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Quantitative comparison of the pivot shift test results before and after anterior cruciate ligament reconstruction by using the three-dimensional electromagnetic measurement system

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

Tibial acceleration during the pivot shift test is a potential quantitative parameter to evaluate rotational laxity of anterior cruciate ligament (ACL) insufficiency. However, clinical application of this measurement has not been fully examined. This study aimed to measure and compare tibial acceleration before and after ACL reconstruction (ACLR) in ACL-injured patients. We hypothesized tibial acceleration would be reduced by ACLR and tibial acceleration would be consistent in the same knee at different time points.

Methods

Seventy ACL-injured patients who underwent ACLR were enrolled. Tibial acceleration during the pivot shift test was measured using an electromagnetic measurement system before ALCR and at the second-look arthroscopy 1 year post-operatively. Tibial acceleration was compared to clinical grading and between ACL-injured/ACL-reconstructed and contralateral knees.

Results

Pre-operative tibial acceleration was increased stepwise with the increase in clinical grading (P < 0.01). Tibial acceleration in ACL-injured knee (1.9 ± 1.2 m/s2) was larger than that in the contralateral knee (0.8 ± 0.3 m/s2, P < 0.01), and reduced to 0.9 ± 0.3 m/s2 post-operatively (P < 0.01). There was no difference between ACL-reconstructed and contralateral knee (n.s.). Tibial acceleration in contralateral knees was consistent pre- and post-operatively (n.s.).

Conclusion

Tibial acceleration measurement demonstrated increased rotational laxity in ACL-injured knees and its reduction by ALCR. Additionally, consistent measurements were obtained in ACL-intact knees at different time points. Therefore, tibial acceleration during the pivot shift test could provide quantitative evaluation of rotational stability before and after ACL reconstruction.

Level of evidence

III.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan

    Kanto Nagai, Yuichiro Nishizawa, Daisuke Araki, Takehiko Matsushita, Tomoyuki Matsumoto, Koji Takayama, Masahiro Kurosaka & Ryosuke Kuroda

  2. Department of Orthopaedic Surgery, Kobe Kaisei Hospital, Kobe, Japan

    Yuichi Hoshino

  3. Department of Human and Artificial Intelligent Systems, Graduate School of Engineering, University of Fukui, Fukui, Japan

    Kouki Nagamune

Authors
  1. Kanto Nagai
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  2. Yuichi Hoshino
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  3. Yuichiro Nishizawa
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  4. Daisuke Araki
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  5. Takehiko Matsushita
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  6. Tomoyuki Matsumoto
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  7. Koji Takayama
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  8. Kouki Nagamune
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  9. Masahiro Kurosaka
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  10. Ryosuke Kuroda
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Correspondence to Ryosuke Kuroda.

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Nagai, K., Hoshino, Y., Nishizawa, Y. et al. Quantitative comparison of the pivot shift test results before and after anterior cruciate ligament reconstruction by using the three-dimensional electromagnetic measurement system. Knee Surg Sports Traumatol Arthrosc 23, 2876–2881 (2015). https://doi.org/10.1007/s00167-015-3776-4

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  • DOI: https://doi.org/10.1007/s00167-015-3776-4

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