[go: up one dir, main page]
More Web Proxy on the site http://driver.im/ Skip to main content
Springer Nature Link
Log in

Dynamic joint loading following hamstring and patellar tendon anterior cruciate ligament reconstruction

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

Abstract

This study compared lower limb dynamic joint loading after hamstring (HS) and patellar tendon (PT) anterior cruciate ligament (ACL) reconstruction. A three-dimensional motion analysis and force plate system were used to determine sagittal plane kinematics and kinetics in 20 subjects who had undergone ACL reconstruction (10 HS, 10 PT) whilst they performed both horizontal and vertical hopping tasks. Results for both activities showed significantly smaller knee flexion angles and external flexion moments in the operated than the non-operated limbs in PT subjects but no difference between limbs in HS subjects. There was no difference in the summated moment (hip plus knee plus ankle) between limbs for either graft type. The peak vertical ground reaction force was greater in the operated than the non-operated limb in PT subjects during the horizontal hop. These data show functional knee kinematic and kinetic differences between the two graft types that point to an earlier or better functional recovery in patients undergoing ACL reconstruction with HS graft than PT graft.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
£29.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (United Kingdom)

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.

Similar content being viewed by others

References

  1. Andriacchi TP (1990) Dynamics of pathological motion applied to the anterior cruciate deficient knee. J Biomech 23 [Suppl]:99–105

    Google Scholar 

  2. Andriacchi TP, Strickland AB (1993) Gait analysis as a tool to assess joint kinetics. In: Berme N, Engin AE, Correia de Silva KM (eds) Biomechanics of normal and pathologic human articulating joints. NATO ASI Series E. Nijhoff, Dordrecht, pp 83–98

  3. Berchuck M, Andriacchi T, Bach B, Reider B (1990) Gait adaptations by patients who have a deficient anterior cruciate ligament. J Bone Joint Surg Am 72:871–877

    CAS  PubMed  Google Scholar 

  4. Birac D, Andriacchi TP, Bach BR Jr (1991) Time related changes following ACL rupture. Trans Orthop Res Soc 16:231

    Google Scholar 

  5. Bush-Joseph CA, Hurwitz DE, Patel RR, Bahrani Y, Garretson R, Bach BR Jr, Andriacchi TP (2001) Dynamic function after anterior cruciate ligament reconstruction with autologous patellar tendon. Am J Sports Med 29:36–41

    CAS  Google Scholar 

  6. Corry IS, Webb JM, Clingeleffer AJ, Pinczewski LA (1999) Arthroscopic reconstruction of the anterior cruciate ligament. A comparison of patellar tendon autograft and four-strand hamstring tendon autograft. Am J Sports Med 27:444–454

    CAS  PubMed  Google Scholar 

  7. Davis RB, Ounpuu S, Tyburski D, Gage JR (1991) A gait analysis data collection and reduction technique. Hum Movement Sci 10:575–587

    Article  Google Scholar 

  8. Ernst GP, Saliba E, Diduch DR, Hurwitz SR, Ball DW (2000) Lower extremity compensations following anterior cruciate ligament reconstruction. Phys Ther 80:251–260

    CAS  PubMed  Google Scholar 

  9. Feller JA, Webster KE (2003) A randomized comparison of patellar tendon and hamstring tendon anterior cruciate ligament reconstruction. Am J Sports Med 31:564–573

    Google Scholar 

  10. Feller JA, Webster KE, Gavin B (2001) Early post-operative morbidity following anterior cruciate ligament reconstruction: patellar tendon versus hamstring graft. Knee Surg Sports Traumatol Arthrosc 9:260–266

    Article  CAS  PubMed  Google Scholar 

  11. Fitzgerald GK, Lephart SM, Hwang JH, Wainner MRS (2001) Hop tests as predictors of dynamic knee stability. J Orthop Sports Phys Ther 31:588–597

    CAS  PubMed  Google Scholar 

  12. Hewett TE, Paterno MV, Noyes FR (2000) Neuromuscular contributions to knee kinematics and kinetics: normal versus the pathological state. In: Lephart SM, Fu FH (eds) Proprioception and neuromuscular control in joint stability. Human Kinetics, Champaign, pp 77–88

  13. Irrgang JJ, Anderson AF, Boland AL, Harner CD, Kurosaka M, Neyret P, Richmond JC, Shelbourne KD (2001) Development and validation of the International Knee Documentation Committee Subjective Knee Form. Am J Sports Med 29:600–613

