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Novel Arthrometer Provides Quantitative and Objective Measures of Uniplanar and Multiplanar Knee Laxity

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Novel Arthrometer Provides Quantitative and Objective Measures of Uniplanar and Multiplanar Knee Laxity

Erin Berube, MS, BS, UNITED STATES Akinola E Oladimeji, MD, UNITED STATES David Shamritsky, MEng, UNITED STATES Deborah Jones, PT, OCS, SCS, UNITED STATES Michael Parides, PhD, UNITED STATES Andrew D. Pearle, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES Thomas L. Wickiewicz, MD, UNITED STATES Carl W Imhauser, PhD, UNITED STATES

Hospital for Special Surgery, New York, NY, UNITED STATES

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Knee

Anatomic Structure

Ligaments

Diagnosis / Condition

Instability Stiff Joints Sprain Tears

Ligaments

ACL PCL Posterolateral Corner Anterolateral Ligament

Sports Medicine

Basic Science Biomechanics Research

Summary: We have developed a novel arthrometer that can efficiently, safely, and reliably measure laxity in response to uniplanar AP, IER, and VV loads and in response to multiplanar loads capturing a key subset of those applied during the clinical pivot shift exam.

Introduction

Excessive laxity in one or multiple anatomic planes is related to increased risk of graft rupture following ACL reconstruction [1]. However, the physical examinations used to assess knee laxity, which include uniplanar tests of anterior-posterior (AP), varus-valgus (VV), and internal-external rotation (IER) laxities and the multiplanar pivot shift exam, are qualitative and subjective and therefore are examiner dependent and lack precision [2]. Therefore, we have designed and developed a novel measurement instrument to address this clinical need. This study had three goals: 1) to describe the design of this instrument; 2) to assess its safety; and 3) to quantify its reliability in both uniplanar assessments of AP, IER and VV laxities and multiplanar assessments of knee laxity simulating the clinical pivot shift exam.

Methods

Regarding goal one, the custom-designed arthrometer utilized an instrumented linkage with five degrees of freedom (DOF) and a six-axis force-torque sensor (Mini58, ATI, Inc). To conduct a test, the subject sat reclined in a chair, the leg was aligned in the arthrometer at 20° of flexion, the femur was fastened to the chair, and the tibia was affixed to the arthrometer. The examiner manually applied AP forces (-50 N posterior to 135 N anterior), VV moments (±4 Nm), and IER moments (±2.5 Nm) to the tibia and the corresponding translations and rotations were recorded. The examiner also performed a simulated clinical pivot shift exam, beginning with a 2 Nm external rotation moment, followed by a 6 Nm valgus moment, a 2 Nm internal rotation moment, and, finally, a 50 N anterior force. Anterior tibial translation (ATT) was measured in response to these multiplanar loads. With IRB approval, 15 healthy, uninjured volunteers (8 males, 7 females; mean age: 28 ± 6 years) were consented into the study. Concerning goal two, pain was assessed on a visual analog scale from 0 (no pain) to 10 (excruciating pain). Regarding goal three, two examiners conducted two independent tests on both knees of each volunteer. Reliability within (intra) and across (inter) examiners was characterized via intra-class correlation coefficients (ICC).

Results

All volunteers successfully completed the protocol; each leg required an average of 8 ± 3 minutes to test. Pain was minimal averaging 0.2 ± 0.1. For AP, IER, and VV laxity, intra-examiner reliabilities ranged from good (0.66 in AP) to excellent (0.92 in VV). In all three directions, inter-examiner reliabilities were good (all ICC’s = 0.62). For the simulated pivot shift, intra- and inter-examiner reliabilities ranged from fair (0.56) to good (0.75).

Discussion

We successfully designed and developed a safe and reliable arthrometer to assess laxity in one or more planes. Our novel measurement instrument will allow us to more precisely quantify the association between laxity and risk of ACL graft tear, to more accurately diagnose injury to the ACL and surrounding soft tissues, to refine indications for adjunctive treatments (such as lateral augmentation surgery), and to objectively assess clinical success of reconstructive surgery.

