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• W2043860904 abstract "Restoration of anterior tibial stability while avoiding knee extension deficit are a common goal of anterior cruciate ligament (ACL) reconstruction. However, achieving this goal can be challenging. The purpose of this study was to determine whether side-to-side differences in anterior tibial neutral position and laxity are correlated with knee extension deficit in subjects 2 years after ACL reconstruction.In the reconstructed and contralateral knees of 29 subjects with transtibial reconstruction, anterior tibiofemoral neutral position was measured with MRI and three-dimensional modeling techniques; terminal knee extension at heel strike of walking and during a seated knee extension were measured via gait analysis; and anterior laxity was measured using the KT-1000.Knees that approached normal anterior stability and anterior tibial position had increased extension deficit relative to the contralateral knee. On average the reconstructed knee had significantly less (2.1±4.4°) extension during active extension and during heel strike of walking (3.0±4.3º), with increased anterior neutral tibial position (2.5±1.7 mm) and anterior laxity (1.8±1.0 mm). There was a significant correlation between side-to-side difference in anterior neutral tibial position with both measures of knee extension (walking, r=-0.711, p<0.001); active knee extension, r=-0.544, p=0.002).The results indicate a relationship between the loss of active knee extension and a change in anterior neutral tibial position following non-anatomic transtibial ACL reconstruction. Given the increasing evidence of a link between altered kinematics and premature osteoarthritis, these findings provide important information to improve our understanding of in vivo knee function after ACL reconstruction." @default.
• W2043860904 created "2016-06-24" @default.
• W2043860904 creator A5045021131 @default.
• W2043860904 creator A5056195367 @default.
• W2043860904 creator A5062613475 @default.
• W2043860904 date "2014-01-01" @default.
• W2043860904 modified "2023-10-07" @default.
• W2043860904 title "The in vivo relationship between anterior neutral tibial position and loss of knee extension after transtibial ACL reconstruction" @default.
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• W2043860904 doi "https://doi.org/10.1016/j.knee.2013.06.003" @default.
• W2043860904 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23830645" @default.
• W2043860904 hasPublicationYear "2014" @default.
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