    CAS  PubMed  Google Scholar 

  14. Juris PM, Phillips EM, Dalpe C, Edwards C, Gotlin RS, Kane DJ (1997) A dynamic test of lower extremity function following anterior cruciate ligament reconstruction and rehabilitation. J Orthop Sports Phys Ther 26:184–191

    CAS  PubMed  Google Scholar 

  15. Kadaba MP, Ramakrishnan HK, Wootten ME (1990) Measurement of lower extremity kinematics during level walking. J Orthop Res 8:383–392

    CAS  PubMed  Google Scholar 

  16. Kleipool AE, van Loon T, Marti RK (1994) Pain after use of the central third of the patellar tendon for cruciate ligament reconstruction. 33 patients followed 2–3 years. Acta Orthop Scand 65:62–66

    CAS  PubMed  Google Scholar 

  17. Kowalk DL, Duncan JA, McCue FC III, Vaughan CL (1997) Anterior cruciate ligament reconstruction and joint dynamics during stair climbing. Med Sci Sports Exerc 29:1406–1413

    CAS  PubMed  Google Scholar 

  18. Moisio KC, Sumner DR, Shott S, Hurwitz DE (1993) Normalization of joint moments during gait: a comparison of two techniques. J Biomech 36:599–603

    Article  Google Scholar 

  19. Noyes FR, Barber SD, Mooar LA (1989) A rationale for assessing sports activity levels and limitations in knee disorders. Clin Orthop 246:238–249

    PubMed  Google Scholar 

  20. Petschnig R, Baron R, Albrecht M (1998) The relationship between isokinetic quadriceps strength test and hop tests for distance and one-legged vertical jump test following anterior cruciate ligament reconstruction. J Orthop Sports Phys Ther 28:23–31

    Google Scholar 

  21. Rosenberg TD, Franklin JL, Baldwin GN, Nelson KA (1992) Extensor mechanism function after patellar tendon graft harvest for anterior cruciate ligament reconstruction. Am J Sports Med 20:519–525

    CAS  PubMed  Google Scholar 

  22. Rudolph KS, Axe MJ, Buchanan TS, Scholz JP, Snyder-Mackler L (2001) Dynamic stability in the anterior cruciate ligament deficient knee. Knee Surg Sports Traumatol Arthrosc 9:62–71

    Article  CAS  PubMed  Google Scholar 

  23. Sernert N, Kartus J, Kohler K, Stener S, Larsson J, Eriksson BI, Karlsson J (1999) Analysis of subjective, objective and functional examination tests after anterior cruciate ligament reconstruction. A follow-up of 527 patients. Knee Surg Sports Traumatol Arthrosc 7:160–165

    CAS  PubMed  Google Scholar 

  24. Wexler G, Hurwitz D, Bush-Joseph C, Andriacchi T, Bach BJ (1998) Functional gait adaptations in patients with anterior cruciate ligament deficiency over time. Clin Orthop 348:166–175

    PubMed  Google Scholar 

  25. Wilk KE, Romaniello WT, Soscia SM, Arrigo CA, Andrews JR (1994) The relationship between subjective knee scores, isokinetic testing, and functional testing in the ACL-reconstructed knee. J Orthop Sports Phys Ther 20:60–73

    CAS  PubMed  Google Scholar 

  26. Yamamoto T, Niwa S, Hattori T, Honjo H (1998) Gait analysis of ACL deficient knees. Angular velocities and flexion-extension moment around the knee joint. Biomed Mater Eng 8:219–225

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This research was supported in part by a Victorian Orthopaedic Association Research Grant.

Author information

Authors and Affiliations

  1. Musculoskeletal Research Centre, La Trobe University, 3086, Victoria, Australia

    Kate E. Webster, Rafael Gonzalez-Adrio & Julian A. Feller

Authors
  1. Kate E. Webster
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rafael Gonzalez-Adrio
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Julian A. Feller
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Kate E. Webster.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Webster, K.E., Gonzalez-Adrio, R. & Feller, J.A. Dynamic joint loading following hamstring and patellar tendon anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 12, 15–21 (2004). https://doi.org/10.1007/s00167-003-0400-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-003-0400-9

Keywords

Search

Navigation