Gender differences in the restoration of knee joint biomechanics during gait after anterior cruciate ligament reconstruction

Asaeda, Masashi; Deie, Masataka; Fujita, Naoto; Kono, Yoshifumi; Terai, Chiaki; Kuwahara, Wataru; Watanabe, Hodaka; Kimura, Hiroaki; Adachi, Nobuo; Sunagawa, Toru; Ochi, Mitsuo

doi:10.1016/j.knee.2017.01.001

Cited by 23 publications

(23 citation statements)

References 41 publications

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“…Our results also support previous studies, which describe abnormal knee biomechanics during gait following ACL reconstruction. 3 , 6 , 7 Specifically, Sigward et al. 19 observed smaller knee extension moment impulse in ACL-reconstructed knees 4 months after surgery: therefore, knee kinetics during running did not recover to control levels.…”

Section: Discussionmentioning

confidence: 99%

“…The reliability of kinematic measurements using PCT has been confirmed. 3 , 17 , 18 Values were expressed relative to knee angles in the standing position for between-subject comparisons.…”

Section: Methodsmentioning

confidence: 99%

“… 1 , 2 Previous study showed that whether gender influenced knee joint biomechanics during gait after ACL reconstruction, and abnormal sagittal plane mechanics (high knee flexion angle and lower knee extension moment) had recovered at 12-months after reconstruction, but not at 6 months, in both male and female patients. 3 Another study also found that 33% of patients had not attempted any form of sports activity in the 12 months following surgery. 4 Permission to return to sports (RTS) is generally granted 6–9 months following surgery 5 ; however, granting permission at 6 months may be too early because knee kinematics during daily and sports activities have not recovered sufficiently.…”

Section: Introductionmentioning

confidence: 98%

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The relationship between knee muscle strength and knee biomechanics during running at 6 and 12 months after anterior cruciate ligament reconstruction

Asaeda

Deie

Kono

et al. 2019

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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Background Knee joint kinematics and kinetics during running recover at 12 months, not 6 months, following anterior cruciate ligament (ACL) reconstruction surgery. Knee muscle strength is a criterion used to assess an individual’s readiness to return-to-sports (RTS); however, the relationship between knee muscle strength and knee biomechanics is unclear. This study investigated the relationship between knee muscle strength and dynamic knee biomechanics during running at 6 and 12 months after ACL reconstruction surgery. Methods Knee joint kinematics and kinetics during running were analyzed in 21 patients (10 males, 11 females) who underwent ACL reconstruction for a unilateral ACL deficiency. Kinematics and Kinetics were measured by three-dimensional motion analysis system, and Knee flexion angle was calculated using Point cluster technique and internal extension moment was calculated by the inverse dynamics method. Patients were compared to a control group matched by age, height and weight. Isokinetic knee extension and flexion strength in ACL-reconstructed patients were measured at 6 and 12 months postsurgery, by separated gender. Results Knee flexion angle was significantly lower in ACL patients at 6 months postsurgery compared to the control group (F (2, 62)=5.78, P =0.014). There were significant lower peak knee flexion angles in male groups than female (F (1, 62)=6.33, P <0.01). Knee extension moments were significantly lower in both male and female ACL patients compared to the control group at 6 and 12 months postsurgery (F (2, 62)=12.05, P <0.01(6 months), P =0.034(12 months)), and there were significant correlations with knee extension moments and maximum torque of knee extension/flexion ( P <0.05). At 12 months after surgery, knee joint kinematics in ACL patients were restored. Both peak knee angle and knee extension moment were significantly associated with maximum knee extension/flexion torque values in female patients at 12 months postsurgery. Conclusions Dynamic knee biomechanics during running were not restored 6 and 12 months after ACL reconstruction both male and female. It is necessary to strengthen knee extension and flexion muscles to restore knee kinetics during running, especially female patients.

