Rotational Stability of the Knee in a Comparative Study of Anterior Cruciate Ligament Reconstruction Using the Double-Bundle and Single-Bundle Techniques
Publish place: The Archives of Bone and Joint Surgery، Vol: 10، Issue: 9
Publish Year: 1401
نوع سند: مقاله ژورنالی
زبان: English
View: 131
This Paper With 10 Page And PDF Format Ready To Download
- Certificate
- من نویسنده این مقاله هستم
استخراج به نرم افزارهای پژوهشی:
شناسه ملی سند علمی:
JR_TABO-10-9_006
تاریخ نمایه سازی: 15 مهر 1401
Abstract:
Background: The purpsose of this study was to evaluate the biomechanical outcomes of patients who underwent ACL reconstruction either with the DB or SB technique. We hypothesized that the DB technique would provide better rotation control of the knee following ACL reconstruction. Methods: The study included seventy-five participants (۲۶ DB, ۲۲ SB, and ۲۷ healthy volunteers). Only cases with at least one year of postoperative follow-up were included. The participants performed three different demand tasks: walk task, walk and change direction, and stair descent and change direction, which was tracked using a three-dimensional ۴-camera optoelectronic system. The following kinematic data were analyzed: tibial rotation amplitude and maximal internal and external rotation. Knees with ACL reconstruction were compared to contralateral knees with intact ACL and healthy knees. Clinical outcomes were determined using the subjective and objective International Knee Documentation Committee (IKDC) questionnaire and a manual arthrometer (KT ۱۰۰۰). Results: Both surgical groups exhibited similar clinical outcomes (mean subjective IKDC ۹۱ SB vs. ۹۰ DB, P=۰.۸۱۵; KT ۱۰۰۰ difference: ۲mm in both groups, P=۰.۷۷۲). The vertical component of the ground force reaction revealed no differences between the surgical and control groups (P>۰.۰۵). Tibial rotation amplitude and maximal internal and external rotation were similar between the control, SB, and DB groups in all three different demand tasks (P>۰.۰۵).Conclusion: ACL reconstruction using either the SB or DB technique can restore rotational control to the level of a healthy knee. No clinical or functional differences were found between the SB and DB surgical options.Level of evidence: II
Keywords:
anterior cruciate ligament , Anatomy , Anterior cruciate ligament reconstruction , Biomechanical phenomena
Authors
Caio Oliveira D`Elia
۱ Instituto de Ortopedia e Traumatologia (IOT), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil ۲ Instituto Vita, São Paulo, SP, Brazil
Alexandre Bitar
Instituto Vita, São Paulo, SP, Brazil
Maria Orselli
Instituto Vita, Sao Paulo, SP, Brazil
Wagner Castropil
Instituto Vita, Sao Paulo, SP, Brazil
Marcos Duarte
Universidade Federal do ABC, Santo André, SP, Brazil
Gilberto Camanho
Instituto de Ortopedia e Traumatologia (IOT), Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
مراجع و منابع این Paper:
لیست زیر مراجع و منابع استفاده شده در این Paper را نمایش می دهد. این مراجع به صورت کاملا ماشینی و بر اساس هوش مصنوعی استخراج شده اند و لذا ممکن است دارای اشکالاتی باشند که به مرور زمان دقت استخراج این محتوا افزایش می یابد. مراجعی که مقالات مربوط به آنها در سیویلیکا نمایه شده و پیدا شده اند، به خود Paper لینک شده اند :