396–399PubMed Wroble R, Ginkel LV, Grood E et al (1990) Repeatability of the KT-1000 arthrometer in a normal population. Am J Sports Med 18:396–399PubMed
Metadata
Title
The effects of anterior cruciate ligament reconstruction on tibial rotation during pivoting after descending stairs
Authors
S. Ristanis
G. Giakas
C. D. Papageorgiou
T. Moraiti
N. Stergiou
A. D. Georgoulis
Publication date
01-11-2003
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 6/2003
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-003-0428-x

Other articles of this Issue 6/2003

Knee Surgery, Sports Traumatology, Arthroscopy 6/2003 Go to the issue