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Does meniscus removal affect ACL-deficient knee laxity? An in vivo study

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

Abstract

Purpose

The purpose of the present study was to determine, in vivo, the effect of different types of meniscectomy on an ACL-deficient knee.

Methods

Using a computer-assisted navigation system, 56 consecutive patients (45 men and 11 women) were subjected to a biomechanical testing with Lachman test (AP30), drawer test (AP90), internal/external rotation test, varus/valgus rotation test and pivot-shift test. The patients were divided into three groups according to the status of the medial meniscus. Group BH, 8 patients with bucket-handle tear of medial meniscus underwent a subtotal meniscectomy; Group PHB, 19 patients with posterior horn body of medial meniscus tear underwent a partial meniscectomy; and Group CG with isolated ACL rupture, as a control group, with 29 patients.

Results

A significant difference in anterior tibial translation was seen at 30 grades and in 90 grades between BH and PHB groups compared to the CG. In response to pivot-shift test, no significant differences in terms of AREA and POSTERIOR ACC were found among the three groups (n.s). Concerning the anterior displacement of the pivot shift a statistically significant differences among the three tested groups was found.

Conclusion

The present study shows that meniscal defects significantly affect the kinematics of an ACL-deficient knee in terms of anterior tibial translation under static and dynamic testing.

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Authors and Affiliations

  1. Laboratorio di Biomeccanica e Innovazione Tecnologica, Istituto Ortopedico Rizzoli, Via di Barbiano 1/10, 40136, Bologna, BO, Italy

    S. Zaffagnini, C. Signorelli, T. Bonanzinga, A. Grassi, I. Akkawi, L. Bragonzoni & M. Marcacci

  2. Clinica Ortopedica e Traumatologica I, Istituto Ortopedico Rizzoli, Bologna, BO, Italy

    S. Zaffagnini, T. Bonanzinga, A. Grassi, I. Akkawi & M. Marcacci

  3. Dipartimento di Scienze Biomediche e Neuromotorie, Università di Bologna, Bologna, BO, Italy

    S. Zaffagnini, L. Bragonzoni & M. Marcacci

  4. Instituto Dr. Jaime Slullitel, Rosario, Santa Fe, Argentina

    H. Galán

  5. Anestesia e terapia intensiva post operatoria e del dolore, Istituto Ortopedico Rizzoli, Bologna, BO, Italy

    F. Cataldi

Authors
  1. S. Zaffagnini
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  2. C. Signorelli
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  3. T. Bonanzinga
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  4. A. Grassi
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  5. H. Galán
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  6. I. Akkawi
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  7. L. Bragonzoni
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  8. F. Cataldi
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  9. M. Marcacci
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Corresponding author

Correspondence to C. Signorelli.

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Zaffagnini, S., Signorelli, C., Bonanzinga, T. et al. Does meniscus removal affect ACL-deficient knee laxity? An in vivo study. Knee Surg Sports Traumatol Arthrosc 24, 3599–3604 (2016). https://doi.org/10.1007/s00167-016-4222-y

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  • DOI: https://doi.org/10.1007/s00167-016-4222-y

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