Does meniscal pathology alter gait knee biomechanics and strength post-ACL reconstruction?
Purpose Individuals following anterior cruciate ligament reconstruction (ACLR) with concomitant meniscal pathology have a higher risk of developing knee osteoarthritis (OA) compared to those with isolated ACLR. Knee extensor weakness and altered dynamic knee joint biomechanics have been suggested to...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2016-05, Vol.24 (5), p.1501-1509 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Hall, Michelle Bryant, Adam L. Wrigley, Tim V. Pratt, Clare Crossley, Kay M. Whitehead, Tim S. Morris, Hayden G. Clark, Ross A. Perraton, Luke G. |
| description | Purpose
Individuals following anterior cruciate ligament reconstruction (ACLR) with concomitant meniscal pathology have a higher risk of developing knee osteoarthritis (OA) compared to those with isolated ACLR. Knee extensor weakness and altered dynamic knee joint biomechanics have been suggested to play a role in the development of knee OA following ACLR. This study investigated whether these factors differ in people following ACLR who have concomitant meniscal pathology compared to patients with isolated ACLR.
Methods
Thirty-three patients with isolated ACLR and 34 patients with ACLR and meniscal pathology underwent strength and gait assessment 12–24 months post-operatively. Primary measures were peak isometric knee extensor torque and knee adduction moment (peak and impulse). Secondary measures included peak knee flexion moment and knee kinematics (sagittal and transverse).
Results
There were no between-group differences in knee extensor strength [mean difference (95 % CI) 0.09 (−0.23 to 0.42) Nm/kg, n.s.], peak knee adduction moment [−0.02 (−0.54 to 0.49) Nm/(BW × HT) %, n.s.] or knee adduction moment impulse [0.01 (−0.15 to 0.17) Nm/(BW × HT) %,
p
= n.s.]. No between-group differences were found for any secondary measures.
Conclusions
No evidence was found to suggest that the higher prevalence of OA in patients with ACLR and meniscal pathology compared to patients with isolated ACLR is attributed to reduced knee muscle strength or altered knee joint biomechanics assessed 1–2 years post-surgery. Given that there is a higher incidence of knee OA in patients with concomitant meniscal pathology and ACLR, further investigation is needed so that population-specific rehabilitation protocols can be developed.
Level of evidence
III. |
| doi_str_mv | 10.1007/s00167-015-3908-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_1785948625</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4042223651</sourcerecordid><originalsourceid>FETCH-LOGICAL-c382t-e2f20f3918ffee6df36c6eee7003a16affed5dbac5de52b82dc89e35077493353</originalsourceid><addsrcrecordid>eNp1kEtLAzEQx4MotlY_gBcJeI7msUl2T1LqEwpe9OIlpNnZdmub1CSF9tu7pVW8eJph5v-AH0KXjN4wSvVtopQpTSiTRFS0JJsj1GeFEESLQh-jPq0KTjiVqofOUppT2q1FdYp6XCmlmeR99HEfIOEl-DY5u8Arm2dhEaZbbBcZIp7aNuNPD4AnbViCm1nfuoStr3HKEfw0z_AqpEyGozGO4ILvzmuX2-DvztFJYxcJLg5zgN4fH95Gz2T8-vQyGo6JEyXPBHjDaSMqVjYNgKoboZwCAE2psEzZ7lrLemKdrEHySclrV1YgJNW6qISQYoCu97mrGL7WkLKZh3X0XaVhupRVUSq-U7G9ysWQUoTGrGK7tHFrGDU7mmZP03Q0zY6m2XSeq0PyerKE-tfxg68T8L0gdS8_hfin-t_Ub4Q5gZ0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1785948625</pqid></control><display><type>article</type><title>Does meniscal pathology alter gait knee biomechanics and strength post-ACL reconstruction?</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><source>SpringerLink Journals - AutoHoldings</source><creator>Hall, Michelle ; Bryant, Adam L. ; Wrigley, Tim V. ; Pratt, Clare ; Crossley, Kay M. ; Whitehead, Tim S. ; Morris, Hayden G. ; Clark, Ross A. ; Perraton, Luke G.</creator><creatorcontrib>Hall, Michelle ; Bryant, Adam L. ; Wrigley, Tim V. ; Pratt, Clare ; Crossley, Kay M. ; Whitehead, Tim S. ; Morris, Hayden G. ; Clark, Ross A. ; Perraton, Luke G.</creatorcontrib><description>Purpose
Individuals following anterior cruciate ligament reconstruction (ACLR) with concomitant meniscal pathology have a higher risk of developing knee osteoarthritis (OA) compared to those with isolated ACLR. Knee extensor weakness and altered dynamic knee joint biomechanics have been suggested to play a role in the development of knee OA following ACLR. This study investigated whether these factors differ in people following ACLR who have concomitant meniscal pathology compared to patients with isolated ACLR.
