ACL injury and reconstruction: Clinical related in vivo biomechanics.
Orthop Traumatol Surg Res
; 96(8 Suppl): S119-28, 2010 Dec.
Article
en En
| MEDLINE
| ID: mdl-21036116
Several researchers including our group have shown that knee joint biomechanics are impaired after anterior cruciate ligament (ACL) injury, in terms of kinematics and neuromuscular control. Current ACL reconstruction techniques do not seem to fully restore these adaptations. Our research has demonstrated that after ACL reconstruction, excessive tibial rotation is still present in high-demanding activities that involve both anterior and rotational loading of the knee. These findings seem to persist regardless of the autograft selection for the ACL reconstruction. Our results also suggest an impairment of neuromuscular control after ACL reconstruction, although muscle strength may have been reinstated. These abnormal biomechanical patterns may lead to loading of cartilage areas, which are not commonly loaded in the healthy knee and longitudinally can lead to osteoarthritis. Muscle imbalance can also influence patients' optimal sports performance exposing them to increased possibility of knee re-injury. In this review, our recommendations point towards further experimental work with in vivo and in vitro studies, in order to assist in the development of new surgical procedures that could possibly replicate more closely the natural ACL anatomy and prevent future knee pathology.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos de Cirugía Plástica
/
Lesiones del Ligamento Cruzado Anterior
/
Traumatismos de la Rodilla
Límite:
Humans
Idioma:
En
Revista:
Orthop Traumatol Surg Res
Año:
2010
Tipo del documento:
Article
País de afiliación:
Grecia
Pais de publicación:
Francia