Role of racing in anterior cruciate ligament injury

Authors

DOI:

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

Keywords:

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

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.

Author Biographies

Sergey Krasnoperov

Zaporizhzhia State Medical University. Ukraine 

MD, PhD

krasnoperovserg@gmail.com

Maksim Golovakha

Zaporizhzhia State Medical University. Ukraine 

MD, Prof.

golovaha@ukr.net

Inna Didenko

Zaporizhzhia State Medical University. Ukraine 

didenkoinna1991@gmail.com

Sergey Maslennikov

Zaporizhzhia State Medical University. Ukraine 

travmatology1@i.ua

References

  1. Golovakha ML, Orljanski W, Tytarchuk RV, Zasypko IA, Banit OV, Benedetto KP. Analysis of the outcomes of different methods for graft fixation at the plasty of anterior cruciate ligament. Orthopedics, Traumatology and Prosthetics. 2015;(2):53–9, doi:10.15674/0030-59872015253-59. (in Russian)
  2. Roi IV, Bohdan SV, Baiandina OI, Kostohriz OO. Treatment of the patellofemoral pain syndrome in patients after anterior cruciate ligament revision reconstruction. Vysnik of orthopedics, traumatology and prosthetics. 2015;1:21–6. (in Ukrainian)
  3. Klimovitskiy VG, Tjazhelov AA, Goncharova LD, Shikota R. The results of conservative treatment of injuries of the knee joint ligaments. Trauma. 2012;13(1):79–82. (in Russian)
  4. Barrance PJ, Williams GN, Snyder-Mackler L, Buchanan TS. Altered knee kinematics in ACL-deficient non-copers: a comparison using dynamic MRI. J. Orthop. Res. 2006;24(2): 132–40. doi: 10.1002/jor.20016.
  5. Gardinier ES, Manal K, Buchanan TS, Snyder-Mackler L. Altered Loading in the Injured Knee after ACL Rupture. J Orthop Res. 2013;31(3):458–64. doi: 10.1002/jor.22249.
  6. Chew KT, Lew HL, Date E, Fredericson M. Current evidence and clinical applications of therapeutic knee braces. Am J Phys Med Rhab. 2007;86(8): 678–86. doi: 10.1097/PHM.0b013e318114e416.
  7. Wellsandt E, Gardinier ES, Manal K, Axe MJ, Buchanan TS, Snyder-Mackler L. Decreased knee joint loading associated with early knee osteoarthritis after anterior cruciate ligament injury. Am J Sports Med. 2016;44(1):143–51. doi: 10.1177/0363546515608475.
  8. Shabani B, Bytyqi D, Lustig S, Cheze L, Bytyqi C, Neyret P. Gait changes of the ACL-deficient knee 3D kinematic assessment. Knee Surg Sports Traumatol Arthrosc. 2015;23(11):3259–65. doi: 10.1007/s00167-014-3169-0.
  9. Gianotti SM, Marshall SW, Hume PA, Bunt L. Incidence of anterior cruciate ligament injury and other knee ligament injuries: a national population-based study. J Sci Med Sport. 2009;12(6):622–7. doi: 10.1016/j.jsams.2008.07.005.
  10. Sanders TL, Maradit Kremers H, Bryan AJ, Larson DR, Dahm DL, Levy BA, Stuart MJ, Krych AJ. Incidence of anterior cruciate ligament tears and reconstruction: a 21-year population-based study. Am J Sports Med. 2016;44(6):1502–7. doi: 10.1177/0363546516629944.
  11. Lu TW, Lin HC, Hsu HC. Influence of functional bracing on the kinetics of the anterior cruciate ligament-injured knees during level walking. Clin Biomech. 2006;21:517–24. doi: 10.1016/j.clinbiomech.2005.12.017.
  12. Mortaza N, Abu Osman NA, Jamshidi AA, Razjouyan. J. Influence of functional knee bracing on the isokinetic and functional tests of anterior cruciate ligament deficient patients. PLoS ONE. 2013;8(5):e64308. doi: 10.1371/journal.pone.0064308.
  13. Konrath JM, Saxby DJ, Killen BA, Pizzolato C, Vertullo CJ, Barrett RS, Lloyd DG. Muscle contributions to medial tibiofemoral compartment contact loading following ACL reconstruction using semitendinosus and gracilis tendon grafts. PLoS ONE. 2017;12(4):e0176016. doi: 10.1371/journal.pone.0176016.
  14. Rodríguez-Merchán EC. Knee bracing after anterior cruciate ligament reconstruction. Orthopedics. 2016;39(4):e602-e609. doi: 10.3928/01477447-20160513-04.
  15. Moses B1, Orchard J, Orchard J. Systematic review: Annual incidence of ACL injury and surgery in various. Res Sports Med. 2012;20(3–4):157–79. doi: 10.1080/15438627.2012.680633.
  16. Mortaza N, Ebrahimi I, Jamshidi AA, Abdollah V, Kamali M, Abas WA, Osman NA. The Effects of a prophylactic knee brace and two neoprene knee sleeves on the performance of healthy athletes: a crossover randomized controlled trial. PLoS ONE. 2012;7(11):e50110. doi: 10.1371/journal.pone.0050110.
  17. Umeno T, Sayama R, Higaki H. Effect of knee support on ACL-Deficient knee kinematics while walking. 6th World Congress of Biomechanics (WCB 2010). August 1–6, 2010 Singapore. IFMBE. doi: 10.1007/978-3-642-14515-5_138.

How to Cite

Krasnoperov, S., Golovakha, M., Didenko, I., & Maslennikov, S. (2017). Role of racing in anterior cruciate ligament injury. ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (4), 40–48. https://doi.org/10.15674/0030-59872017440-48

Issue

Section

ORIGINAL ARTICLES