In-vivo pivot-shift test measured with inertial sensors correlates with the IKDC grade

Muccioli, Giulio Maria Marcheggiani; Signorelli, Cecilia; Grassi, Alberto; Sarsina, Tommaso Roberti di; Raggi, Federico; Carbone, Giuseppe; Macchiarola, Luca; Vaccari, Vittorio; Zaffagnini, Stefano

doi:10.1136/jisakos-2017-000167

Cited by 5 publications

(5 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From a clinical perspective, the results of the present study are consistent with those obtained by Muccioli et al [ 30 ]. The authors tested the KiRA device in vivo on 60 ACL-injured patients and reported an average side-to-side difference of 0.8 m/s 2 between knees with “glide” PS and contralateral healthy knee.…”

Section: Discussionsupporting

confidence: 93%

“…The heterogeneous results might be due to the different setups adopted, the age of the specimens and relative quality of the knee structures, and the instrumented device used for the quantitative assessment. From a clinical perspective, the results of the present study are consistent with those obtained by Muccioli et al [30]. The authors tested the KiRA device in vivo on 60 ACL-injured patients and reported an average side-to-side difference of 0.8 m/s 2 between knees with "glide" PS and contralateral healthy knee.…”

Section: Biomed Research Internationalsupporting

confidence: 91%

“…The latter results are comparable with the difference of 1.0 m/s 2 reported between intact and ACL groups in the present study. Similarly, the difference of 2.9 m/s 2 reported by Muccioli et al [30] between knees with "gross" PS and healthy contralateral side is comparable to 2.5 m/s 2 found between intact and ACL+ALL statuses.…”

Section: Biomed Research Internationalsupporting

confidence: 67%

See 2 more Smart Citations

Increased Rotatory Laxity after Anterolateral Ligament Lesion in Anterior Cruciate Ligament‐ (ACL‐) Deficient Knees: A Cadaveric Study with Noninvasive Inertial Sensors

Grassi

Sarsina

Paolo

et al. 2021

BioMed Research International

Self Cite

View full text Add to dashboard Cite

The anterolateral ligament (ALL) has been suggested as an important secondary knee restrain on the dynamic laxity in anterior cruciate ligament- (ACL-) deficient knees. Nevertheless, its kinematical contribution to the pivot-shift (PS) phenomenon has not been clearly and objectively defined, and noninvasive sensor technology could give a crucial contribution in this direction. The aim of the present study was to quantify in vitro the PS phenomenon in order to investigate the differences between an ACL-deficient knee and an ACL+ALL-deficient knee. Ten fresh-frozen paired human cadaveric knees ( n = 20 ) were included in this controlled laboratory study. Intact, ACL-deficient, and ACL+ALL-deficient knees were subjected to a manual PS test quantified by a noninvasive triaxial accelerometer (KiRA, OrthoKey). Kinematic data (i.e., posterior acceleration of the tibial lateral compartment) were recorded and compared among the three statuses. Pairwise Student’s t -test was used to compare the single groups ( p < 0.05 ). Intact knees, ACL-deficient knees, and ACL+ALL-deficient knees showed an acceleration of 5.3 ± 2.1 m/s2, 6.3 ± 2.3 m/s2, and 7.8 ± 2.1 m/s2, respectively. Combined sectioning of ACL and ALL resulted in a statistically significant acceleration increase compared to both the intact state ( p < 0.01 ) and the ACL-deficient state ( p < 0.01 ). The acceleration increase determined by isolated ACL resection compared to the intact state was not statistically significant ( p > 0.05 ). The ALL sectioning increased the rotatory laxity during the PS after ACL sectioning as measured through a user-friendly, noninvasive triaxial accelerometer.

show abstract

Section: Discussionsupporting

confidence: 93%

Section: Biomed Research Internationalsupporting

confidence: 91%

Section: Biomed Research Internationalsupporting

confidence: 67%

See 1 more Smart Citation

Increased Rotatory Laxity after Anterolateral Ligament Lesion in Anterior Cruciate Ligament‐ (ACL‐) Deficient Knees: A Cadaveric Study with Noninvasive Inertial Sensors

Grassi

Sarsina

Paolo

et al. 2021

BioMed Research International

Self Cite

View full text Add to dashboard Cite

show abstract

“…It is, therefore, logical to try and seek more accurate ways to quantify the pivot shift and several groups have, therefore, evaluated the role of acceleration measurement devices. Muccioli et al [38]. recently demonstrated a correlation between the side‐to‐side difference in the tibial acceleration range measured by a non‐invasive tibial inertial sensor system (KiRA, Orthokey Italia srl, Firenze, Italy) and objective IKDC clinical grading of the pivot shift, but this finding has not been validated in anaesthetized patients.…”