Methods
Thirty-three patients with isolated ACLR and 34 patients with ACLR and meniscal pathology underwent strength and gait assessment 12–24 months post-operatively. Primary measures were peak isometric knee extensor torque and knee adduction moment (peak and impulse). Secondary measures included peak knee flexion moment and knee kinematics (sagittal and transverse).
Results
There were no between-group differences in knee extensor strength [mean difference (95 % CI) 0.09 (−0.23 to 0.42) Nm/kg, n.s.], peak knee adduction moment [−0.02 (−0.54 to 0.49) Nm/(BW × HT) %, n.s.] or knee adduction moment impulse [0.01 (−0.15 to 0.17) Nm/(BW × HT) %,
p
= n.s.]. No between-group differences were found for any secondary measures.
Conclusions
No evidence was found to suggest that the higher prevalence of OA in patients with ACLR and meniscal pathology compared to patients with isolated ACLR is attributed to reduced knee muscle strength or altered knee joint biomechanics assessed 1–2 years post-surgery. Given that there is a higher incidence of knee OA in patients with concomitant meniscal pathology and ACLR, further investigation is needed so that population-specific rehabilitation protocols can be developed.
Level of evidence
III.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-015-3908-x</identifier><identifier>PMID: 26667152</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries - complications ; Anterior Cruciate Ligament Injuries - physiopathology ; Anterior Cruciate Ligament Injuries - surgery ; Anterior Cruciate Ligament Reconstruction - rehabilitation ; Arthritis ; Biomechanical Phenomena ; Biomechanics ; Cartilage ; Female ; Gait ; Gait - physiology ; Humans ; Investigations ; Kinematics ; Knee ; Knee Injuries - physiopathology ; Knee Injuries - surgery ; Knee Joint - physiopathology ; Knee Joint - surgery ; Ligaments ; Male ; Medicine ; Medicine & Public Health ; Menisci, Tibial - pathology ; Muscle strength ; Muscle Strength - physiology ; Orthopedics ; Osteoarthritis ; Osteoarthritis, Knee - etiology ; Osteoarthritis, Knee - physiopathology ; Osteoarthritis, Knee - surgery ; Pathology ; Surgery ; Tibial Meniscus Injuries - complications ; Tibial Meniscus Injuries - physiopathology ; Tibial Meniscus Injuries - surgery ; Trauma ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016-05, Vol.24 (5), p.1501-1509</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2015</rights><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c382t-e2f20f3918ffee6df36c6eee7003a16affed5dbac5de52b82dc89e35077493353</citedby><cites>FETCH-LOGICAL-c382t-e2f20f3918ffee6df36c6eee7003a16affed5dbac5de52b82dc89e35077493353</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00167-015-3908-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-015-3908-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26667152$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hall, Michelle</creatorcontrib><creatorcontrib>Bryant, Adam L.</creatorcontrib><creatorcontrib>Wrigley, Tim V.</creatorcontrib><creatorcontrib>Pratt, Clare</creatorcontrib><creatorcontrib>Crossley, Kay M.</creatorcontrib><creatorcontrib>Whitehead, Tim S.</creatorcontrib><creatorcontrib>Morris, Hayden G.</creatorcontrib><creatorcontrib>Clark, Ross A.</creatorcontrib><creatorcontrib>Perraton, Luke G.</creatorcontrib><title>Does meniscal pathology alter gait knee biomechanics and strength post-ACL reconstruction?</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
Individuals following anterior cruciate ligament reconstruction (ACLR) with concomitant meniscal pathology have a higher risk of developing knee osteoarthritis (OA) compared to those with isolated ACLR. Knee extensor weakness and altered dynamic knee joint biomechanics have been suggested to play a role in the development of knee OA following ACLR. This study investigated whether these factors differ in people following ACLR who have concomitant meniscal pathology compared to patients with isolated ACLR.
Methods
Thirty-three patients with isolated ACLR and 34 patients with ACLR and meniscal pathology underwent strength and gait assessment 12–24 months post-operatively. Primary measures were peak isometric knee extensor torque and knee adduction moment (peak and impulse). Secondary measures included peak knee flexion moment and knee kinematics (sagittal and transverse).
