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High Axial Loads While Walking Increase Anterior Tibial Translation In Intact And Anterior Cruciate Ligament-Deficient Knees.

J. G. Kim, T. S. Bae, S. Lee, K. M. Jang, Ju Seon Jeong, Bong Soo Kyung, H. Lim, J. H. Ahn, J. Bae, J. Wang
Published 2015 · Medicine

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PURPOSE To evaluate the effect of high axial loading (AL) on anterior tibial translation (ATT) according to the increase in knee flexion and the effect of valgus stress (VS) and internal rotation (IR) combined with high AL in intact and anterior cruciate ligament (ACL)-deficient knees according to the increase in knee flexion. METHODS We used 10 fresh-frozen, human cadaveric knees. Different loading conditions (134-N anterior drawer, 1,000-N AL, 10-Nm VS, and 5-Nm IR) were sequentially combined, and ATT was measured at 0°, 15°, 30°, 45°, and 60° of flexion in the intact and ACL-deficient knees. RESULTS ATT increased significantly by adding high AL in intact knees (P = .001) and ACL-deficient knees (P < .0001) according to the change in flexion angle (P < .0001). Under high AL, ATT in the ACL-deficient knees was significantly larger than that in the intact knees for all loading conditions, and it also increased gradually according to the increase in knee flexion (P = .0001). ATT increased significantly after adding IR or VS with high AL in intact knees (VS, P = .002; VS/IR, P = .03) and ACL-deficient knees (VS, P = .0004) at some of the flexion angles. CONCLUSIONS The added high AL increased ATT in intact and ACL-deficient knees from 0° to 60° of flexion. The effect of high AL on ATT became greater in ACL-deficient knees than in intact knees, and ATT also gradually increased according to the increase in knee flexion from 0° to 60°. In both the intact and ACL-deficient knees, ATT increased significantly after valgus stress or IR from 0° to 60°. CLINICAL RELEVANCE ATT during weight bearing increases stress to the ACL, which worsens with valgus stress and/or IR forces. This finding should be considered when one is studying ACL injury mechanisms, as well as prescribing rehabilitation after ACL surgery.
This paper references
The effect of an impulsive knee valgus moment on in vitro relative ACL strain during a simulated jump landing.
Thomas J. Withrow (2006)
Measurements of Tibiofemoral Kinematics during Soft and Stiff Drop Landings Using Biplane Fluoroscopy
C. Myers (2011)
The effect of weightbearing and external loading on anterior cruciate ligament strain.
B. Fleming (2001)
Effect of ACL transection on internal tibial rotation in an in vitro simulated pivot landing.
Y. Oh (2011)
The Effect of Joint-Compressive Load and Quadriceps Muscle Force on Knee Motion in the Intact and Anterior Cruciate Ligament-Sectioned Knee
P. A. Torzilli (1994)
The Role of Axial Compressive and Quadriceps Forces in Noncontact Anterior Cruciate Ligament Injury
Simon J. Wall (2012)
The forces in the distal femur and the knee during walking and other activities measured by telemetry.
S. J. Taylor (1998)
Changes in ACL length at different knee flexion angles: an in vivo biomechanical study
Yon-Sik Yoo (2009)
Chronic anterior cruciate ligament deficiency is associated with increased anterior translation of the tibia during the transition from non‐weightbearing to weightbearing
B. Beynnon (2002)
The anterior cruciate ligament provides resistance to externally applied anterior tibial force but not to internal rotational torque during simulated weight-bearing flexion.
M. Wuenschel (2010)
Coupled motions under compressive load in intact and ACL-deficient knees: a cadaveric study.
David Liu-Barba (2007)
In vivo anterior cruciate ligament elongation in response to axial tibial loads
A. Hosseini (2009)
The forces in the anterior cruciate ligament and knee kinematics during a simulated pivot shift test: A human cadaveric study using robotic technology.
A. Kanamori (2000)
Anterior cruciate ligament deficiency alters the in vivo motion of the tibiofemoral cartilage contact points in both the anteroposterior and mediolateral directions.
G. Li (2006)
Valgus plus internal rotation moments increase anterior cruciate ligament strain more than either alone.
Choongsoo S. Shin (2011)
Noncontact Anterior Cruciate Ligament Injuries: Mechanisms and Risk Factors
B. Boden (2010)
The functions of the fibre bundles of the anterior cruciate ligament in anterior drawer, rotational laxity and the pivot shift
A. Amis (2011)
Effect of varying hamstring tension on anterior cruciate ligament strain during in vitro impulsive knee flexion and compression loading.
Thomas J. Withrow (2008)
Posterior Tibial Slope Influences Static Anterior Tibial Translation in Anterior Cruciate Ligament Reconstruction
Y. Li (2014)
Correlation of axial impact forces with knee joint forces and kinematics during simulated ski-landing
C. Yeow (2011)
Anterior cruciate ligament injury induced by internal tibial torsion or tibiofemoral compression.
E. G. Meyer (2008)
Anatomic Single- and Double-Bundle Anterior Cruciate Ligament Reconstruction, Part 1
K. Yasuda (2011)
3 – Scientific Basis for Examination and Classification of Knee Ligament Injuries
F. Noyes (2017)
Analysis of the graft bending angle at the femoral tunnel aperture in anatomic double bundle anterior cruciate ligament reconstruction: a comparison of the transtibial and the far anteromedial portal technique
K. Nishimoto (2008)
The effect of lateral opening wedge distal femoral osteotomy on medial knee opening: clinical and biomechanical factors
I. Hetsroni (2013)
Forces in anterior cruciate ligament during simulated weight-bearing flexion with anterior and internal rotational tibial load.
J. Lo (2008)
Nonweight‐bearing anterior knee laxity is related to anterior tibial translation during transition from nonweight bearing to weight bearing
S. Shultz (2006)
Importance of Tibial Slope for Stability of the Posterior Cruciate Ligament—Deficient Knee
J. Robert Giffin (2007)
Knee mechanics: a review of past and present techniques to determine in vivo loads.
R. Komistek (2005)
Direct contribution of axial impact compressive load to anterior tibial load during simulated ski landing impact.
C. H. Yeow (2010)
Longitudinal Tear of the Medial Meniscus Posterior Horn in the Anterior Cruciate Ligament–Deficient Knee Significantly Influences Anterior Stability
J. H. Ahn (2011)

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