REFERENCES: [1] Magnussen 2016 AJSM [2] Opstelten 2007 Australian J Physiotherapy

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Effect of The Tibial Tunnel Communication on the Bone-Tendon Healing and Location of the Graft at the Tibial Tunnel Aperture in The Double-Bundle Anterior Cruciate Ligament Reconstruction ePoster Presentation Naoto Suzue, MD, PhD, JAPAN Yoshitsugu Takeda, MD, PhD, JAPAN
Technology Assisted Anterior Cruciate Ligament Reconstruction Improves Tunnel Placement but Leads to No Change in Clinical Outcomes: A Systematic Review and Meta-Analysis ePoster Presentation Ehsan Yavari, HBSc, CANADA Sabreena Moosa, HBSc, CANADA Dan Cohen, MD, CANADA Darren L. de SA, MBA(c), MD FRCSC, CANADA
Tibial Tunnel Aperture Migration After Anatomical Rectangular Tunnel ACL Reconstruction using Bone-Patellar Tendon-Bone Autografts ePoster Presentation Ryo Murakami, MD, JAPAN Shuji Taketomi, MD, PhD, JAPAN Ryota Yamagami, MD, JAPAN Kenichi Kono, MD, PhD, JAPAN Kohei Kawaguchi, MD, JAPAN Tomofumi Kage, JAPAN Takahiro Arakawa, MD, JAPAN Sakae Tanaka, MD, PhD, JAPAN
Differences in Temporospatial Hop Characteristics Between Limbs at Return to Sport After ACL Reconstruction ePoster Presentation Alex Gabriel Gavia, BS, UNITED STATES Dave Werner, PT, DPT, OCS, CSCS, UNITED STATES Michael Wellsandt, PT, DPT, UNITED STATES Michael Rosenthal, UNITED STATES Matthew Tao, MD, UNITED STATES Elizabeth Wellsandt, DPT, PhD, UNITED STATES
Changes in Cross-Sectional Area After the Anatomic ACL Reconstruction with Hamstring Tendon or Bone-atellar tendon autografts. ePoster Presentation Kazutaka Kinugasa, MD, PhD, JAPAN Masayuki Hamada, MD, JAPAN Yasukazu Yonetani, MD, PhD, JAPAN Akira Tsujii, MD, PhD, JAPAN Tomohiko Matsuo, MD, PhD, JAPAN Yoshinari Tanaka, MD, PhD, JAPAN Yuta Tachibana, M.D., Ph.D., JAPAN Ryohei Uchida, MD, PhD, JAPAN Konsei Shino, MD, PhD, JAPAN
Steeper Lateral Posterior Tibial Slope And Greater Lateral-Medial Slope Asymmetry are Associated With Greater Preoperative Pivot-Shift In Anterior Cruciate Ligament Injury ePoster Presentation Kiminari Kataoka, MD, JAPAN Kanto Nagai, MD, PhD, JAPAN Yuichi Hoshino, MD, PhD, JAPAN Masashi Shimabukuro, JAPAN Kyohei Nishida , MD, PhD, JAPAN Noriyuki Kanzaki, MD, PhD, JAPAN Takehiko Matsushita, MD, PhD, JAPAN Ryosuke Kuroda, MD, PhD, JAPAN
Posterior Tibial Plateau Compression Fractures Coinciding with ACL Injury: Means of Identification, Treatment Decision-Making Process and Clinical Relevance of Proposed MRI-Based Classification System ePoster Presentation Robert Smigielski, MD, PhD, POLAND Beata Ciszkowska-Lyson, PhD, POLAND Aleksandra Zielinska, MA, BSc, POLAND Christian Fink, MD, Prof., AUSTRIA Mirco Herbort, MD, Prof., GERMANY
Using Three-Dimension Magnetic Resonance Imaging Of The Intact Knee To Identify Expected Femoral And Tibial Tunnel Position In Anatomic Single Bundle Anterior Cruciate Ligament ePoster Presentation NAM TU VU, MD, VIETNAM Minh Ngoc Ho, MD, VIETNAM My Than, MSc, VIETNAM NANG SY QUYEN VO, MD, VIETNAM Toan Dinh Duong, MD, PhD, VIETNAM Trần Trung Dũng, Professor, MD, PhD, VIETNAM