Section: Introductionmentioning

confidence: 99%

Triaxial accelerometer evaluation is correlated with IKDC grade of pivot shift

Helfer

Vieira

Praz

et al. 2019

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

Purpose The purpose of this study was to evaluate the correlation between tibial acceleration parameters measured by the KiRA device and the clinical grade of pivot shift. The secondary objective was to report the risk factors for pre‐operative high‐grade pivot shift. Methods Two‐hundred and ninety‐five ACL deficient patients were examined under anesthesia. The pivot shift tests were performed twice by an expert surgeon. Clinical grading was performed using the International Knee Documentation Committee (IKDC) scale and tibial acceleration data was recorded using a triaxial accelerometer system (KiRA). The difference in the tibial acceleration range between injured and contralateral limbs was used in the analysis. Correlation coefficients were calculated using linear regression. Multivariate logistic regression was used to identify risk factors for high grade pivot shift. Results The clinical grade of pivot shift and the side‐to‐side difference in delta tibial acceleration determined by KiRA were significantly correlated (r = 0.57; 95% CI 0.513–0.658, p < 0.0001). The only risk factor identified to have a significant association with high grade pivot shift was an antero‐posterior side to side laxity difference > 6 mm (OR = 2.070; 95% CI (1.259–3.405), p = 0.0042). Conclusion Side‐to‐side difference in tibial acceleration range, as measured by KiRA, is correlated with the IKDC pivot shift grade in anaesthetized patients. Side‐to‐side A–P laxity difference greater than 6 mm is reported as a newly defined risk factor for high grade pivot shift in the ACL injured knee. Diagnostic study Level II.

show abstract

“…However, they do not represent a suitable solution for the routine use in the clinical practice, where arthrometers can play instead a key role. The Kinematic Rapid Assessment (KiRA-OrthoKey) is a non-invasive triaxial accelerometer that can be easily employed in clinical practice to quantify knee laxity in cases of suspected ACL injury [12,13]. Previous studies demonstrated the ability of this device to quantify the Lachman and pivot shift tests in ACLdeficient knees [7,11].…”

Section: Introductionmentioning

confidence: 99%

Medial meniscal lesions increase antero‐posterior laxity in knees with anterior cruciate ligament injury

Franceschini,

Reale,

Boffa

et al. 2024

Knee surg. sports traumatol. arthrosc.

Self Cite

View full text Add to dashboard Cite

PurposeThe aim of this study was to quantify the impact of concomitant meniscal lesions on knee laxity using a triaxial accelerometer in a large population of patients affected by anterior cruciate ligament (ACL) injury.MethodsA total of 326 consecutive patients (261 men and 65 women, mean age 31.3 ± 11.3) undergoing primary ACL reconstruction, were preoperatively evaluated through Lachman and pivot shift tests using a triaxial accelerometer to quantify knee laxity. An analysis based on the presence of meniscal tears assessed during surgery was performed to evaluate the impact of meniscal lesions on knee laxity.ResultsThe anterior tibial translation (Lachman test) presented significantly higher values in patients with medial meniscal lesions (7.3 ± 1.7 mm, p = 0.049) and both medial and lateral meniscal lesions (7.7 ± 1.6 mm, p = 0.001) compared to patients without concomitant meniscal lesions (6.7 ± 1.3 mm). Moreover, patients with both medial and lateral meniscal lesions presented significantly higher values of anterior tibial translation compared to patients with lateral meniscal lesions (p = 0.049). No statistically significant differences were found between the groups in terms of tibial acceleration (pivot shift test).ConclusionThis study demonstrated that the contribution of concomitant meniscal lesions to knee laxity can be objectively quantified using a triaxial accelerometer in ACL‐injured knees. In particular, medial meniscus lesions, alone or in association with lateral meniscus lesions, determine a significant increase of the anterior tibial translation compared to knees without meniscus tears.Level of EvidenceLevel IV.

show abstract

In-vivo pivot-shift test measured with inertial sensors correlates with the IKDC grade

Cited by 5 publications

References 31 publications

Increased Rotatory Laxity after Anterolateral Ligament Lesion in Anterior Cruciate Ligament‐ (ACL‐) Deficient Knees: A Cadaveric Study with Noninvasive Inertial Sensors

Increased Rotatory Laxity after Anterolateral Ligament Lesion in Anterior Cruciate Ligament‐ (ACL‐) Deficient Knees: A Cadaveric Study with Noninvasive Inertial Sensors

Triaxial accelerometer evaluation is correlated with IKDC grade of pivot shift

Medial meniscal lesions increase antero‐posterior laxity in knees with anterior cruciate ligament injury

Contact Info

Product

Resources

About