In vivo kinematic analysis of failure cases after nonanatomical anterior cruciate ligament reconstruction: a preliminary study
Abstract Background Nonanatomical anterior cruciate ligament (ACL) reconstruction occasionally induces ACL failure without an evident injury episode, necessitating revision surgery. Although the in vivo kinematics of ACL deficiency before primary ACL reconstruction are well documented, the kinematic...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-12-01
|
| Series: | Knee Surgery & Related Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43019-024-00254-1 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841559346477006848 |
|---|---|
| author | Tomofumi Kage Shuji Taketomi Tetsuya Tomita Takaharu Yamazaki Ryota Yamagami Kenichi Kono Kohei Kawaguchi Ryo Murakami Takahiro Arakawa Takashi Kobayashi Hiroshi Inui Sakae Tanaka |
| author_facet | Tomofumi Kage Shuji Taketomi Tetsuya Tomita Takaharu Yamazaki Ryota Yamagami Kenichi Kono Kohei Kawaguchi Ryo Murakami Takahiro Arakawa Takashi Kobayashi Hiroshi Inui Sakae Tanaka |
| author_sort | Tomofumi Kage |
| collection | DOAJ |
| description | Abstract Background Nonanatomical anterior cruciate ligament (ACL) reconstruction occasionally induces ACL failure without an evident injury episode, necessitating revision surgery. Although the in vivo kinematics of ACL deficiency before primary ACL reconstruction are well documented, the kinematics of ACL failure after nonanatomical reconstruction remain unexplored. The aim of this study is to investigate ACL failure kinematics following nonanatomical reconstruction. Patients and methods This study enrolled three patients with ACL failure after nonanatomical reconstruction, 20 normal and 16 ACL-deficient knees. The anteroposterior (AP) translation of the medial and lateral femoral condyles and center of the femur and femoral rotation relative to the tibia during squatting were evaluated using a two- to three-dimensional registration technique under fluoroscopy. Results Medial AP translation of the nonanatomically reconstructed knee in one patient showed posterior location and abnormal kinematics compared with the ACL-deficient knees. In contrast, the lateral AP position of the nonanatomically reconstructed knees in two patients were more posteriorly located and showed more abnormal kinematics than the ACL-deficient knees. Central AP translation of the nonanatomically reconstructed knees in two patients was located more posteriorly throughout the range of midflexion. Femoral rotation of the nonanatomically reconstructed knees showed abnormal kinematics compared with that of the normal and ACL-deficient knees. Conclusions By independently assessing the medial and lateral aspects of the femur, the medial or lateral condyle of the femur of nonanatomically reconstructed knees exhibited a more pronounced abnormality compared with ACL-deficient knees. The femur of the nonanatomically reconstructed knees showed abnormal rotational kinematics. Considering the kinematic aspect, nonanatomical ACL reconstruction should be avoided. |
| format | Article |
| id | doaj-art-2cac5143b6744a5991d2c52bfdbb3ae8 |
| institution | Kabale University |
| issn | 2234-2451 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Knee Surgery & Related Research |
| spelling | doaj-art-2cac5143b6744a5991d2c52bfdbb3ae82025-01-05T12:34:04ZengBMCKnee Surgery & Related Research2234-24512024-12-0136111010.1186/s43019-024-00254-1In vivo kinematic analysis of failure cases after nonanatomical anterior cruciate ligament reconstruction: a preliminary studyTomofumi Kage0Shuji Taketomi1Tetsuya Tomita2Takaharu Yamazaki3Ryota Yamagami4Kenichi Kono5Kohei Kawaguchi6Ryo Murakami7Takahiro Arakawa8Takashi Kobayashi9Hiroshi Inui10Sakae Tanaka11Department of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoGraduate School of Health Sciences, Morinomiya University of Medical SciencesDepartment of Information Systems, Faculty of Engineering, Saitama Institute of TechnologyDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoDepartment of Orthopaedic Surgery, Faculty of Medicine, The University of TokyoAbstract Background Nonanatomical anterior cruciate ligament (ACL) reconstruction occasionally induces ACL failure without an evident injury episode, necessitating revision surgery. Although the in vivo kinematics