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/lp/springer_journal/implant-preloading-in-extension-reduces-spring-length-change-in-yLBE6rASEE
- Publisher
- Springer Journals
- Copyright
- Copyright © 2018 by European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA)
- Subject
- Medicine & Public Health; Orthopedics
- ISSN
- 0942-2056
- eISSN
- 1433-7347
- DOI
- 10.1007/s00167-018-5002-7
- Publisher site
- See Article on Publisher Site
Abstract
Purpose Dynamic intraligamentary stabilization (DIS) is a primary repair technique for acute anterior cruciate ligament (ACL) tears. For internal bracing of the sutured ACL, a metal spring with 8 mm maximum length change is preloaded with 60–80 N and fixed to a high-strength polyethylene braid. The bulky tibial hardware results in bone loss and may cause local discomfort with the necessity of hardware removal. The technique has been previously investigated biomechanically; how- ever, the amount of spring shortening during movement of the knee joint is unknown. Spring shortening is a crucial measure, because it defines the necessary dimensions of the spring and, therefore, the overall size of the implant. Methods Seven Thiel-fixated human cadaveric knee joints were subjected to passive range of motion (flexion/extension, internal/external rotation in 90° flexion, and varus/valgus stress in 0° and 20° flexion) and stability tests (Lachman/KT-1000 testing in 0°, 15°, 30°, 60°, and 90° flexion) in the ACL-intact, ACL-transected, and DIS-repaired state. Kinematic data of femur, tibia, and implant spring were recorded with an optical measurement system (Optotrak) and the positions of the bone tunnels were assessed by computed tomography. Length change of bone tunnel distance as a surrogate for spring shortening was then computed from
Journal
Knee Surgery, Sports Traumatology, Arthroscopy – Springer Journals
Published: Jun 1, 2018
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