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- W1973440195 abstract "The Knee Signature System (KSS) was used to measure anterior-posterior laxity of the knees of 34 patients who had an old tibial plateau fracture. The mean total tibial translation with respect to the femur was 9.8 (range 3.1–19.5) mm in the injured knees and 7.5 (range 3.1–14.2) mm in the uninjured knees (P < 0.01). A side-to-side difference (injured versus uninjured knee) to 3 mm or more was found in 13 knees (38%). Neither mode of treatment nor extent of residual displacement of the condyles had any correlation with the sagittal translation. Because complete rupture of cruciate ligaments in association with tibial plateau fracture has been proven to be uncommon and changes in bony configuration did not affect the result, the abnormal tibial translation was left to be a consequence of stretching of the ligaments increasing multi-dimensional instability of the knee joint. The phenomenon was found more pronounced in older patients whose tolerance of ligaments and other soft tissues against stretching forces is decreased. Therefore, when using the KSS device, a side-to-side difference of 3 mm or more in sagittal translation of the tibia with respect to the femur is not always an indication of anterior cruciate ligament deficiency, when such differences are found in patients with an old tibial plateau fracture." @default.
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- W1973440195 date "1995-12-01" @default.
- W1973440195 modified "2023-09-26" @default.
- W1973440195 title "Instrumented measurement of anterior-posterior laxity of the knee joint after tibial plateau fracture" @default.
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- W1973440195 doi "https://doi.org/10.1016/0968-0160(96)00034-8" @default.
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