Failure Rates and Complications with Multiple-Revision Anterior Cruciate Ligament Reconstruction: Comparison of Anatomic Femoral Tunnel and Over The Top Technique ePoster Presentation Emre Anıl Özbek, MD, TURKEY Philipp W. Winkler , MD , GERMANY Ehab M Nazzal, MD, UNITED STATES Balint Zsidai, HUNGARY Nicholas P Drain, MD, UNITED STATES Janina Kaarre, MD, MSc, UNITED STATES Andrew Sprague, PT, PhD, DPT, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
Implant-Free Reconstruction Techniques For Ligaments Injuries Of The Knee – Cost-Effective Innovative Alternatives For The Traditional Techniques ePoster Presentation Girinivasan Chellamuthu, MBBS, MS Ortho, FIOT, FASM, INDIA Santosh Sahanand Kulasekaran, MBBS,MS(ortho), INDIA David V. Rajan, MS(Orth), MNAMS(Orth), FRCS(G), INDIA
Short Message Service-Based Collection of Patient Reported Outcome Measures Following ACL Reconstruction: A Pilot Study ePoster Presentation Steffen Sauer, MD, DENMARK
Peri-Operative Complications, Safety, and Early Outcomes of a Novel ACL + ALL Reconstruction Technique Using Iliotibial Band Autograft vs. Patellar Tendon ACL Reconstruction: A Retrospective Pilot Study of the Saturn Study Group ePoster Presentation Ben E. Heyworth, MD, UNITED STATES Joshua H. Pang, BA, UNITED STATES Yi-Meng Yen, MD, UNITED STATES Dennis Kramer, MD Mininder Kocher, MD, MPH, UNITED STATES
Healing Trajectory of The Patellar Tendon After Anterior Cruciate Ligament Reconstruction With Bone-Patellar Tendon-Bone Autograft ePoster Presentation Naoaki Ito, PT, DPT, UNITED STATES Haraldur Sigurðsson, PT, MSc, PhD, ICELAND Lynn Snyder-Mackler, PT, ScD, FAPTA, UNITED STATES Karin Grävare Silbernagel, PT, PhD, ATC, UNITED STATES
Static Anterior Tibial Translation After Anatomic ACLR: An MRI Analysis ePoster Presentation Ignacio Garcia-Mansilla, MD, ARGENTINA Fernando Holc, MD, ARGENTINA Ignacio Astore, ARGENTINA Camila Juana, MD, ARGENTINA Juan Pablo Zicaro, MD, ARGENTINA Carlos H. Yacuzzi, MD, ARGENTINA Matias Costa-Paz, MD, PhD., ARGENTINA
A Prospective Comparison of Postoperative Pain and Opioid Consumption between Primary Repair and Reconstruction of the Anterior Cruciate Ligament ePoster Presentation Sebastian Rilk, MD, UNITED STATES Harmen D. Vermeijden, MD, UNITED STATES Xiuyi A Yang, M.S., UNITED STATES Robert O'Brien, MHS, PA-C, UNITED STATES Jelle P. van der List, MD, PhD, NETHERLANDS Gregory S. Difelice, MD, UNITED STATES
Blumensaat’s Line Morphology Does Not Influence the Femoral Tunnel Position in Anatomical Double-Bundle ACL Reconstruction ePoster Presentation Yoshiyuki Yahagi, MD,PhD, JAPAN Takanori Iriuchishima, MD, PhD, JAPAN Keinosuke Ryu, MD, PhD, JAPAN Kazuyoshi Nakanishi, Prof., JAPAN
Revision Anterior Cruciate Ligament Reconstruction with All Soft Tissue Quadriceps Tendon Autograft and Quadriceps Tendon Autograft with Bone Block Have Similar Clinical Outcomes ePoster Presentation Asher B Mirvish, BA, UNITED STATES Joshua C Setliff, BA, UNITED STATES Ehab M Nazzal, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Zachary J Herman, MD, UNITED STATES Clair Smith, MSc, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES Jonathan D Hughes, MD, UNITED STATES
