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- W2052392425 abstract "SummaryThe purpose of this project is to compare knee motion in a double bundle construct to an optimally placed computer-navigated single bundle construct. We found that the double bundle reconstruction did not produce a better biomechanical outcome when compared to an optimally placed single bundle construct. Based on our data, surgeons should be cautious in their decision to convert to a double bundle ACL reconstruction.PurposeOne criticism of previous biomechanical studies comparing double bundle to single bundle anterior cruciate ligament(ACL) reconstructions is that tunnel placements for the single bundle constructs were suboptimal. The purpose of this project is to compare knee motion in a double bundle construct to an optimally placed computer-navigated single bundle construct.MethodsKnee motion (AP translation and transverse rotation) in 8 pairs of fresh frozen cadaveric knees was evaluated with a 134N anteriorly directed force, a 10Nm internal rotation torque, a 10Nm external rotation torque, and a combined 134N anterior force and 10Nm internal rotation torque at 30 and 60 degrees of knee flexion. The ACLs in all knees were then transected, and knee motion again tested in similar fashion. Next, one knee in each pair was randomly chosen to be reconstructed using a computer-navigated single bundle technique while the opposite knee was reconstructed in double bundle fashion. Knee motion was evaluated one final time. Comparisons were made based on the condition of the knee and on the method of reconstruction. Statistical analysis was completed using a two-tailed, paired Student's t-test.ResultsIn response to anterior tibial load at 30 degrees knee flexion, anterior translation was significantly less for the computer-navigated single bundle construct (6.0 + 2.3mm) when compared to the double bundle construct (7.8 +.2.8mm)(p<0.05). Moreover, coupled internal rotation with anterior tibial loading at 60 degrees knee flexion was significantly improved after computer-navigated reconstruction (7.7 + 4.1 degrees) as compared to both the intact (5.3 + 5.7 degrees) and ACL deficient conditions (3.6 + 3.0 degrees)(p<0.05). Coupled internal rotation was not improved after double bundle reconstruction when compared to both the intact and ACL deficient conditions.ConclusionsThe double bundle reconstruction did not produce a better biomechanical outcome when compared to an optimally placed single bundle construct. SummaryThe purpose of this project is to compare knee motion in a double bundle construct to an optimally placed computer-navigated single bundle construct. We found that the double bundle reconstruction did not produce a better biomechanical outcome when compared to an optimally placed single bundle construct. Based on our data, surgeons should be cautious in their decision to convert to a double bundle ACL reconstruction. The purpose of this project is to compare knee motion in a double bundle construct to an optimally placed computer-navigated single bundle construct. We found that the double bundle reconstruction did not produce a better biomechanical outcome when compared to an optimally placed single bundle construct. Based on our data, surgeons should be cautious in their decision to convert to a double bundle ACL reconstruction. PurposeOne criticism of previous biomechanical studies comparing double bundle to single bundle anterior cruciate ligament(ACL) reconstructions is that tunnel placements for the single bundle constructs were suboptimal. The purpose of this project is to compare knee motion in a double bundle construct to an optimally placed computer-navigated single bundle construct. One criticism of previous biomechanical studies comparing double bundle to single bundle anterior cruciate ligament(ACL) reconstructions is that tunnel placements for the single bundle constructs were suboptimal. The purpose of this project is to compare knee motion in a double bundle construct to an optimally placed computer-navigated single bundle construct. MethodsKnee motion (AP translation and transverse rotation) in 8 pairs of fresh frozen cadaveric knees was evaluated with a 134N anteriorly directed force, a 10Nm internal rotation torque, a 10Nm external rotation torque, and a combined 134N anterior force and 10Nm internal rotation torque at 30 and 60 degrees of knee flexion. The ACLs in all knees were then transected, and knee motion again tested in similar fashion. Next, one knee in each pair was randomly chosen to be reconstructed using a computer-navigated single bundle technique while the opposite knee was reconstructed in double bundle fashion. Knee motion was evaluated one final time. Comparisons were made based on the condition of the knee and on the method of reconstruction. Statistical analysis was completed using a two-tailed, paired Student's t-test. Knee motion (AP translation and transverse rotation) in 8 pairs of fresh frozen cadaveric knees was evaluated with a 134N anteriorly directed force, a 10Nm internal rotation torque, a 10Nm external rotation torque, and a combined 134N anterior force and 10Nm internal rotation torque at 30 and 60 degrees of knee flexion. The ACLs in all knees were then transected, and knee motion again tested in similar fashion. Next, one knee in each pair was randomly chosen to be reconstructed using a computer-navigated single bundle technique while the opposite knee was reconstructed in double bundle fashion. Knee motion was evaluated one final time. Comparisons were made based on the condition of the knee and on the method of reconstruction. Statistical analysis was completed using a two-tailed, paired Student's t-test. ResultsIn response to anterior tibial load at 30 degrees knee flexion, anterior translation was significantly less for the computer-navigated single bundle construct (6.0 + 2.3mm) when compared to the double bundle construct (7.8 +.2.8mm)(p<0.05). Moreover, coupled internal rotation with anterior tibial loading at 60 degrees knee flexion was significantly improved after computer-navigated reconstruction (7.7 + 4.1 degrees) as compared to both the intact (5.3 + 5.7 degrees) and ACL deficient conditions (3.6 + 3.0 degrees)(p<0.05). Coupled internal rotation was not improved after double bundle reconstruction when compared to both the intact and ACL deficient conditions. In response to anterior tibial load at 30 degrees knee flexion, anterior translation was significantly less for the computer-navigated single bundle construct (6.0 + 2.3mm) when compared to the double bundle construct (7.8 +.2.8mm)(p<0.05). Moreover, coupled internal rotation with anterior tibial loading at 60 degrees knee flexion was significantly improved after computer-navigated reconstruction (7.7 + 4.1 degrees) as compared to both the intact (5.3 + 5.7 degrees) and ACL deficient conditions (3.6 + 3.0 degrees)(p<0.05). Coupled internal rotation was not improved after double bundle reconstruction when compared to both the intact and ACL deficient conditions. ConclusionsThe double bundle reconstruction did not produce a better biomechanical outcome when compared to an optimally placed single bundle construct. The double bundle reconstruction did not produce a better biomechanical outcome when compared to an optimally placed single bundle construct." @default.
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- W2052392425 date "2008-06-01" @default.
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- W2052392425 title "Knee Kinematics After Double Bundle Versus Computer-Navigated Single-Bundle Anterior Cruciate Ligament Reconstruction (SS-52)" @default.
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