Kinematic Analysis of Five Different Anterior Cruciate Ligament Reconstruction Techniques
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Several anatomical anterior cruciate ligament (ACL) reconstruction techniques have been proposed to restore normal joint kinematics. However, the relative superiorities of these techniques with one another and traditional single-bundle reconstructions are unclear. Kinematic responses of five previously reported reconstruction techniques (single-bundle reconstruction using a bone-patellar tendon-bone graft [SBR-BPTB], single-bundle reconstruction using a hamstring tendon graft [SBR-HST], single-tunnel double-bundle reconstruction using a hamstring tendon graft [STDBR-HST], anatomical single-tunnel reconstruction using a hamstring tendon graft [ASTR-HST], and a double-tunnel double-bundle reconstruction using a hamstring tendon graft [DBR-HST]) were systematically analyzed. The knee kinematics were determined under anterior tibial load (134 N) and simulated quadriceps load (400 N) at 0o, 15o, 30o, 60o, and 90o of flexion using a robotic testing system. Anterior joint stability under anterior tibial load was qualified as normal for ASTR-HST and DBR-HST and nearly normal for SBR-BPTB, SBR-HST, and STDBR-HST as per the International Knee Documentation Committee knee examination form categorization. The analysis of this study also demonstrated that SBR-BPTB, STDBR-HST, ASTR-HST, and DBR-HST restored the anterior joint stability to normal condition while the SBR-HST resulted in a nearly normal anterior joint stability under the action of simulated quadriceps load. The medial-lateral translations were restored to normal level by all the reconstructions. The internal tibial rotations under the simulated muscle load were over-constrained by all the reconstruction techniques, and more so by the DBR-HST. All five ACL reconstruction techniques could provide either normal or nearly normal anterior joint stability; however, the techniques over-constrained internal tibial rotation under the simulated quadriceps load.
Abstract
Several anatomical anterior cruciate ligament (ACL) reconstruction techniques have been proposed to restore normal joint kinematics. However, the relative superiorities of these techniques with one another and traditional single-bundle reconstructions are unclear. Kinematic responses of five previously reported reconstruction techniques (single-bundle reconstruction using a bone-patellar tendon-bone graft [SBR-BPTB], single-bundle reconstruction using a hamstring tendon graft [SBR-HST], single-tunnel double-bundle reconstruction using a hamstring tendon graft [STDBR-HST], anatomical single-tunnel reconstruction using a hamstring tendon graft [ASTR-HST], and a double-tunnel double-bundle reconstruction using a hamstring tendon graft [DBR-HST]) were systematically analyzed. The knee kinematics were determined under anterior tibial load (134 N) and simulated quadriceps load (400 N) at 0o, 15o, 30o, 60o, and 90o of flexion using a robotic testing system. Anterior joint stability under anterior tibial load was qualified as normal for ASTR-HST and DBR-HST and nearly normal for SBR-BPTB, SBR-HST, and STDBR-HST as per the International Knee Documentation Committee knee examination form categorization. The analysis of this study also demonstrated that SBR-BPTB, STDBR-HST, ASTR-HST, and DBR-HST restored the anterior joint stability to normal condition while the SBR-HST resulted in a nearly normal anterior joint stability under the action of simulated quadriceps load. The medial-lateral translations were restored to normal level by all the reconstructions. The internal tibial rotations under the simulated muscle load were over-constrained by all the reconstruction techniques, and more so by the DBR-HST. All five ACL reconstruction techniques could provide either normal or nearly normal anterior joint stability; however, the techniques over-constrained internal tibial rotation under the simulated quadriceps load.
