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Static and dynamic ...
Static and dynamic tibial translation before, 5 weeks after, and 5 years after anterior cruciate ligament reconstruction
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- Tagesson (Sonesson), Sofi (author)
- Linköpings universitet,Östergötlands Läns Landsting,Ortopedkliniken i Linköping,Avdelningen för fysioterapi,Medicinska fakulteten
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- Öberg, Birgitta (author)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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- Kvist, Joanna (author)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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(creator_code:org_t)
- 2014-09-27
- 2015
- English.
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In: Knee Surgery, Sports Traumatology, Arthroscopy. - : Springer Berlin/Heidelberg. - 0942-2056 .- 1433-7347. ; 23:12, s. 3691-3697
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Keyword
- ACL; Reconstruction; Knee laxity; Knee kinematics; Functional joint stability
Publication and Content Type
- ref (subject category)
- art (subject category)
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