Results
There were no between-group differences in knee extensor strength [mean difference (95 % CI) 0.09 (−0.23 to 0.42) Nm/kg, n.s.], peak knee adduction moment [−0.02 (−0.54 to 0.49) Nm/(BW × HT) %, n.s.] or knee adduction moment impulse [0.01 (−0.15 to 0.17) Nm/(BW × HT) %,
p
= n.s.]. No between-group differences were found for any secondary measures.
Conclusions
No evidence was found to suggest that the higher prevalence of OA in patients with ACLR and meniscal pathology compared to patients with isolated ACLR is attributed to reduced knee muscle strength or altered knee joint biomechanics assessed 1–2 years post-surgery. Given that there is a higher incidence of knee OA in patients with concomitant meniscal pathology and ACLR, further investigation is needed so that population-specific rehabilitation protocols can be developed.
Level of evidence
III.</description><subject>Adult</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries - complications</subject><subject>Anterior Cruciate Ligament Injuries - physiopathology</subject><subject>Anterior Cruciate Ligament Injuries - surgery</subject><subject>Anterior Cruciate Ligament Reconstruction - rehabilitation</subject><subject>Arthritis</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Cartilage</subject><subject>Female</subject><subject>Gait</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>Investigations</subject><subject>Kinematics</subject><subject>Knee</subject><subject>Knee Injuries - physiopathology</subject><subject>Knee Injuries - surgery</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Ligaments</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Menisci, Tibial - pathology</subject><subject>Muscle strength</subject><subject>Muscle Strength - physiology</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - etiology</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Pathology</subject><subject>Surgery</subject><subject>Tibial Meniscus Injuries - complications</subject><subject>Tibial Meniscus Injuries - physiopathology</subject><subject>Tibial Meniscus Injuries - surgery</subject><subject>Trauma</subject><subject>Young Adult</subject><issn>0942-2056</issn><issn>1433-7347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kEtLAzEQx4MotlY_gBcJeI7msUl2T1LqEwpe9OIlpNnZdmub1CSF9tu7pVW8eJph5v-AH0KXjN4wSvVtopQpTSiTRFS0JJsj1GeFEESLQh-jPq0KTjiVqofOUppT2q1FdYp6XCmlmeR99HEfIOEl-DY5u8Arm2dhEaZbbBcZIp7aNuNPD4AnbViCm1nfuoStr3HKEfw0z_AqpEyGozGO4ILvzmuX2-DvztFJYxcJLg5zgN4fH95Gz2T8-vQyGo6JEyXPBHjDaSMqVjYNgKoboZwCAE2psEzZ7lrLemKdrEHySclrV1YgJNW6qISQYoCu97mrGL7WkLKZh3X0XaVhupRVUSq-U7G9ysWQUoTGrGK7tHFrGDU7mmZP03Q0zY6m2XSeq0PyerKE-tfxg68T8L0gdS8_hfin-t_Ub4Q5gZ0</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Hall, Michelle</creator><creator>Bryant, Adam L.</creator><creator>Wrigley, Tim V.</creator><creator>Pratt, Clare</creator><creator>Crossley, Kay M.</creator><creator>Whitehead, Tim S.</creator><creator>Morris, Hayden G.</creator><creator>Clark, Ross A.</creator><creator>Perraton, Luke G.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><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></search><sort><creationdate>20160501</creationdate><title>Does meniscal pathology alter gait knee biomechanics and strength post-ACL reconstruction?</title><author>Hall, Michelle ; Bryant, Adam L. ; Wrigley, Tim V. ; Pratt, Clare ; Crossley, Kay M. ; Whitehead, Tim S. ; Morris, Hayden G. ; Clark, Ross A. ; Perraton, Luke G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c382t-e2f20f3918ffee6df36c6eee7003a16affed5dbac5de52b82dc89e35077493353</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries - complications</topic><topic>Anterior Cruciate Ligament Injuries - physiopathology</topic><topic>Anterior Cruciate Ligament Injuries - surgery</topic><topic>Anterior Cruciate Ligament Reconstruction - rehabilitation</topic><topic>Arthritis</topic><topic>Biomechanical Phenomena</topic><topic>Biomechanics</topic><topic>Cartilage</topic><topic>Female</topic><topic>Gait</topic><topic>Gait - physiology</topic><topic>Humans</topic><topic>Investigations</topic><topic>Kinematics</topic><topic>Knee</topic><topic>Knee Injuries - physiopathology</topic><topic>Knee Injuries - surgery</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Ligaments</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Menisci, Tibial - pathology</topic><topic>Muscle strength</topic><topic>Muscle Strength - physiology</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee - etiology</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Pathology</topic><topic>Surgery</topic><topic>Tibial Meniscus Injuries - complications</topic><topic>Tibial Meniscus Injuries - physiopathology</topic><topic>Tibial Meniscus Injuries - surgery</topic><topic>Trauma</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hall, Michelle</creatorcontrib><creatorcontrib>Bryant, Adam L.