참고문헌 (33)
- Brophy RH, "Anterior cruciate ligament reconstruction and concomitant articular cartilage injury: incidence and treatment", Arthroscopy, 26, pp.112~120 (2010)
- Keays SL, "Factors involved in the development of osteoarthritis after anterior cruciate ligament surgery", Am J Sports Med, 38, pp.455~463 (2010)
- Spindler KP, "Clinical practice : anterior cruciate ligament tear", N Engl J Med, 359, pp.2135~2142 (2008)
- Asano H, "Arthroscopic evaluation of the articular cartilage after anterior cruciate ligament reconstruction : a short-term prospective study of 105 patients", Arthroscopy, 20, pp.474~481 (2004)
- Liden M, "Osteoarthritic changes after anterior cruciate ligament reconstruction using bone-patellar tendon-bone or hamstring tendon autografts : a retrospective, 7-year radiographic and clinical follow-up study", Arthroscopy, 24, pp.899~908 (2008)
- Lohmander LS, "High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury", Arthritis Rheum, 50, pp.3145~3152 (2004)
- Oiestad BE, "Knee osteoarthritis after anterior cruciate ligament injury : a systematic review", Am J Sports Med, 37, pp.1434~1443 (2009)
- van der Hart CP, "The occurrence of osteoarthritis at a minimum of ten years after reconstruction of the anterior cruciate ligament", J Orthop Surg Res, 3, pp.24~ (2008)
- Biau DJ, "ACL reconstruction : a meta-analysis of functional scores", Clin Orthop Relat Res, 458, pp.180~187 (2007)
- Freedman KB, "Arthroscopic anterior cruciate ligament reconstruction : a metaanalysis comparing patellar tendon and hamstring tendon autografts", Am J Sports Med, 31, pp.2~11 (2003)
- Georgoulis AD, "Tibial rotation is not restored after ACL reconstruction with a hamstring graft", Clin Orthop Relat Res, 454, pp.89~94 (2007)
- Ristanis S, "Follow-up evaluation 2 years after ACL reconstruction with bone-patellar tendon-bone graft shows that excessive tibial rotation persists", Clin J Sport Med, 16, pp.111~116 (2006)
- Tashman S, "Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction", Am J Sports Med, 32, pp.975~983 (2004)
- Gadikota HR, "Biomechanical comparison of single-tunnel-double-bundle and single-bundle anterior cruciate ligament reconstructions", Am J Sports Med, 37, pp.962~969 (2009)
- Kondo E, "Prospective clinical comparisons of anatomic double-bundle versus single-bundle anterior cruciate ligament reconstruction procedures in 328 consecutive patients", Am J Sports Med, 36, pp.1675~1687 (2008)
- Rue JP, "Femoral tunnel placement in single-bundle anterior cruciate ligament reconstruction : a cadaveric study relating transtibial lateralized femoral tunnel position to the anteromedial and posterolateral bundle femoral origins of the anterior cruciate ligament", Am J Sports Med, 36, pp.73~79 (2008)
- Tsuda E, "Comparable results between lateralized single-and double-bundle ACL reconstructions", Clin Orthop Relat Res, 467, pp.1042~1055 (2009)
- Seon JK, "Comparison of single-and double-bundle anterior cruciate ligament reconstructions in restoration of knee kinematics and anterior cruciate ligament forces", Am J Sports Med, 38, pp.1359~1367 (2010)
- Song EK, "Prospective comparative study of anterior cruciate ligament reconstruction using the double-bundle and single-bundle techniques", Am J Sports Med, 37, pp.1705~1711 (2009)
- Yagi M, "Biomechanical analysis of an anatomic anterior cruciate ligament reconstruction", Am J Sports Med, 30, pp.660~666 (2002)
- Meredick RB, "Outcome of single-bundle versus double-bundle reconstruction of the anterior cruciate ligament : a meta-analysis", Am J Sports Med, 36, pp.1414~1421 (2008)
- Aglietti P, "Anatomic versus non-anatomic tibial fixation in anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft", Knee Surg Sports Traumatol Arthrosc, 6(Suppl 1), pp.S43~S48 (1998)
- Caborn DN, "Single femoral socket double-bundle anterior cruciate ligament reconstruction using tibialis anterior tendon : description of a new technique", Arthroscopy, 21, pp.1273~ (2005)
- Gadikota HR, "Single-tunnel double-bundle anterior cruciate ligament reconstruction with anatomical placement of hamstring tendon graft: can it restore normal knee joint kinematics?", Am J Sports Med, 38, pp.713~720 (2010)
- Ho JY, "Equal kinematics between central anatomic single-bundle and double-bundle anterior cruciate ligament reconstructions", Arthroscopy, 25, pp.464~472 (2009)
- Shino K, "Rectangular tunnel double-bundle anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft to mimic natural fiber arrangement", Arthroscopy, 24, pp.1178~1183 (2008)
- Yoo JD, "The effect of anterior cruciate ligament reconstruction on knee joint kinematics under simulated muscle loads", Am J Sports Med, 33, pp.240~246 (2005)
- Woo SL, "The effectiveness of reconstruction of the anterior cruciate ligament with hamstrings and patellar tendon. A cadaveric study comparing anterior tibial and rotational loads", J Bone Joint Surg Am, 84, pp.907~914 (2002)
- Lewis PB, "Systematic review of single-bundle anterior cruciate ligament reconstruction outcomes : a baseline assessment for consideration of double-bundle techniques", Am J Sports Med, 36, pp.2028~2036 (2008)
- Andriacchi TP, "Rotational changes at the knee after ACL injury cause cartilage thinning", Clin Orthop Relat Res, 442, pp.39~44 (2006)
- Nordt WE 3rd, "The in vivo assessment of tibial motion in the transverse plane in anterior cruciate ligament-reconstructed knees", Am J Sports Med, 27, pp.611~616 (1999)
- Papannagari R, "In vivo kinematics of the knee after anterior cruciate ligament reconstruction : a clinical and functional evaluation", Am J Sports Med, 34, pp.2006~2012 (2006)
- Li G, "The effect of tibiofemoral joint kinematics on patellofemoral contact pressures under simulated muscle loads", J Orthop Res, 22, pp.801~806 (2004)