Altered Trunk Movements During Running after Anterior Cruciate Ligament Reconstruction ePoster Presentation Jodie A. McClelland, BPhysio(Hons), PhD, AUSTRALIA Julian A. Feller, FRACS, FAOrthA, AUSTRALIA Michael Maes, Md, BELGIUM Gustaf Gauffin, SWEDEN Anna Nilsson, SWEDEN Kate E. Webster, PhD, AUSTRALIA
Comparing Safety and Physical Activity Profiles of Institutional Standard of Care Versus Arthroscopic Electrocautery Approaches for ACL Reconstruction ePoster Presentation Claire Giachino, BA, UNITED STATES Hannah Rossing, BS, UNITED STATES David Howell, PhD, UNITED STATES Curtis D. Vandenberg, MD, UNITED STATES Jay C. Albright, MD, UNITED STATES
Time-Series Biological Responses Toward Decellularized Bovine Tendon Graft and Autograft for 52 Consecutive Weeks after Rat Anterior Cruciate Ligament Reconstruction ePoster Presentation Masafumi Itoh, MD, PhD, JAPAN Junya Itou, MD, JAPAN Umito Kuwashima, MD, PhD, JAPAN Ken Okazaki, MD, PhD, JAPAN Kiyotaka Iwasaki, Prof, JAPAN
Outcomes of Anterior Cruciate Reconstruction With Full-Thickness Peroneus Longus Tendon Autograft ePoster Presentation Tarun Goyal, MBBS, MS, DNB, MCh, FRCS (Edin), INDIA Souvik Paul, MBBS, MS Orthopedics (AIIMS), DNB, MCh, Dip SICOT, INDIA
Outcomes After Operative and Nonoperative Treatment of Anterior Cruciate Ligament Ruptures in Patients Aged 40 and Older: A 2:1 Propensity Score Matched Analysis ePoster Presentation Richard Puzzitiello, MD, UNITED STATES Madison Hayes-Lattin, BS, UNITED STATES Jack Bragg, MD, UNITED STATES Stephen Sylvia, MD, UNITED STATES Matthew Salzler, MD, UNITED STATES
Bioabsorbable Interference Screw Fixation for ACL Reconstruction Yields No Tunnel Widening With Excellent Outcomes ePoster Presentation Kevin D. Plancher, MD, MPH, UNITED STATES Karen Briggs, MPH, UNITED STATES Stephanie C. Petterson, MPT, PhD, UNITED STATES
Effects of Focused Extracorporeal Shock Wave Therapy in Reducing Pain In Patients With Anterior Knee Pain After ACLR with BTB Autograft ePoster Presentation Hideaki Fukuda, MD, JAPAN
A Bifactor Model Supports Unidimensionality of the IKDC in Young Active Patients with ACL Tears ePoster Presentation Hana Marmura, BSc, CANADA Paul Tremblay, PhD, CANADA Alan Getgood, MD, FRCS(Tr&Orth), DipSEM, CANADA Dianne M. Bryant, PhD, CANADA
Comparison of Clinical Outcomes between a Bone-Patellar Tendon-Bone and Quadriceps Tendon-Bone Autografts in Anatomic Rectangular Tunnel Anterior Cruciate Ligament Reconstruction ePoster Presentation Kazunori Shimomura, MD, PhD, Prof., JAPAN Yasukazu Yonetani, MD, PhD, JAPAN Ayaka Tanaka, MD, JAPAN Akira Tsujii, MD, PhD, JAPAN Masayuki Hamada, MD, JAPAN
Effectiveness of Fibrin Clot Implantation for Reduction Of Bone Tunnel Enlargement In Bundle-Bundle ACL Reconstruction Using Autogenous Hamstring Tendon Grafts ePoster Presentation Nobuyoshi Suzuki, MD, JAPAN Tomoya Iseki, MD, PhD, JAPAN Shintaro Onishi, MD, PhD, JAPAN Ryo Kanto, MD, JAPAN Hiroshi Nakayama, MD, JAPAN Shinichi Yoshiya, MD, JAPAN Toshiya Tachibana, MD, PhD, JAPAN
