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Effect of ACL Reconstruction and Tibial Rotation on Anterior Knee Laxity

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
David H. Perrin, Provost and Executive Vice Chancellor (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/

Abstract: The anterior cruciate ligament (ACL) is the primary restraint to anterior translation of the tibia on the femur. Research suggests that resistance to anterior translation changes as the tibia is rotated internally and externally. This study assessed the degree to which ACL reconstruction and tibial rotation affects anterior knee laxity. Nine subjects with ACL lesions and functional instabilities participated in the study. Subjects were measured 1 to 10 days before surgery and 6 to 8 months after ACL reconstruction using the Kr-1000 knee arthrometer. The degree of reduction in laxity (presurgery to postsurgery) was dependent upon rotation and force, and was greatest in external rotation and least in internal rotation pre- to postsurgery. We concluded that ACL reconstruction using a patellar tendon graft significantly decreased anterior tibial translation at all three positions, but a greater amount of reduction was observed postsurgically at the externally rotated position. This supports the theory that mechanical blocks and secondary restraints such as a taut mid-third of the iliotibial tract may interfere with clinical laxity tests in some positions of tibial rotation. Fixing the tibia in an externally rotated position may decrease the effect of secondary restraints and improve sensitivity in testing for ACL laxity.

Additional Information

Publication
Journal of Athletic Training, 30.3, 243-246
Language: English
Date: 1995
Keywords
anterior cruciate ligament, ACL, ACL reconstruction, tibial rotation, anterior knee laxity, patellar tendon graft, knee arthrometer