Three dimensional knee kinematics and kinetics in ACL-deficient patients with and without medial meniscus posterior horn tear during level walking

Ren, Shuang; Yu, Yuanyuan; Shi, Huijuan; Miao, Xin; Jiang, Yanfang; Liang, Zixuan; Hu, Xiaoqing; Huang, Hongshi; Ao, Yingfang

doi:10.1016/j.gaitpost.2018.08.007

Cited by 20 publications

(31 citation statements)

References 29 publications

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“…The TFJ joint kinematic and kinetic results of control group were compared favorably with previous studies. 25 The TFJ joint moments of control groups were also similar with in vivo measurements 12 when the moments were normalized to body mass 3 body height. For the patient groups, it was limited to compare with existing literatures, as the participant and methodology are different from previous studies.…”

Section: Discussionsupporting

confidence: 59%

“…Many research studies have showed that ACL and meniscal injury could affect the gait parameters compared with isolated ACLD knees. [11][12][13][14] However, these studies did not assess the alterations in the joint reaction forces and moments in patients with combination of ACLD and different types of meniscal tears (e.g. lateral or/and medial meniscal tears).…”

Section: Discussionmentioning

confidence: 99%

“…The results of this study supported our first hypothesis that significant lower extension angles were observed in the sagittal plane, which was similar to those reported in previous studies. 11,12,14 The most notable result was that the injured knees, whether the meniscus is injured or not, showed extension deficiency at maximum extension and significant reduction in the maximum flexion angle. Similar results have been obtained in previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…10 Harato et al 11 showed that ACLD-affected knees with meniscal injuries exhibited greater rotational movement compared with the isolated ACLD-affected knees. Ren et al 12 showed that ACLD-affected knees with medial meniscal posterior horn tears exhibited a combination of stiffening gait and pivot-shift gait patterns. Different locations of the meniscal injury in knees with ACLD may also affect knee kinematics.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Anterior cruciate ligament deficiency combined with lateral and/or medial meniscal injury results in abnormal kinematics and kinetics during level walking

Liu

Huang

Yin

et al. 2019

Proc Inst Mech Eng H

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Anterior cruciate ligament injuries are commonly combined with meniscal tears. This study was performed to analyze the kinematics and kinetics of knees with anterior cruciate ligament deficiency with or without a combined medial or/and lateral meniscal injury during level walking. In all, 29 patients with unilateral anterior cruciate ligament deficiency and 15 healthy male volunteers were recruited. Among these patients, 12 had isolated unilateral anterior cruciate ligament injuries (ACLD group), 5 had combined anterior cruciate ligament and lateral meniscal injuries (ACLDL group), 5 had combined anterior cruciate ligament and medial meniscal injuries (ACLDM group), and 7 had combined anterior cruciate ligament and medial/lateral meniscal injuries (ACLDML group). A subject-specific musculoskeletal multibody dynamics model was utilized to estimate the tibiofemoral joint kinematic and kinetic behaviors based on the experimental data measured by using an optical tracking system. Regardless of the presence or absence of meniscal injury, the knees with anterior cruciate ligament deficiency exhibited significantly less extension than the control knees at the terminal stance (range of extension: ACLD, 4.84° ± 4.31°; ACLDL, 6.65° ± 5.73°; ACLDM, 5.21° ± 4.77°; ACLDML, 6.91° ± 4.30°; control, 12.35° ± 5.52°; P < 0.05). A lower extension moment and adduction moment in all anterior cruciate ligament deficiency affected knees were detected during the terminal stance when compared with control knees ( P < 0.05). The ACLDML group showed significantly lower proximal-distal compressive forces and anterior-posterior shear forces (approximately 0.5–1.5 body weight; P < 0.05) compared to the other 4 groups, while the anterior-posterior and medial-lateral shear forces tended to increase in the ACLD, ACLDL, and ACLDM groups at the mid to terminal stance. Significant lower adduction-abduction and internal-external moment peaks were observed in ACLDML groups, but not in the ACLD, ACLDL and ACLDM groups. These results indicate that the combination of an anterior cruciate ligament injury and meniscal injury could alter the kinematics and kinetics of anterior cruciate ligament deficiency affected knees depending on the presence and type of the meniscal tear.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Anterior cruciate ligament deficiency combined with lateral and/or medial meniscal injury results in abnormal kinematics and kinetics during level walking

Liu

Huang

Yin

et al. 2019

Proc Inst Mech Eng H

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“…ACL plays an important role in controlling knee joint stability, not only by limiting tibia anterior translation, but also by controlling knee axial rotation and varus movement [ 1 ]. Numerous studies have been carried to provide information on biomechanical changes in the ACL-deficient (ACL-D) knees [ 2 – 7 ], which revealed that ACL-D knees would exhibit altered joint kinematics. Currently, the most widely accepted method for assessing joint movement patterns is gait analysis, which offers a unique means of providing insight into mechanisms of ACL-D progression by measuring the kinematic and kinetic parameters [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Modeling and classification of gait patterns between anterior cruciate ligament deficient and intact knees based on phase space reconstruction, Euclidean distance and neural networks

Zeng

et al. 2018

BioMed Eng OnLine

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BackgroundThe anterior cruciate ligament (ACL) plays an important role in stabilizing translation and rotation of the tibia relative to the femur. ACL injury alters knee kinematics and usually links to the alternation of gait patterns. The aim of this study is to develop a new method to distinguish between gait patterns of patients with anterior cruciate ligament deficient (ACL-D) knees and healthy controls with ACL-intact (ACL-I) knees based on nonlinear features and neural networks. Therefore ACL injury will be automatically and objectively detected.MethodsFirst knee rotation and translation parameters are extracted and phase space reconstruction (PSR) is employed. The properties associated with the gait system dynamics are preserved in the reconstructed phase space. For the purpose of classification of ACL-D and ACL-I knee gait patterns, three-dimensional (3D) PSR together with Euclidean distance computation has been used. These measured parameters show significant difference in gait dynamics between the two groups and have been utilized to form a feature set. Neural networks are then constructed to identify gait dynamics and are utilized as the classifier to distinguish between ACL-D and ACL-I knee gait patterns based on the difference of gait dynamics between the two groups.ResultsExperiments are carried out on a database containing 18 patients with ACL injury and 28 healthy controls to assess the effectiveness of the proposed method. By using the twofold and leave-one-subject-out cross-validation styles, the correct classification rates for ACL-D and ACL-I knees are reported to be 91.3 and 95.65, respectively.ConclusionCompared with other state-of-the-art methods, the results demonstrate that gait alterations in the presence of ACL deficiency can be detected with superior performance. The proposed method is a potential candidate for the automatic and non-invasive classification between patients with ACL deficiency and healthy subjects.

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Anterior Cruciate Ligament Injuries Alter the Kinematics and Kinetics of Knees with or Without Meniscal Deficiency

Liu

Huang

Ren

et al. 2019

Multibody Dynamics 2019

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Three dimensional knee kinematics and kinetics in ACL-deficient patients with and without medial meniscus posterior horn tear during level walking

Cited by 20 publications

References 29 publications

Anterior cruciate ligament deficiency combined with lateral and/or medial meniscal injury results in abnormal kinematics and kinetics during level walking

Anterior cruciate ligament deficiency combined with lateral and/or medial meniscal injury results in abnormal kinematics and kinetics during level walking

Modeling and classification of gait patterns between anterior cruciate ligament deficient and intact knees based on phase space reconstruction, Euclidean distance and neural networks

Anterior Cruciate Ligament Injuries Alter the Kinematics and Kinetics of Knees with or Without Meniscal Deficiency

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