Does meniscus removal affect ACL-deficient knee laxity? An in vivo study
Purpose The purpose of the present study was to determine, in vivo, the effect of different types of meniscectomy on an ACL-deficient knee. Methods Using a computer-assisted navigation system, 56 consecutive patients (45 men and 11 women) were subjected to a biomechanical testing with Lachman test (...
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| Veröffentlicht in: | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2016-11, Vol.24 (11), p.3599-3604 |
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| container_title | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA |
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| creator | Zaffagnini, S. Signorelli, C. Bonanzinga, T. Grassi, A. Galán, H. Akkawi, I. Bragonzoni, L. Cataldi, F. Marcacci, M. |
| description | Purpose
The purpose of the present study was to determine, in vivo, the effect of different types of meniscectomy on an ACL-deficient knee.
Methods
Using a computer-assisted navigation system, 56 consecutive patients (45 men and 11 women) were subjected to a biomechanical testing with Lachman test (AP30), drawer test (AP90), internal/external rotation test, varus/valgus rotation test and pivot-shift test. The patients were divided into three groups according to the status of the medial meniscus. Group BH, 8 patients with bucket-handle tear of medial meniscus underwent a subtotal meniscectomy; Group PHB, 19 patients with posterior horn body of medial meniscus tear underwent a partial meniscectomy; and Group CG with isolated ACL rupture, as a control group, with 29 patients.
Results
A significant difference in anterior tibial translation was seen at 30 grades and in 90 grades between BH and PHB groups compared to the CG. In response to pivot-shift test, no significant differences in terms of AREA and POSTERIOR ACC were found among the three groups (n.s). Concerning the anterior displacement of the pivot shift a statistically significant differences among the three tested groups was found.
Conclusion
The present study shows that meniscal defects significantly affect the kinematics of an ACL-deficient knee in terms of anterior tibial translation under static and dynamic testing. |
| doi_str_mv | 10.1007/s00167-016-4222-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1837300436</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4230333041</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-798b218d9253cc0c77fe6095469673e01dfd55c18aa47818fb33e4f9174f37bc3</originalsourceid><addsrcrecordid>eNqNkU1LxEAMhgdRdF39AV5kwIuX0cxXpz3Jsn7Cghc9D91pRqr90E672H_vLKsiguAlCeTJm4SXkCMOZxzAnAcAnhgWA1NCCDZukQlXUjIjldkmE8iUYAJ0skf2Q3gGiKXKdsmeMNJwkcGE3F62GGiNTRncEGiHdbvKK5p7j66ns_mCFehLV2LT05cGkVb5e9mPF3TW0LKhq3LV0tAPxXhAdnxeBTz8zFPyeH31ML9li_ubu_lswZwC3TOTpUvB0yITWjoHzhiPCWRaJVliJAIvfKG142meK5Py1C-lROUzbpSXZunklJxudF-79m3A0Ns6no5VlTfYDsHyVBoJoGTyD1Qkhisd4Sk5-YU-t0PXxEfWghKEMlpHim8o17UhdOjta1fWeTdaDnbtiN04YmOwa0fsGGeOP5WHZY3F98SXBREQGyDEVvOE3Y_Vf6p-AJdOk7M</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1833024755</pqid></control><display><type>article</type><title>Does meniscus removal affect ACL-deficient knee laxity? An in vivo study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>SpringerLink Journals</source><creator>Zaffagnini, S. ; Signorelli, C. ; Bonanzinga, T. ; Grassi, A. ; Galán, H. ; Akkawi, I. ; Bragonzoni, L. ; Cataldi, F. ; Marcacci, M.</creator><creatorcontrib>Zaffagnini, S. ; Signorelli, C. ; Bonanzinga, T. ; Grassi, A. ; Galán, H. ; Akkawi, I. ; Bragonzoni, L. ; Cataldi, F. ; Marcacci, M.</creatorcontrib><description>Purpose
The purpose of the present study was to determine, in vivo, the effect of different types of meniscectomy on an ACL-deficient knee.
Methods
Using a computer-assisted navigation system, 56 consecutive patients (45 men and 11 women) were subjected to a biomechanical testing with Lachman test (AP30), drawer test (AP90), internal/external rotation test, varus/valgus rotation test and pivot-shift test. The patients were divided into three groups according to the status of the medial meniscus. Group BH, 8 patients with bucket-handle tear of medial meniscus underwent a subtotal meniscectomy; Group PHB, 19 patients with posterior horn body of medial meniscus tear underwent a partial meniscectomy; and Group CG with isolated ACL rupture, as a control group, with 29 patients.
