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Anatomic double bundle ACL reconstruction outperforms any types of single bundle ACL reconstructions in controlling dynamic rotational laxity
Purpose To compare the different types of ACL reconstructions in terms of knee dynamic laxity evaluated by acceleration. Methods Sixteen fresh frozen cadaveric knees were used. Pivot shift test was manually performed while monitoring the tibial acceleration by use of a triaxial accelerometer. The te...
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| Published in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2018-05, Vol.26 (5), p.1414-1419 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
| container_volume | 26 |
| creator | Maeyama, A. Hoshino, Y. Kato, Y. Debandi, A. Lertwanich, P. Wang, J. H. Smolinski, P. Fu, F. H. |
| description | Purpose
To compare the different types of ACL reconstructions in terms of knee dynamic laxity evaluated by acceleration.
Methods
Sixteen fresh frozen cadaveric knees were used. Pivot shift test was manually performed while monitoring the tibial acceleration by use of a triaxial accelerometer. The test was repeated before and after the ACL resection and reconstruction. Three types of ACL reconstruction were tested: (1) Anatomic Single-Bundle reconstruction (
n
= 8), the graft was placed at the center of the ACL footprint for the both femoral and tibial sides (tunnel diameter: 8mm); (2) Conventional Single-Bundle reconstruction (
n
= 8), the graft was placed from the tibial PL footprint to femoral high AM position (tunnel diameter: 8mm) and (3) Anatomic Double-Bundle reconstruction (
n
= 8). The acceleration in each of three x-y-z directions and the overall magnitude of acceleration was calculated to evaluate dynamic rotational laxity and compared between different ACL reconstructions.
Results
The overall magnitude of acceleration was significantly different between ACL intact and deficient knees (
p
|
| doi_str_mv | 10.1007/s00167-017-4781-6 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1964698209</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1964698209</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-19906809c73b8d8117659f1f3c3332744469f1572b2d5c8420d044a84b18b29b3</originalsourceid><addsrcrecordid>eNp9kc1q3DAUhUVJaCaTPkA3RZBNN06ufmxJy2HoT2Agm2QtZFkODrY0kWSoHyLvXE0mLaGQrq5073fOvXAQ-kzgigCI6wRAGlEBERUXklTNB7QinLFKMC5O0AoUpxWFujlD5yk9ApQnVx_RGVWESUXqFXreeJPDNFjchbkdHW5n35Wy2e5wdDb4lONs8xA8DnPeu9iHOCVs_ILzsncJhx6nwT_8T5nw4HFp5BjGsbC4W7w5rIwhmwNgRjyaX0NeLtBpb8bkPr3WNbr__u1u-7Pa3f642W52leVM5oooBY0EZQVrZScJEU2tetIzyxijgnPelG8taEu72kpOoQPOjeQtkS1VLVujr0fffQxPs0tZT0OybhyNd2FOmqimWEgKqqCX_6CPYY7l5BeKCcFBQaHIkbIxpBRdr_dxmExcNAF9yEofs9IlK33ISjdF8-XVeW4n1_1V_AmnAPQIpDLyDy6-Wf2u62-jyaAF</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1963774090</pqid></control><display><type>article</type><title>Anatomic double bundle ACL reconstruction outperforms any types of single bundle ACL reconstructions in controlling dynamic rotational laxity</title><source>Wiley-Blackwell Read & Publish Collection</source><source>Springer Link</source><source>SPORTDiscus with Full Text</source><creator>Maeyama, A. ; Hoshino, Y. ; Kato, Y. ; Debandi, A. ; Lertwanich, P. ; Wang, J. H. ; Smolinski, P. ; Fu, F. H.</creator><creatorcontrib>Maeyama, A. ; Hoshino, Y. ; Kato, Y. ; Debandi, A. ; Lertwanich, P. ; Wang, J. H. ; Smolinski, P. ; Fu, F. H.</creatorcontrib><description>Purpose
To compare the different types of ACL reconstructions in terms of knee dynamic laxity evaluated by acceleration.
Methods
Sixteen fresh frozen cadaveric knees were used. Pivot shift test was manually performed while monitoring the tibial acceleration by use of a triaxial accelerometer. The test was repeated before and after the ACL resection and reconstruction. Three types of ACL reconstruction were tested: (1) Anatomic Single-Bundle reconstruction (
n
= 8), the graft was placed at the center of the ACL footprint for the both femoral and tibial sides (tunnel diameter: 8mm); (2) Conventional Single-Bundle reconstruction (
n
= 8), the graft was placed from the tibial PL footprint to femoral high AM position (tunnel diameter: 8mm) and (3) Anatomic Double-Bundle reconstruction (
n
= 8). The acceleration in each of three x-y-z directions and the overall magnitude of acceleration was calculated to evaluate dynamic rotational laxity and compared between different ACL reconstructions.