Predictors of Joint Space at a Minimum 10 Years Following Single-Bundle Bone-Patellar Tendon-Bone ACL Reconstruction Using a Transtibial Technique ePoster Presentation Kevin D. Plancher, MD, MPH, UNITED STATES Karen Briggs, MPH, UNITED STATES Stephanie C. Petterson, MPT, PhD, UNITED STATES
Hamstring Allograft versus Autograft in Primary Anterior Cruciate Ligament Reconstruction ePoster Presentation Paul Ruckenstuhl, MD, Msc, AUSTRIA Patrick Sadoghi, MD, AUSTRIA Gerald Gruber, MD, Prof., AUSTRIA Andreas Leithner, MD, Prof., AUSTRIA Stefan Fischerauer, MD, MSc, PhD, AUSTRIA
Influence Of Femoral Tunnel Interference Screw Diameter On Pull-Out Strength And Failure Mode During Anterior Cruciate Ligament Reconstruction: A Biomechanical Study ePoster Presentation Jason G Ina, MD, UNITED STATES Mark Megerian, BS, UNITED STATES Derrick Michael Knapik, MD, UNITED STATES Jacob Giovanni Calcei, MD, UNITED STATES Clare M Rimnac, PhD James E. Voos, MD
Analysis of Historic and Modern Treatment Outcomes in Primary Anterior Cruciate Ligament Repair: Systematic Review and Meta-analysis ePoster Presentation Jaren LaGreca, MD, UNITED STATES Marc Tompkins, MD, UNITED STATES
Effect of Intra-articular Drain on Pain in Postoperative Arthroscopic Anterior Cruciate Ligament Reconstruction: A Randomized control trial ePoster Presentation Artit Boonrod, MD, THAILAND Sarat Tiangwan, MD, THAILAND Aumjit Wittayapairoj, MD, , THAILAND Sermsak Sumanont, MD, THAILAND Punyawat Apiwatanakul, MD, THAILAND Khananut Jaruwanneechai, MD, THAILAND
No Difference in Clinical Outcomes Between Aperture And Suspensory Femoral-Sided Fixation Following Anterior Cruciate Ligament Reconstruction with Bone-Patellar Tendon-Bone Autograft ePoster Presentation Garrison Hughes, BS, UNITED STATES Cory Riccio, MD, UNITED STATES Tarun Vippa, BS, UNITED STATES Christopher M Kuenze, PhD, UNITED STATES Rachel E Cherelstein, BS, UNITED STATES Mitchell A Nader, , UNITED STATES Laura Keeling, MD, UNITED STATES Theodore N Rudic, BS, UNITED STATES Kory BD Pasko, BS, UNITED STATES Edward S. Chang, MD, UNITED STATES
Factors Associated with Knee Extension Strength Symmetry Following Anterior Cruciate Ligament Reconstruction with Quadriceps Tendon Autograft ePoster Presentation Justin James Greiner, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Joshua C Setliff, BA, UNITED STATES Romano Sebastiani, BS, UNITED STATES Zachary J Herman, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Jonathan D Hughes, MD, UNITED STATES
Comparison of the Tissue Molecular Profile Of ACL Repair, ACL Reconstruction, and Native ACL ePoster Presentation Edoardo Monaco, MD, ITALY Danilo Ranieri, MD, ITALY Alessandro Annibaldi, MD, ITALY Alessandro Carrozzo, MD, ITALY Fabio Marzilli, MD, ITALY Vincenzo Visco, Prof., ITALY Andrea Ferretti, Prof., ITALY
