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Title: Tibial rotation during pivoting in anterior cruciate ligament reconstructed knees using a single bundle technique
Authors: Feller, Julian
Other Authors: Webster, Kate
Palazzolo, Simon
McClelland, Jodie
Keywords: Musculoskeletal Clinical Institute, Epworth HealthCare, Victoria, Australia
Tibial Rotation
Joint Kinematics
Anterior Cruciate Ligament
Knee Injuries
Range of Motion
Reconstructive Surgical Procedures
Single Bundle Reconstruction
Issue Date: Jun-2012
Publisher: Elsevier Science
Citation: Clin Biomech (Bristol, Avon). 2012 Jun;27(5):480-4
Abstract: BACKGROUND: Anterior cruciate ligament reconstruction does not necessarily restore normal knee movement. Increased tibial rotation has previously been noted during pivoting activities and may be due to the orientation of the anterior cruciate ligament graft associated with traditional single bundle reconstruction techniques. Recent research has shown that it is possible to limit rotation during level walking using a single bundle anterior cruciate ligament reconstruction. This study evaluated rotational knee kinematics during a pivot task in a group of patients who had undergone anterior cruciate ligament reconstruction using a single bundle technique and compared the findings to a normal control group. METHODS: In 27 anterior cruciate ligament reconstruction and 25 control participants, internal-external rotation was measured during a descend stairs and pivot task in a gait laboratory. FINDINGS: Results showed that the anterior cruciate ligament reconstruction patients had less internal tibial rotation (for both range of rotation and maximum rotation) than the control participants (effect size=0.7). INTERPRETATION: These results suggest that it is possible to limit rotation after anterior cruciate ligament reconstruction using a single bundle technique, even during a pivoting movement that places a high rotational load at the knee joint. The positioning of the femoral tunnel in a more anatomical position may be responsible for the reduced tibial rotation.
DOI: 10.1016/j.clinbiomech.2011.11.004
PubMed URL:
ISSN: 0268-0033
Journal Title: Clinical Biomechanics (Bristol, Avon)
Type: Journal Article
Affiliated Organisations: Musculoskeletal Research Centre, Faculty of Health Sciences, La Trobe University, Australia
Type of Clinical Study or Trial: Randomized Controlled Clinical Trial/Controlled Clinical Trial
Appears in Collections:Musculoskeletal

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