of ACL deficiency before primary ACL reconstruction are well documented, the kinematics of ACL failure after nonanatomical reconstruction remain unexplored. The aim of this study is to investigate ACL failure kinematics following nonanatomical reconstruction. Patients and methods This study enrolled three patients with ACL failure after nonanatomical reconstruction, 20 normal and 16 ACL-deficient knees. The anteroposterior (AP) translation of the medial and lateral femoral condyles and center of the femur and femoral rotation relative to the tibia during squatting were evaluated using a two- to three-dimensional registration technique under fluoroscopy. Results Medial AP translation of the nonanatomically reconstructed knee in one patient showed posterior location and abnormal kinematics compared with the ACL-deficient knees. In contrast, the lateral AP position of the nonanatomically reconstructed knees in two patients were more posteriorly located and showed more abnormal kinematics than the ACL-deficient knees. Central AP translation of the nonanatomically reconstructed knees in two patients was located more posteriorly throughout the range of midflexion. Femoral rotation of the nonanatomically reconstructed knees showed abnormal kinematics compared with that of the normal and ACL-deficient knees. Conclusions By independently assessing the medial and lateral aspects of the femur, the medial or lateral condyle of the femur of nonanatomically reconstructed knees exhibited a more pronounced abnormality compared with ACL-deficient knees. The femur of the nonanatomically reconstructed knees showed abnormal rotational kinematics. Considering the kinematic aspect, nonanatomical ACL reconstruction should be avoided.https://doi.org/10.1186/s43019-024-00254-1KinematicsAnterior cruciate ligament failureNonanatomical anterior cruciate ligament reconstruction |
| spellingShingle | Tomofumi Kage Shuji Taketomi Tetsuya Tomita Takaharu Yamazaki Ryota Yamagami Kenichi Kono Kohei Kawaguchi Ryo Murakami Takahiro Arakawa Takashi Kobayashi Hiroshi Inui Sakae Tanaka In vivo kinematic analysis of failure cases after nonanatomical anterior cruciate ligament reconstruction: a preliminary study Knee Surgery & Related Research Kinematics Anterior cruciate ligament failure Nonanatomical anterior cruciate ligament reconstruction |
| title | In vivo kinematic analysis of failure cases after nonanatomical anterior cruciate ligament reconstruction: a preliminary study |
| title_full | In vivo kinematic analysis of failure cases after nonanatomical anterior cruciate ligament reconstruction: a preliminary study |
| title_fullStr | In vivo kinematic analysis of failure cases after nonanatomical anterior cruciate ligament reconstruction: a preliminary study |
| title_full_unstemmed | In vivo kinematic analysis of failure cases after nonanatomical anterior cruciate ligament reconstruction: a preliminary study |
| title_short | In vivo kinematic analysis of failure cases after nonanatomical anterior cruciate ligament reconstruction: a preliminary study |
| title_sort | in vivo kinematic analysis of failure cases after nonanatomical anterior cruciate ligament reconstruction a preliminary study |
| topic | Kinematics Anterior cruciate ligament failure Nonanatomical anterior cruciate ligament reconstruction |
| url | https://doi.org/10.1186/s43019-024-00254-1 |
| work_keys_str_mv | AT tomofumikage invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy AT shujitaketomi invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy AT tetsuyatomita invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy AT takaharuyamazaki invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy AT ryotayamagami invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy AT kenichikono invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy AT koheikawaguchi invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy AT ryomurakami invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy AT takahiroarakawa invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy AT takashikobayashi invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy AT hiroshiinui invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy AT sakaetanaka invivokinematicanalysisoffailurecasesafternonanatomicalanteriorcruciateligamentreconstructionapreliminarystudy |