Results
A significant difference in anterior tibial translation was seen at 30 grades and in 90 grades between BH and PHB groups compared to the CG. In response to pivot-shift test, no significant differences in terms of AREA and POSTERIOR ACC were found among the three groups (n.s). Concerning the anterior displacement of the pivot shift a statistically significant differences among the three tested groups was found.
Conclusion
The present study shows that meniscal defects significantly affect the kinematics of an ACL-deficient knee in terms of anterior tibial translation under static and dynamic testing.</description><identifier>ISSN: 0942-2056</identifier><identifier>EISSN: 1433-7347</identifier><identifier>DOI: 10.1007/s00167-016-4222-y</identifier><identifier>PMID: 27371290</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Anterior Cruciate Ligament ; Anterior Cruciate Ligament Injuries - complications ; Anterior Cruciate Ligament Injuries - physiopathology ; Biomechanical Phenomena ; Biomechanics ; Female ; Humans ; Injuries ; Joint Instability - physiopathology ; Kinematics ; Knee ; Knee Joint - physiopathology ; Knee Joint - surgery ; Ligaments ; Male ; Medicine ; Medicine & Public Health ; Menisci, Tibial - surgery ; Navigation systems ; Orthopedics ; Physical Examination ; Range of Motion, Articular ; Rotation ; Surgeons ; Surgery ; Tibia ; Tibial Meniscus Injuries - complications ; Tibial Meniscus Injuries - physiopathology ; Tibial Meniscus Injuries - surgery ; Young Adult</subject><ispartof>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016-11, Vol.24 (11), p.3599-3604</ispartof><rights>European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-798b218d9253cc0c77fe6095469673e01dfd55c18aa47818fb33e4f9174f37bc3</citedby><cites>FETCH-LOGICAL-c405t-798b218d9253cc0c77fe6095469673e01dfd55c18aa47818fb33e4f9174f37bc3</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/s00167-016-4222-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00167-016-4222-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27371290$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zaffagnini, S.</creatorcontrib><creatorcontrib>Signorelli, C.</creatorcontrib><creatorcontrib>Bonanzinga, T.</creatorcontrib><creatorcontrib>Grassi, A.</creatorcontrib><creatorcontrib>Galán, H.</creatorcontrib><creatorcontrib>Akkawi, I.</creatorcontrib><creatorcontrib>Bragonzoni, L.</creatorcontrib><creatorcontrib>Cataldi, F.</creatorcontrib><creatorcontrib>Marcacci, M.</creatorcontrib><title>Does meniscus removal affect ACL-deficient knee laxity? An in vivo study</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
The purpose of the present study was to determine, in vivo, the effect of different types of meniscectomy on an ACL-deficient knee.
Methods
Using a computer-assisted navigation system, 56 consecutive patients (45 men and 11 women) were subjected to a biomechanical testing with Lachman test (AP30), drawer test (AP90), internal/external rotation test, varus/valgus rotation test and pivot-shift test. The patients were divided into three groups according to the status of the medial meniscus. Group BH, 8 patients with bucket-handle tear of medial meniscus underwent a subtotal meniscectomy; Group PHB, 19 patients with posterior horn body of medial meniscus tear underwent a partial meniscectomy; and Group CG with isolated ACL rupture, as a control group, with 29 patients.
Results
A significant difference in anterior tibial translation was seen at 30 grades and in 90 grades between BH and PHB groups compared to the CG. In response to pivot-shift test, no significant differences in terms of AREA and POSTERIOR ACC were found among the three groups (n.s). Concerning the anterior displacement of the pivot shift a statistically significant differences among the three tested groups was found.