</creatorcontrib><creatorcontrib>Wrigley, Tim V.</creatorcontrib><creatorcontrib>Pratt, Clare</creatorcontrib><creatorcontrib>Crossley, Kay M.</creatorcontrib><creatorcontrib>Whitehead, Tim S.</creatorcontrib><creatorcontrib>Morris, Hayden G.</creatorcontrib><creatorcontrib>Clark, Ross A.</creatorcontrib><creatorcontrib>Perraton, Luke G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</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 Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>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><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>Hall, Michelle</au><au>Bryant, Adam L.</au><au>Wrigley, Tim V.</au><au>Pratt, Clare</au><au>Crossley, Kay M.</au><au>Whitehead, Tim S.</au><au>Morris, Hayden G.</au><au>Clark, Ross A.</au><au>Perraton, Luke G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does meniscal pathology alter gait knee biomechanics and strength post-ACL reconstruction?</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>2016-05-01</date><risdate>2016</risdate><volume>24</volume><issue>5</issue><spage>1501</spage><epage>1509</epage><pages>1501-1509</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
Individuals following anterior cruciate ligament reconstruction (ACLR) with concomitant meniscal pathology have a higher risk of developing knee osteoarthritis (OA) compared to those with isolated ACLR. Knee extensor weakness and altered dynamic knee joint biomechanics have been suggested to play a role in the development of knee OA following ACLR. This study investigated whether these factors differ in people following ACLR who have concomitant meniscal pathology compared to patients with isolated ACLR.
Methods
Thirty-three patients with isolated ACLR and 34 patients with ACLR and meniscal pathology underwent strength and gait assessment 12–24 months post-operatively. Primary measures were peak isometric knee extensor torque and knee adduction moment (peak and impulse). Secondary measures included peak knee flexion moment and knee kinematics (sagittal and transverse).
Results
There were no between-group differences in knee extensor strength [mean difference (95 % CI) 0.09 (−0.23 to 0.42) Nm/kg, n.s.], peak knee adduction moment [−0.02 (−0.54 to 0.49) Nm/(BW × HT) %, n.s.] or knee adduction moment impulse [0.01 (−0.15 to 0.17) Nm/(BW × HT) %,
p
= n.s.]. No between-group differences were found for any secondary measures.
Conclusions
No evidence was found to suggest that the higher prevalence of OA in patients with ACLR and meniscal pathology compared to patients with isolated ACLR is attributed to reduced knee muscle strength or altered knee joint biomechanics assessed 1–2 years post-surgery. Given that there is a higher incidence of knee OA in patients with concomitant meniscal pathology and ACLR, further investigation is needed so that population-specific rehabilitation protocols can be developed.
Level of evidence
III.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26667152</pmid><doi>10.1007/s00167-015-3908-x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0942-2056 |
| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016-05, Vol.24 (5), p.1501-1509 |
| issn | 0942-2056 1433-7347 |
| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals; SpringerLink Journals - AutoHoldings |
| subjects | Adult Anterior Cruciate Ligament - surgery Anterior Cruciate Ligament Injuries - complications Anterior Cruciate Ligament Injuries - physiopathology Anterior Cruciate Ligament Injuries - surgery Anterior Cruciate Ligament Reconstruction - rehabilitation Arthritis Biomechanical Phenomena Biomechanics Cartilage Female Gait Gait - physiology Humans Investigations Kinematics Knee Knee Injuries - physiopathology Knee Injuries - surgery Knee Joint - physiopathology Knee Joint - surgery Ligaments Male Medicine Medicine & Public Health Menisci, Tibial - pathology Muscle strength Muscle Strength - physiology Orthopedics Osteoarthritis Osteoarthritis, Knee - etiology Osteoarthritis, Knee - physiopathology Osteoarthritis, Knee - surgery Pathology Surgery Tibial Meniscus Injuries - complications Tibial Meniscus Injuries - physiopathology Tibial Meniscus Injuries - surgery Trauma Young Adult |
| title | Does meniscal pathology alter gait knee biomechanics and strength post-ACL reconstruction? |
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