High Prevalence Of Injuries Associated With ACL Tears: A Detailed Analysis Of 253 Patients From A National Multi-center Cohort Study ePoster Presentation Riccardo Cristiani, MD, PhD, SWEDEN Fabian Van de Bunt, MD, PhD, SWEDEN Joanna Kvist, Professor, RPT, SWEDEN Anders Stalman, MD, PhD, associate professor, SWEDEN
Automated, Video-Based Analysis of Motion Patterns to Diagnose Anterior Cruciate Ligament Injuries in In-Game Video Footage ePoster Presentation Attila Schulc, UNITED STATES Chilan Bou Ghosson Leite, MD, PhD, UNITED STATES Máté Csákvári, UNITED STATES Luke Lattermann, UNITED STATES Molly Zgoda, MS, UNITED STATES Evan M Farina, MD, UNITED STATES Christian Lattermann, MD, UNITED STATES Zoltán Tősér, UNITED STATES Gergo B Merkely, MD, PhD, UNITED STATES
Double Bundle ACL Revision Reconstruction with Allograft Resulted In a Low Revision Rate At 10 Year ePoster Presentation Luca Macchiarola, MD, ITALY Nicola Pizza, MD, ITALY Alberto Grassi, PhD, ITALY Giacomo Dal Fabbro, ITALY Stefano Zaffagnini, MD, Prof., ITALY
Radiographic Evaluation Of the Donor Site After Anterior Cruciate Ligament Reconstruction With Quadriceps Tendon Bone By Using T2 Mapping Mri ePoster Presentation Shuko Tsumoto, MD, JAPAN Yusuke Hashimoto, MD, PhD, JAPAN Ken Iida, MD, JAPAN Hiroaki Nakamura, MD, PhD, JAPAN
Decreased Time Between Injury and Surgery and Increased Injury Severity Predict Motion Loss After Multiligament Knee Injury, but Are Only Part of the Picture ePoster Presentation Cale A. Jacobs, PhD, UNITED STATES Kathleen Poploski, PhD, UNITED STATES Caitlin Conley, PhD, UNITED STATES Austin V Stone, MD, PhD, UNITED STATES Darren L. Johnson, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES James J. Irrgang, PT, PhD, FAPTA, UNITED STATES
Acceptable Clinical Outcomes Despite High Reoperation Rate at Minimum 12-Month Follow-Up after Concomitant Arthroscopically Assisted Anterior Cruciate Ligament Reconstruction and Medial Meniscal Allograft Transplantation ePoster Presentation Dhruv Sundar Shankar, BS, UNITED STATES Kinjal Vasavada, BA, UNITED STATES Amanda Avila, MPH, UNITED STATES Brittany DeClouette, MD, UNITED STATES Hadi Aziz, BS, UNITED STATES Eric Jason Strauss, MD Michael J Alaia, MD, UNITED STATES Laith M. Jazrawi, MD, UNITED STATES Guillem Gonzalez-Lomas, MD, UNITED STATES Kirk Anthony Campbell, MD, UNITED STATES
Changing the ACL Reconstruction Algorithm from Transtibial Hamstring to Transportal Patellar Tendon Is Associated With a More Physiological Knee Laxity At 5-To-10 Year Follow-Up, But Maintaining Activity Levels Remains A Greater Challenge ePoster Presentation Iftach Hetsroni, MD, Associate Prof., ISRAEL Eyal Arami, MD, ISRAEL Guy Maoz, MD, ISRAEL Niv Marom, MD, ISRAEL Nissim Ohana, MD, ISRAEL Gideon Mann, MD, Prof., ISRAEL
Isolated Anatomic Reconstruction of Anterior Cruciate Ligament in Sportsmen with High Pivot Shift Grade: Is it Enough for Rotational Stability? ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Ahmed Zendeoui, MD, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