Conclusion
The present study shows that meniscal defects significantly affect the kinematics of an ACL-deficient knee in terms of anterior tibial translation under static and dynamic testing.</description><subject>Adult</subject><subject>Anterior Cruciate Ligament</subject><subject>Anterior Cruciate Ligament Injuries - complications</subject><subject>Anterior Cruciate Ligament Injuries - physiopathology</subject><subject>Biomechanical Phenomena</subject><subject>Biomechanics</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries</subject><subject>Joint Instability - physiopathology</subject><subject>Kinematics</subject><subject>Knee</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 - surgery</subject><subject>Navigation systems</subject><subject>Orthopedics</subject><subject>Physical Examination</subject><subject>Range of Motion, Articular</subject><subject>Rotation</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Tibia</subject><subject>Tibial Meniscus Injuries - complications</subject><subject>Tibial Meniscus Injuries - physiopathology</subject><subject>Tibial Meniscus Injuries - surgery</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>BENPR</sourceid><recordid>eNqNkU1LxEAMhgdRdF39AV5kwIuX0cxXpz3Jsn7Cghc9D91pRqr90E672H_vLKsiguAlCeTJm4SXkCMOZxzAnAcAnhgWA1NCCDZukQlXUjIjldkmE8iUYAJ0skf2Q3gGiKXKdsmeMNJwkcGE3F62GGiNTRncEGiHdbvKK5p7j66ns_mCFehLV2LT05cGkVb5e9mPF3TW0LKhq3LV0tAPxXhAdnxeBTz8zFPyeH31ML9li_ubu_lswZwC3TOTpUvB0yITWjoHzhiPCWRaJVliJAIvfKG142meK5Py1C-lROUzbpSXZunklJxudF-79m3A0Ns6no5VlTfYDsHyVBoJoGTyD1Qkhisd4Sk5-YU-t0PXxEfWghKEMlpHim8o17UhdOjta1fWeTdaDnbtiN04YmOwa0fsGGeOP5WHZY3F98SXBREQGyDEVvOE3Y_Vf6p-AJdOk7M</recordid><startdate>20161101</startdate><enddate>20161101</enddate><creator>Zaffagnini, S.</creator><creator>Signorelli, C.</creator><creator>Bonanzinga, T.</creator><creator>Grassi, A.</creator><creator>Galán, H.</creator><creator>Akkawi, I.</creator><creator>Bragonzoni, L.</creator><creator>Cataldi, F.</creator><creator>Marcacci, M.</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><scope>7X8</scope></search><sort><creationdate>20161101</creationdate><title>Does meniscus removal affect ACL-deficient knee laxity? 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An in vivo study</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>2016-11-01</date><risdate>2016</risdate><volume>24</volume><issue>11</issue><spage>3599</spage><epage>3604</epage><pages>3599-3604</pages><issn>0942-2056</issn><eissn>1433-7347</eissn><abstract>Purpose
The purpose of the present study was to determine, in vivo, the effect of different types of meniscectomy on an ACL-deficient knee.
Methods
Using a computer-assisted navigation system, 56 consecutive patients (45 men and 11 women) were subjected to a biomechanical testing with Lachman test (AP30), drawer test (AP90), internal/external rotation test, varus/valgus rotation test and pivot-shift test. The patients were divided into three groups according to the status of the medial meniscus. Group BH, 8 patients with bucket-handle tear of medial meniscus underwent a subtotal meniscectomy; Group PHB, 19 patients with posterior horn body of medial meniscus tear underwent a partial meniscectomy; and Group CG with isolated ACL rupture, as a control group, with 29 patients.
Results
A significant difference in anterior tibial translation was seen at 30 grades and in 90 grades between BH and PHB groups compared to the CG. In response to pivot-shift test, no significant differences in terms of AREA and POSTERIOR ACC were found among the three groups (n.s). Concerning the anterior displacement of the pivot shift a statistically significant differences among the three tested groups was found.
Conclusion
The present study shows that meniscal defects significantly affect the kinematics of an ACL-deficient knee in terms of anterior tibial translation under static and dynamic testing.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27371290</pmid><doi>10.1007/s00167-016-4222-y</doi><tpages>6</tpages></addata></record> |
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| ispartof | Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016-11, Vol.24 (11), p.3599-3604 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SpringerLink Journals |
| subjects | Adult Anterior Cruciate Ligament Anterior Cruciate Ligament Injuries - complications Anterior Cruciate Ligament Injuries - physiopathology Biomechanical Phenomena Biomechanics Female Humans Injuries Joint Instability - physiopathology Kinematics Knee Knee Joint - physiopathology Knee Joint - surgery Ligaments Male Medicine Medicine & Public Health Menisci, Tibial - surgery Navigation systems Orthopedics Physical Examination Range of Motion, Articular Rotation Surgeons Surgery Tibia Tibial Meniscus Injuries - complications Tibial Meniscus Injuries - physiopathology Tibial Meniscus Injuries - surgery Young Adult |
| title | Does meniscus removal affect ACL-deficient knee laxity? An in vivo study |
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