Results
The overall magnitude of acceleration was significantly different between ACL intact and deficient knees (
p
< 0.0001). The acceleration was reduced by the DB ACL reconstruction to the intact level (n.s.), but the two SB ACL reconstruction failed to achieve the intact level of the acceleration (
p
= 0.0002non-anatomic SB,
p
< 0.0001 anatomic SB).
Conclusion
The anatomic DB reconstruction better restores dynamic rotational laxity when compared to the SB ACL reconstructions no matter if the tunnel placement was anatomic. The anatomic DB reconstruction better restores dynamic rotational laxity when compared to both anatomic and non-anatomic SB ACL reconstruction. For this reason anatomic DB ACL reconstruction is recommended for cases where rotational laxity is an issue.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-017-4781-6</identifier><identifier>PMID: 29138915</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acceleration ; Accelerometers ; Bundling ; Cadavers ; Femur ; Footprints ; Knee ; Medicine ; Medicine & Public Health ; Orthopedics ; Skin & tissue grafts</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018-05, Vol.26 (5), p.1414-1419</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2017</rights><rights>Knee Surgery, Sports Traumatology, Arthroscopy is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-19906809c73b8d8117659f1f3c3332744469f1572b2d5c8420d044a84b18b29b3</citedby><cites>FETCH-LOGICAL-c438t-19906809c73b8d8117659f1f3c3332744469f1572b2d5c8420d044a84b18b29b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29138915$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maeyama, A.</creatorcontrib><creatorcontrib>Hoshino, Y.</creatorcontrib><creatorcontrib>Kato, Y.</creatorcontrib><creatorcontrib>Debandi, A.</creatorcontrib><creatorcontrib>Lertwanich, P.</creatorcontrib><creatorcontrib>Wang, J. H.</creatorcontrib><creatorcontrib>Smolinski, P.</creatorcontrib><creatorcontrib>Fu, F. H.</creatorcontrib><title>Anatomic double bundle ACL reconstruction outperforms any types of single bundle ACL reconstructions in controlling dynamic rotational laxity</title><title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</title><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><description>Purpose
To compare the different types of ACL reconstructions in terms of knee dynamic laxity evaluated by acceleration.
Methods
Sixteen fresh frozen cadaveric knees were used. Pivot shift test was manually performed while monitoring the tibial acceleration by use of a triaxial accelerometer. The test was repeated before and after the ACL resection and reconstruction. Three types of ACL reconstruction were tested: (1) Anatomic Single-Bundle reconstruction (
n
= 8), the graft was placed at the center of the ACL footprint for the both femoral and tibial sides (tunnel diameter: 8mm); (2) Conventional Single-Bundle reconstruction (
n
= 8), the graft was placed from the tibial PL footprint to femoral high AM position (tunnel diameter: 8mm) and (3) Anatomic Double-Bundle reconstruction (
n
= 8). The acceleration in each of three x-y-z directions and the overall magnitude of acceleration was calculated to evaluate dynamic rotational laxity and compared between different ACL reconstructions.
Results
The overall magnitude of acceleration was significantly different between ACL intact and deficient knees (
p
< 0.0001). The acceleration was reduced by the DB ACL reconstruction to the intact level (n.s.), but the two SB ACL reconstruction failed to achieve the intact level of the acceleration (
p
= 0.0002non-anatomic SB,
p
< 0.0001 anatomic SB).
Conclusion
The anatomic DB reconstruction better restores dynamic rotational laxity when compared to the SB ACL reconstructions no matter if the tunnel placement was anatomic. The anatomic DB reconstruction better restores dynamic rotational laxity when compared to both anatomic and non-anatomic SB ACL reconstruction. For this reason anatomic DB ACL reconstruction is recommended for cases where rotational laxity is an issue.</description><subject>Acceleration</subject><subject>Accelerometers</subject><subject>Bundling</subject><subject>Cadavers</subject><subject>Femur</subject><subject>Footprints</subject><subject>Knee</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Orthopedics</subject><subject>Skin & tissue grafts</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kc1q3DAUhUVJaCaTPkA3RZBNN06ufmxJy2HoT2Agm2QtZFkODrY0kWSoHyLvXE0mLaGQrq5073fOvXAQ-kzgigCI6wRAGlEBERUXklTNB7QinLFKMC5O0AoUpxWFujlD5yk9ApQnVx_RGVWESUXqFXreeJPDNFjchbkdHW5n35Wy2e5wdDb4lONs8xA8DnPeu9iHOCVs_ILzsncJhx6nwT_8T5nw4HFp5BjGsbC4W7w5rIwhmwNgRjyaX0NeLtBpb8bkPr3WNbr__u1u-7Pa3f642W52leVM5oooBY0EZQVrZScJEU2tetIzyxijgnPelG8taEu72kpOoQPOjeQtkS1VLVujr0fffQxPs0tZT0OybhyNd2FOmqimWEgKqqCX_6CPYY7l5BeKCcFBQaHIkbIxpBRdr_dxmExcNAF9yEofs9IlK33ISjdF8-XVeW4n1_1V_AmnAPQIpDLyDy6-Wf2u62-jyaAF</recordid><startdate>20180501</startdate><enddate>20180501</enddate><creator>Maeyama, A.