Skip to main content
Log in

In vivo laxity of stable versus anterior cruciate liagment-injured knees using a navigation system: a comparative study

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

Abstract

We compared antero-posterior translation and internal–external rotation of the tibia in stable knees without anterior cruciate ligament (ACL) injury with those of ACL injured knees using a navigation system and suggest an objective data. Forty-four patients treated for a meniscal tear without ACL injury were allocated to stable group, and 41 patients were allocated to ACL injury group. Antero-posterior displacement and rotation of knees were measured in 0, 30, 60 and 90 degrees of flexion using navigation. Mean anterior displacements were 3.6 ± 2.0, 6.7 ± 2.7, 6.0 ± 2.4 and 4.7 ± 1.8 mm at 0, 30, 60 and 90 degrees of flexion, respectively, in stable group, and 6.8 ± 3.6, 14.7 ± 3.5, 11.9 ± 4.6 and 8.5 ± 4.0 mm in ACL injury group. Mean total rotation values were 18.8 ± 4.5°, 31.4 ± 4.2°, 30.1 ± 5.1° and 29.2 ± 5.9° in stable group and 22.7 ± 6.9°, 37.6 ± 5.8°, 34.0 ± 9.4° and 31.8 ± 8.8° in ACL injury group. Quantitative values of antero-posterior translations and rotations of stable and ACL injured knees were obtained using a navigation system. The laxity data may be useful to establish the diagnosis of an ACL injury and evaluation of post-operative results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Markolf KL, Kochan A, Amstutz HC (1984) Measurement of knee stiffness and laxity in patients with documented absence of the anterior cruciate ligament. J Bone Joint Surg Am 66:242–252

    PubMed  CAS  Google Scholar 

  2. Forster IW, Warren-Smith CD, Tew M (1989) Is the KT 1000 knee ligament arthrometer reliable? J Bone Joint Surg Br 71:843–847

    PubMed  CAS  Google Scholar 

  3. Daniel DM, Malcom LL, Losse G, Stone ML, Sachs R, Burks R (1985) Instrumented measurement of anterior laxity of the knee. J Bone Joint Surg Am 67:720–726

    PubMed  CAS  Google Scholar 

  4. Daniel DM, Stone ML, Sachs R, Malcom L (1985) Instrumented measurement of anterior knee laxity in patients with acute anterior cruciate ligament disruption. Am J Sports Med 13:401–407

    Article  PubMed  CAS  Google Scholar 

  5. Fu FH, Hamer CD, Johnson DL, Miller MD, Woo SL (1994) Biomechanics of knee ligaments: basic concepts and clinical application. Instr Course Lect 43:137–148

    PubMed  CAS  Google Scholar 

  6. Lerat JL, Moyen BL, Cladière F, Besse JL, Abidi H (2000) Knee instability after injury to the anterior cruciate ligament. Quantification of the Lachman test. J Bone Joint Surg Br 82:42–47

    Article  PubMed  CAS  Google Scholar 

  7. Anderson AF, Snyder RB, Federspiel CF, Lipscomb AB (1992) Instrumented evaluation of knee laxity. Am J Sports Med 20:135–140

    Article  PubMed  CAS  Google Scholar 

  8. Bach BR, Warren RF, Flynn WM, Kroll M, Wckiewiecz TL (1990) Arthrometric evaluation of knees that have a torn anterior cruciate ligament. J Bone Joint Surg Am 72:1299–1306

    PubMed  Google Scholar 

  9. Highgenboten CL, Jackson AW, Jansson KA, Meske NB (1992) KT-1000 arthrometer conscious and unconscious test results using 15, 20, and 30 pounds of force. Am J Sports Med 20:450–454

    Article  PubMed  CAS  Google Scholar 

  10. Mononen T, Alaranta H, Harilainen A, Sandelin J, Vanhanen I, Osterman K (1997) Instrumented measurement of anterior–posterior translation in knees with chronic anterior cruciate ligament tear. Arch Orthop Trauma Surg 116:283–286

    Article  PubMed  CAS  Google Scholar 

  11. Isberg J, Faxen E, Brandsson S, Eriksson BI, Karrholm J, Karlsson J (2006) KT-1000 records smaller side-to-side differences than radiostereometric analysis before and after an ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 14:529–535

    Article  PubMed  Google Scholar 

  12. Harter RA, Osternig LR, Singer KM (1989) Instrumented Lachman test for the evaluation of anterior laxity after reconstruction of the anterior cruciate ligament. J Bone Joint Surg Am 71:975–983

    PubMed  CAS  Google Scholar 

  13. Rangger C, Daniel DM, Stone ML, Kaufman K (1993) Diagnosis of an ACL disruption with KT-1000 arthrometer measurements. Knee Surg Sports Traumatol Arthrosc 1:60–66

    Article  PubMed  CAS  Google Scholar 

  14. Sernert N, Kartus JT, Ejerhed L, Karlsson J (2004) Right and left laxity measurements: a prospective study of patients with anterior cruciate ligaments injuries and normal control subjects. Arthroscopy 20:564–571

    Article  PubMed  Google Scholar 

  15. Sherman OH, Markolf KL, Ferkel RD (1987) Measurements of anterior laxity in normal and anterior cruciate absent knees with two instrumented test devices. Clin Orthop 215:156–161

    PubMed  Google Scholar 

  16. Steiner ME, Brown C, Zarins B, Brownstein B, Koval PS, Stone P (1990) Measurement of anterior–posterior displacement of the knee. A comparison of the results with instrumented devices and with clinical examination. J Bone Joint Surg Am 72:1307–1315

    PubMed  CAS  Google Scholar 

  17. Wroble RR, Van Ginkel LA, Grood ES, Noyes FR, Shaffer BL (1990) Repeatability of the KT-1000 arthrometer in a normal population. Am J Sports Med 18:396–399

    Article  PubMed  CAS  Google Scholar 

  18. Pearle AD, Solomon DJ, Wanich T, Moreau-Gaudry A, Granchi CC, Wickiewicz TL, Warren RF (2007) Reliability of navigated knee stability examination: a cadaveric evaluation. Am J Sports Med 35:1315–1320

    Article  PubMed  Google Scholar 

  19. Veltri DM, Deng XH, Torzilli PA, Warren RF, Maynard MJ (1995) The role of the cruciate and posterolateral ligaments in stability of the knee. A biomechanical study. Am J Sports Med 23:436–443

    Article  PubMed  CAS  Google Scholar 

  20. Lipke JM, Janecki CJ, Nelson CL et al (1981) The role of incompetence of the anterior cruciate and lateral ligaments in anterolateral and anteromedial instability. A biomechanical study of cadaver knees. J Bone Joint Surg Am 63:954–960

    PubMed  CAS  Google Scholar 

  21. Markolf KL, Mensch JS, Amstutz HC (1976) Stiffness and laxity of the knee—the contributions of the supporting structures. A quantitative in vitro study. J Bone Joint Surg Am 58:583–594

    PubMed  CAS  Google Scholar 

  22. Shoemaker SC, Markolf KL (1985) Effects of joint load on the stiffness and laxity of ligament-deficient knees. An in vitro study of the anterior cruciate and medial collateral ligaments. J Bone Joint Surg Am 67:136–146

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sang Jin Park.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Song, E.K., Seon, J.K., Park, S.J. et al. In vivo laxity of stable versus anterior cruciate liagment-injured knees using a navigation system: a comparative study. Knee Surg Sports Traumatol Arthrosc 17, 941–945 (2009). https://doi.org/10.1007/s00167-009-0789-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-009-0789-x

Keywords

Navigation