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Static and dynamic tibial translation before, 5 weeks after, and 5 years after anterior cruciate ligament reconstruction
Östergötlands Läns Landsting, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping. Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-1929-0605
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-3527-5488
2015 (English)In: Knee Surgery, Sports Traumatology, Arthroscopy, ISSN 0942-2056, E-ISSN 1433-7347, Vol. 23, no 12, 3691-3697 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2015. Vol. 23, no 12, 3691-3697 p.
Keyword [en]
ACL; Reconstruction; Knee laxity; Knee kinematics; Functional joint stability
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-115936DOI: 10.1007/s00167-014-3279-8ISI: 000365715800033PubMedID: 25261221OAI: oai:DiVA.org:liu-115936DiVA: diva2:797546
Note

Funding agencies: Faculty of Health Sciences at Linkoping University; Swedish Center for Research in Sports

Available from: 2015-03-24 Created: 2015-03-24 Last updated: 2017-12-04Bibliographically approved

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Tagesson (Sonesson), SofiÖberg, BirgittaKvist, Joanna

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Tagesson (Sonesson), SofiÖberg, BirgittaKvist, Joanna
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Department of Orthopaedics in LinköpingDivision of PhysiotherapyFaculty of Medicine and Health Sciences
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Knee Surgery, Sports Traumatology, Arthroscopy
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