</creator><creator>Hoshino, Y.</creator><creator>Kato, Y.</creator><creator>Debandi, A.</creator><creator>Lertwanich, P.</creator><creator>Wang, J. H.</creator><creator>Smolinski, P.</creator><creator>Fu, F. H.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180501</creationdate><title>Anatomic double bundle ACL reconstruction outperforms any types of single bundle ACL reconstructions in controlling dynamic rotational laxity</title><author>Maeyama, A. ; Hoshino, Y. ; Kato, Y. ; Debandi, A. ; Lertwanich, P. ; Wang, J. H. ; Smolinski, P. ; Fu, F. H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-19906809c73b8d8117659f1f3c3332744469f1572b2d5c8420d044a84b18b29b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acceleration</topic><topic>Accelerometers</topic><topic>Bundling</topic><topic>Cadavers</topic><topic>Femur</topic><topic>Footprints</topic><topic>Knee</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Orthopedics</topic><topic>Skin & tissue grafts</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maeyama, A.</creatorcontrib><creatorcontrib>Hoshino, Y.</creatorcontrib><creatorcontrib>Kato, Y.</creatorcontrib><creatorcontrib>Debandi, A.</creatorcontrib><creatorcontrib>Lertwanich, P.</creatorcontrib><creatorcontrib>Wang, J. H.</creatorcontrib><creatorcontrib>Smolinski, P.</creatorcontrib><creatorcontrib>Fu, F. H.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maeyama, A.</au><au>Hoshino, Y.</au><au>Kato, Y.</au><au>Debandi, A.</au><au>Lertwanich, P.</au><au>Wang, J. H.</au><au>Smolinski, P.</au><au>Fu, F. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomic double bundle ACL reconstruction outperforms any types of single bundle ACL reconstructions in controlling dynamic rotational laxity</atitle><jtitle>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</jtitle><stitle>Knee Surg Sports Traumatol Arthrosc</stitle><addtitle>Knee Surg Sports Traumatol Arthrosc</addtitle><date>2018-05-01</date><risdate>2018</risdate><volume>26</volume><issue>5</issue><spage>1414</spage><epage>1419</epage><pages>1414-1419</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
To compare the different types of ACL reconstructions in terms of knee dynamic laxity evaluated by acceleration.
Methods
Sixteen fresh frozen cadaveric knees were used. Pivot shift test was manually performed while monitoring the tibial acceleration by use of a triaxial accelerometer. The test was repeated before and after the ACL resection and reconstruction. Three types of ACL reconstruction were tested: (1) Anatomic Single-Bundle reconstruction (
n
= 8), the graft was placed at the center of the ACL footprint for the both femoral and tibial sides (tunnel diameter: 8mm); (2) Conventional Single-Bundle reconstruction (
n
= 8), the graft was placed from the tibial PL footprint to femoral high AM position (tunnel diameter: 8mm) and (3) Anatomic Double-Bundle reconstruction (
n
= 8). The acceleration in each of three x-y-z directions and the overall magnitude of acceleration was calculated to evaluate dynamic rotational laxity and compared between different ACL reconstructions.
Results
The overall magnitude of acceleration was significantly different between ACL intact and deficient knees (
p
< 0.0001). The acceleration was reduced by the DB ACL reconstruction to the intact level (n.s.), but the two SB ACL reconstruction failed to achieve the intact level of the acceleration (
p
= 0.0002non-anatomic SB,
p
< 0.0001 anatomic SB).
Conclusion
The anatomic DB reconstruction better restores dynamic rotational laxity when compared to the SB ACL reconstructions no matter if the tunnel placement was anatomic. The anatomic DB reconstruction better restores dynamic rotational laxity when compared to both anatomic and non-anatomic SB ACL reconstruction. For this reason anatomic DB ACL reconstruction is recommended for cases where rotational laxity is an issue.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>29138915</pmid><doi>10.1007/s00167-017-4781-6</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018-05, Vol.26 (5), p.1414-1419 |
| issn | 0942-2056 1433-7347 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1964698209 |
| source | Wiley-Blackwell Read & Publish Collection; Springer Link; SPORTDiscus with Full Text |
| subjects | Acceleration Accelerometers Bundling Cadavers Femur Footprints Knee Medicine Medicine & Public Health Orthopedics Skin & tissue grafts |
| title | Anatomic double bundle ACL reconstruction outperforms any types of single bundle ACL reconstructions in controlling dynamic rotational laxity |
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