Length of anterior cruciate ligament affects knee kinematics and kinetics using a musculoskeletal computer simulation model.

The tension of anterior cruciate ligament (ACL) graft has an important role in antero-posterior (AP) and rotational stability of the knee. The purposes of this study were to analyze the kinematics and kinetics of normal knee models with loose and tight ACL tension, and to evaluate the effect of the...

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Published in:Journal of Orthopaedics Vol. 21; pp. 370 - 375
Main Authors: Tanaka, Yoshihisa, Nakamura, Shinichiro, Kuriyama, Shinichi, Nishitani, Kohei, Watanabe, Mutsumi, Song, Young Dong, Ikebe, Satoru, Higaki, Hidehiko, Matsuda, Shuichi
Format: research Journal Article
Published: Professor PK Surendran Memorial Education Foundation Sep2020
Online Access:View this record in EBSCOhost
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      dt: Sep2020
      vid: 21
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      pub: Professor PK Surendran Memorial Education Foundation
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        10.1016/j.jor.2020.08.002
        146427142
      ppf: 370
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        atl: Length of anterior cruciate ligament affects knee kinematics and kinetics using a musculoskeletal computer simulation model.
      aug:
        au:
          Tanaka, Yoshihisa
          Nakamura, Shinichiro
          Kuriyama, Shinichi
          Nishitani, Kohei
          Watanabe, Mutsumi
          Song, Young Dong
          Ikebe, Satoru
          Higaki, Hidehiko
          Matsuda, Shuichi
        affil: Department of Orthopaedic Surgery, Kyoto University, Graduate School of Medicine, 54 Shogoin-kawaharacho, Sakyo-ku, Kyoto, 6068507, Japan
      sug:
        subj:
          Anterior Cruciate Ligament Anatomy and Histology
          Knee Joint Physiology
          Kinematics
          Kinetics
          Computer Simulation
          Human
          Stair Climbing
          Range of Motion Evaluation
          Medial Collateral Ligament, Knee Physiology
          Anterior Cruciate Ligament Physiology
      ab: The tension of anterior cruciate ligament (ACL) graft has an important role in antero-posterior (AP) and rotational stability of the knee. The purposes of this study were to analyze the kinematics and kinetics of normal knee models with loose and tight ACL tension, and to evaluate the effect of the tension of ACL on knee kinematics and kinetics. Slack and tight ACL models were constructed in a musculoskeletal computer simulation. The effect of ACL tension on kinematics, and femorotibial contact force during various activities was analyzed. During stair descent activity in the slack ACL models, the lateral femoral condyles were positioned posterior, and more external rotation of the femur was observed in comparison with the normal model. The contact forces at the lateral compartment in the tight models increased during all activities, and the tension of the medial collateral ligament (MCL) in the slack models increased during the stair descent activity, compared with the normal knee model. AP and rotational instability and excessive MCL tension were observed in the ACL slack knees especially during stair descent movement, whereas the tibiofemoral contact force of the lateral compartment increased in the tight ACL knees.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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