Reconstruction does not reduce tibial translation in the cruciate-deficient knee -: An in vivo study

被引：36

作者：

Beard, DJ ^{[1
]}

Murray, DW ^{[1
]}

Gill, HS ^{[1
]}

Price, AJ ^{[1
]}

Rees, JL ^{[1
]}

Alfaro-Adrián, J ^{[1
]}

Dodd, CAF ^{[1
]}

机构：

[1] Nuffield Orthopaed Ctr, Oxford OX3 7LD, England

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2001年 / 83B卷 / 08期

关键词：

D O I：

10.1302/0301-620X.83B8.11320

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We have assessed the effectiveness of reconstruction of the anterior cruciate ligament (ACL) in reducing functional tibial translation (TT). The gait of 11 ACL-deficient patients was studied using Vicon equipment before and after surgery. Measurements of the angle between the patellar tendon and the long axis of the tibia were obtained in order to calculate TT in the sagittal plane relative to the uninjured limb during standing and walking. Before surgery, patients did not show abnormal TT on the injured side, but after surgery significant anterior TT was found in the operated limb for every parameter of gait. Abnormal anterior TT occurring during activity does not seem to be reduced by reconstruction; rather, it increases. It may be that the increased translation results from relaxation of excess contraction of the hamstring muscles, since compensatory muscle activity no longer is required in a reconstructed knee. The reduction of TT may not be an appropriate objective in surgery on the ACL.

引用

页码：1098 / 1103

页数：6

共 48 条

[1] ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION USING THE SEMITENDINOSUS AND GRACILIS TENDONS AUGMENTED BY THE LOSEE ILIOTIBIAL BAND TENODESIS - A LONG-TERM STUDY [J].