Role of racing in anterior cruciate ligament injury

Sergey Krasnoperov, Maksym Golovaha, Inna Didenko, Sergey Maslennikov

Abstract


The use of orthoses and braces in patients with damage to the anterior cruciate ligament and post-arthroscopic re­construction is a fairly widespread phenomenon.

Objective: to determine the effectiveness of the application of orthoses of various structures in patients with anterior cruciate liga­ment injury using hardware-software baseometric complex.

Methods: 50 patients with anterior cruciate ligament damage and 50 healthy volunteers were screened. Bazometric study with the help of the hardware-software baseometric complex (baseometer) KE 03191680.010-2005 of the UkrNII prosthesis production was carried out without a latch and using 4 types of knee joint fasteners. The parameters of two-stops stand­ing on the base-platform were analyzed: load distribution (%) of the total body mass between the lower extremities, incapacitability, displacement of the general pressure center in the fron­tal and sagittal planes, and the rotation of the general pressure center.

Results: in patients with injuries of anterior cruciate ligament, a significant prevalence of body mass distribution for the intact lower limb was found to be significant (73.3 ± 2.8) and (26.7 ± 1.6) %, respectively; the weight bearing factor was 0.36 ± 0.4; displacement of the general CT in the frontal plane — (11.5 ± 1.1) mm; in the sagital — (7.2 ± 1.0) mm; rotating angle of the general pressure center — (7.8 ± 1.2)°. Under the condi­tions of the use of fixators, depending on their type, a tendency to reduce the asymmetry of the body weight distribution between the limbs is determined.

Conclusions: as a result of the survey of healthy volunteers, the main indicators of the two-limb stand­ing on the base-platform were obtained. The analysis of base­line rates of patients with anterior cruciate ligament injury showed a significant deviation compared with the group of volunteers. Among the studied designs of knee joint fixation de­vices, the knee joint with a two-axis hinge was most functionally suitable. It allows the maximum correction and improvement of biomechanical indicators of statics and fatigue of the injured limb.

Keywords


anterior cruciate ligament; anterior instability; brace; orthosis; basometry; baseometer

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DOI: https://doi.org/10.15674/0030-59872017440-48

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