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Section: Discussionmentioning

confidence: 99%

“…The reliability of kinematic measurements using PCT has been confirmed. 3 , 17 , 18 Values were expressed relative to knee angles in the standing position for between-subject comparisons.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

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The relationship between knee muscle strength and knee biomechanics during running at 6 and 12 months after anterior cruciate ligament reconstruction

Asaeda

Deie

Kono

et al. 2019

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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“…The study reveals a statistically significant value in men ( <0.001), indicating that the hip range of motion of the operated limb was smaller than that of the unoperated limb, it is the same for its maximum knee flexion range when walking ( <0.001). Asaeda et al in 2017 (14) demonstrated the presence of walking disorders 12 months postoperatively and that differences could still be noted between men and women.…”

Section: Comparison With Literaturementioning

confidence: 98%

“…Often, despite ACL reconstruction, asymmetries persist in both lower limbs. These asymmetries are responsible for walking disorders which appear from the first postoperative month up to 6 months or even a few years after the surgery (9)(10)(11)(12)(13)(14)(15)(16). It is not uncommon for associated surgery on the meniscus to worsen these walking disorders (12,13).…”

Section: Introductionmentioning

confidence: 99%

<strong>Determination of Risk Factors Associated With Walking Disorders After Anterior Cruciate Ligament Surgery With Hamstring Graft : A Controlled Multicenter Study </strong>

Gaignon¹,

Mazeas²,

Traullé³

et al. 2020

Preprint

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Today, rupture of the anterior cruciate ligament is the most common heavy injury in athletes, but it can also occur in sedentary subjects. Its treatment, always adapted to the lifestyle, age and will of the patient, often remains surgical. However, despite its frequency and universality, there are still walking disorders following the operation. These disorders sometimes persist for several months, or even several years after surgery. The present study is therefore interested in determining the risk factors linked to walking disorders following reconstruction of the anterior cruciate ligament. The objective of this study is to determine what risk factors associated with walking disorders are after reconstruction of the anterior cruciate ligament by hamstring graft. This study focused on factors that may exist at 3 and 6 months postoperatively. Two populations participated in this study, a healthy population and a population having benefited from reconstruction of the anterior cruciate ligament. The operated test group is divided into two subgroups, one with a postoperative period of 3 months and the second at 6 months. All subjects were subjected to the same protocol, their gait on the treadmill was analyzed and evaluated with an Optogait® analysis system. A univariate analysis was carried out first. Then, a multivariate analysis by adjustment method was carried out in order to eliminate the potential confounding factors. The comparison of the results between the populations in the univariate analysis shows an absence of significant results however there are trends. The statistical results of the multivariate analysis showed interactions in the two subgroups of the operated population.In fact, it turns out that at 3 months there is a tendency to worse gait disorders in subjects with a high BMI reflecting overweight, when an associated surgical procedure has taken place on the meniscus, in subjects over 35 years of age and males. On the other hand, at 6 months, the tendency to worsening is visible only in the strata represented by subjects with a BMI corresponding to overweight, as well as in subjects having benefited from a meniscal suture associated with ACL reconstruction. .The results of the present study show that there are certain factors which tend to increase the risk of these walking disorders after reconstruction of the anterior cruciate ligament by hamstring graft, these factors are different depending on the time postoperative.

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Sex-Based Differences in Adult ACL Reconstruction Outcomes

Branche

Bradsell

Lencioni

et al. 2022

Curr Rev Musculoskelet Med

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Gender differences in the restoration of knee joint biomechanics during gait after anterior cruciate ligament reconstruction

Cited by 23 publications

References 41 publications

The relationship between knee muscle strength and knee biomechanics during running at 6 and 12 months after anterior cruciate ligament reconstruction

The relationship between knee muscle strength and knee biomechanics during running at 6 and 12 months after anterior cruciate ligament reconstruction

<strong>Determination of Risk Factors Associated With Walking Disorders After Anterior Cruciate Ligament Surgery With Hamstring Graft : A Controlled Multicenter Study </strong>

Sex-Based Differences in Adult ACL Reconstruction Outcomes

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