Quantitative comparison of three different types of anterior cruciate ligament reconstruction methods: Laxity and 3-D kinematic measurements

Authors: Hagemeister N.1; Long R.2; Yahia L.1; Duval N.1; Krudwig W.3; Witzel U.4; de Guise J.A.5

Source: Bio-Medical Materials and Engineering, Volume 12, Number 1, 2002 , pp. 47-57(11)

Publisher: IOS Press

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Abstract:

In this project, we compared knee laxity and 3-D knee kinematics after ACL reconstruction on cadaver knees using (1) bone–patellar tendon–bone two-tunnel; (2) synthetic ligament two-tunnel; and (3) synthetic ligament “over-the-top” technique. We used a computer assisted system, based on the acquisition of the knee's movement with magnetic sensors (Polhemus, Vermont, USA). The use of personalised three-dimensional (3D) models of the bones enabled us to ensure a reproducible measurement of three-dimensional kinematic and laxity parameters. Our results showed that even when knee laxity was restored to normal, 3D kinematic measurements revealed that the reconstructions tended to under or over-constrain the knee's movement. This study shows that 3D kinematics is a complementary measurement that can be useful to get a better comprehension of the knee's function after ligament reconstruction.

Keywords: Ligament; reconstruction; 3D kinematics; in vitro; evaluation

Document Type: Research article

Affiliations: 1: Groupe de recherche en Biomécanique/Biomatériaux, (GRBB) École Polytechnique, Montreal, Canada 2: Laboratoire de recherche en Imagerie et Orthopédie (LIO), Centre de recherche du Centre hospitalier de l'Université de Montréal (CHUM), Hôpital Notre-Dame, Montreal, Quebec H2L 4M1, Canada 3: Marienhospital, Erwitte, Germany 4: Forschungsgruppe Biomechanik, Bochum University, Germany 5: Laboratoire d'imagerie, de vision et d'intelligence artificielle (LIVIA), École de technologie supérieure, Montreal, Canada

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