In vitro comparison of over-the-top and through-the-condyle anterior cruciate ligament reconstructions

Knee kinematics, during standard knee examination maneuvers, were measured on 15 fresh cadaveric knees in their normal state and after isolated sectioning of the anterior cruciate ligament using a six degree of freedom electrogoniometer. Proximal iliotibial band au tografts were used to perform two...

Full description

Saved in:
Bibliographic Details
Published in:American journal of sports medicine 1992-09, Vol.20 (5), p.567-574
Main Authors: Brower, Richard S., Melby, Arne, Askew, Michael J., Beringer, Donald C.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Anterior cruciate ligament
Anterior Cruciate Ligament - physiology
Anterior Cruciate Ligament - surgery
Biological and medical sciences
Biomechanical Phenomena
Cadaver
Female
Humans
In Vitro Techniques
Joints
Knee
Knee Joint - physiology
Male
Medical sciences
Middle Aged
Movement
Orthopedic surgery
Physiological aspects
Range of motion
Rotation
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Procedures, Operative - methods
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Knee kinematics, during standard knee examination maneuvers, were measured on 15 fresh cadaveric knees in their normal state and after isolated sectioning of the anterior cruciate ligament using a six degree of freedom electrogoniometer. Proximal iliotibial band au tografts were used to perform two anterior cruciate ligament reconstructions on the cadaveric knees: an over-the-top reconstruction and a through-the-condyle procedure. Both of these reconstructions reduced the abnormal anterior translation of the anterior cruciate ligament- deficient knee seen in Lachman testing. However, nei ther reconstruction restored the normal anterior trans lation. In addition, other motions remained uncorrected: 1) the internal rotation due to internal torque at full extension; 2) coupled anterior translation during internal rotation at full extension; and 3) coupled medial trans lation with anterior translation in Lachman testing. There were no statistical differences noted in the joint kinematics created by either reconstruction.
ISSN:0363-5465
1552-3365
DOI:10.1177/036354659202000514