Reconstruction does not reduce tibial translation in the cruciate-deficient knee an in vivo study.

We have assessed the effectiveness of reconstruction of the anterior cruciate ligament (ACL) in reducing functional tibial translation (TT). The gait of 11 ACL-deficient patients was studied using Vicon equipment before and after surgery. Measurements of the angle between the patellar tendon and the...

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Main Authors: Beard, D, Murray, D, Gill, H, Price, A, Rees, J, Alfaro-Adrián, J, Dodd, C
Format: Journal article
Language:English
Published: 2001
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author Beard, D
Murray, D
Gill, H
Price, A
Rees, J
Alfaro-Adrián, J
Dodd, C
author_facet Beard, D
Murray, D
Gill, H
Price, A
Rees, J
Alfaro-Adrián, J
Dodd, C
author_sort Beard, D
collection OXFORD
description We have assessed the effectiveness of reconstruction of the anterior cruciate ligament (ACL) in reducing functional tibial translation (TT). The gait of 11 ACL-deficient patients was studied using Vicon equipment before and after surgery. Measurements of the angle between the patellar tendon and the long axis of the tibia were obtained in order to calculate TT in the sagittal plane relative to the uninjured limb during standing and walking. Before surgery, patients did not show abnormal TT on the injured side, but after surgery significant anterior TT was found in the operated limb for every parameter of gait. Abnormal anterior TT occurring during activity does not seem to be reduced by reconstruction; rather, it increases. It may be that the increased translation results from relaxation of excess contraction of the hamstring muscles, since compensatory muscle activity no longer is required in a reconstructed knee. The reduction of TT may not be an appropriate objective in surgery on the ACL.
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spelling oxford-uuid:07fd34f8-ee9f-4658-9b10-37cd957bcca22022-03-26T09:10:32ZReconstruction does not reduce tibial translation in the cruciate-deficient knee an in vivo study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:07fd34f8-ee9f-4658-9b10-37cd957bcca2EnglishSymplectic Elements at Oxford2001Beard, DMurray, DGill, HPrice, ARees, JAlfaro-Adrián, JDodd, CWe have assessed the effectiveness of reconstruction of the anterior cruciate ligament (ACL) in reducing functional tibial translation (TT). The gait of 11 ACL-deficient patients was studied using Vicon equipment before and after surgery. Measurements of the angle between the patellar tendon and the long axis of the tibia were obtained in order to calculate TT in the sagittal plane relative to the uninjured limb during standing and walking. Before surgery, patients did not show abnormal TT on the injured side, but after surgery significant anterior TT was found in the operated limb for every parameter of gait. Abnormal anterior TT occurring during activity does not seem to be reduced by reconstruction; rather, it increases. It may be that the increased translation results from relaxation of excess contraction of the hamstring muscles, since compensatory muscle activity no longer is required in a reconstructed knee. The reduction of TT may not be an appropriate objective in surgery on the ACL.
spellingShingle Beard, D
Murray, D
Gill, H
Price, A
Rees, J
Alfaro-Adrián, J
Dodd, C
Reconstruction does not reduce tibial translation in the cruciate-deficient knee an in vivo study.
title Reconstruction does not reduce tibial translation in the cruciate-deficient knee an in vivo study.
title_full Reconstruction does not reduce tibial translation in the cruciate-deficient knee an in vivo study.
title_fullStr Reconstruction does not reduce tibial translation in the cruciate-deficient knee an in vivo study.
title_full_unstemmed Reconstruction does not reduce tibial translation in the cruciate-deficient knee an in vivo study.
title_short Reconstruction does not reduce tibial translation in the cruciate-deficient knee an in vivo study.
title_sort reconstruction does not reduce tibial translation in the cruciate deficient knee an in vivo study
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AT pricea reconstructiondoesnotreducetibialtranslationinthecruciatedeficientkneeaninvivostudy
AT reesj reconstructiondoesnotreducetibialtranslationinthecruciatedeficientkneeaninvivostudy
AT alfaroadrianj reconstructiondoesnotreducetibialtranslationinthecruciatedeficientkneeaninvivostudy
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