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In Vitro Biomechanical Analysis of Knee Rotational Stability

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Rotatory Knee Instability

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Abstract

Several soft tissue structures and inherent anatomical characteristics contribute to stability of the knee. In vitro biomechanical studies provide valuable insight to the role of these factors as well as treatments to address rotational knee laxity by simulating clinical examinations and in vivo activities. The anterior cruciate ligament is a complex structure and is the main restraint for rotational laxity, and thus reconstruction surgeries should aim to restore its native anatomy. Other soft tissue structures such as the anterolateral structures and menisci also contribute as well, and injuries to these structures need to be properly assessed to achieve optimal outcomes. Findings from in vitro studies need to be appropriately coupled with in vivo studies to satisfy the ultimate goal of improving the clinical care of patients with knee ligamentous injuries.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Department of Bioengineering, Orthopaedic Robotics Laboratory, University of Pittsburgh, Pittsburgh, PA, USA

    Amir Ata Rahnemai-Azar & Masahito Yoshida

  2. Department of Orthopaedic Surgery, UPMC Center for Sports Medicine, University of Pittsburgh, Pittsburgh, PA, USA

    Amir Ata Rahnemai-Azar, Masahito Yoshida & Richard Debski

  3. Department of Orthopaedic Surgery, UPMC Center for Sports Medicine, Pittsburgh, PA, USA

    Volker Musahl

  4. Department of Orthopaedic Surgery, Department of Bioengineering, Orthopaedic Robotics Laboratory, University of Pittsburgh, 408 Center for Bioengineering, 300 Technology Drive Pittsburgh, Pittsburgh, 15219, PA, USA

    Richard Debski

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  1. Amir Ata Rahnemai-Azar
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  2. Masahito Yoshida
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  3. Volker Musahl
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  4. Richard Debski
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Correspondence to Richard Debski .

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  1. UPMC Center for Sports Medicine, Pittsburgh, Pennsylvania, USA

    Volker Musahl

  2. Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden

    Jón Karlsson

  3. Orthopaedic Surgery, Kobe University School of Medicine, Kobe, Japan

    Ryosuke Kuroda

  4. Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy

    Stefano Zaffagnini

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Rahnemai-Azar, A.A., Yoshida, M., Musahl, V., Debski, R. (2017). In Vitro Biomechanical Analysis of Knee Rotational Stability. In: Musahl, V., Karlsson, J., Kuroda, R., Zaffagnini, S. (eds) Rotatory Knee Instability. Springer, Cham. https://doi.org/10.1007/978-3-319-32070-0_1

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