Non-Operative Treatment is an Excellent Option for Isolated Anterior Cruciate Ligament Injuries: a Systematic Review and Meta-Analysis ePoster Presentation Robert de Jonge, MD, HUNGARY Miklos Mate, MD, HUNGARY Norbert Kovacs, MD, HUNGARY Marcell Imrei, MD, , HUNGARY Karoly Pap, MD, PhD, HUNGARY Gergely Agocs, PhD, HUNGARY Peter Hegyi, Prof., HUNGARY Gergely Pánics, PhD, HUNGARY
Comparative Results Of Anterior Cruciate Ligament Reconstruction With Full Tibial Tunnel: Quadrupled Semitendinosus Suspensory Femoral And Tibial Fixation Versus Quadrupled Semitendinosus and Gracilis Suspensory Femoral and Tibial Screw & Staple Fixation ePoster Presentation Mahir Mahirogullari, MD, Prof., TURKEY Lokman Kehribar, MD, TURKEY Serkan Surucu, MD, UNITED STATES M. Enes Kayaalp, MD, Assoc. Prof., TURKEY Ali Kerim Yılmaz, PhD, TURKEY Mahmud Aydın, MD, TURKEY
Uncommonly Considered Predisposing Anatomic Risk Factor for Anterior Cruciate Ligament (ACL) Injury: Recognition and Possible Rehabilitation Potential for Prevention ePoster Presentation Mujeeb Ashraf, FRCS, MCh,FEBTS, SAUDI ARABIA Hatem Al-Harbi, FRCSC, SAUDI ARABIA
Mid-Term Results of Anterior Cruciate Ligament Reconstruction with Anterolateral Augmentation, Lemaire Tenodesis, in Soccer Players. Functional Results and Return to Play ePoster Presentation Pedro Alvarez-Diaz, MD, PhD, Prof., SPAIN Enrique Pavez, MD, CHILE Gilbert Steinbacher, MD, SPAIN Eduard Alentorn-Geli, MD, PhD, MSc, FEBOT, FACGME, SPAIN David Barastegui, MD, PhD, MSc, SPAIN Jorge Ramirez Haua, MD, SPAIN Maria Victoria Pomenta, MD, SPAIN Esther Sala, MD, SPAIN Sebatian Grossi, MD, SPAIN Aleix Pons Bartroli, MD , SPAIN Patricia Laiz Boada, BSc, SPAIN Ramon Cugat Bertomeu, MD, PhD, SPAIN
Trends in Revision Anterior Cruciate Ligament Reconstruction and Return to Sport: A Survey of the Herodicus Society ePoster Presentation Michael Andrew Fox, MD, UNITED STATES Ian DeYoe Engler, MD, UNITED STATES Andrew Curley, MD, UNITED STATES Damaris Susana Mohr, PA-C, UNITED STATES Justin W. Arner, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES James P. Bradley, MD, UNITED STATES
Accuracy and reliability of Ultrasound-assisted Lachman Test in Diagnosing Anterior Cruciate Ligament Injuries ePoster Presentation Yuzuru Sakakibara, MD, PhD, UNITED STATES Vasundhara Mathur, MD, UNITED STATES David O Osei-Hwedieh, MD, UNITED STATES Rohan Bhimani, MD, MBA, UNITED STATES Soheil Ashkani-Esfahani, MD, UNITED STATES Miho J. Tanaka, MD, PhD, UNITED STATES
The Relationship Between Preoperative Static Anterior Tibial Subluxation and Graft Maturation on MRI After Double-Bundle Anterior Cruciate Ligament Reconstruction ePoster Presentation Shigehiro Asai, MD, JAPAN Hideaki Fukuda, MD, JAPAN Takahiro Ogura, MD, JAPAN Kenji Takahashi, MD, PhD, JAPAN
Short-Term Outcomes of All-Inside Anterior Cruciate Ligament Reconstruction by the Trans-Femoral Approach ePoster Presentation Toshiaki Takahashi, MD, PhD, Prof., JAPAN Seiji Watanabe, MD, JAPAN
Fear Of Reinjury Following Primary Anterior Cruciate Ligament Reconstruction (ACLR): A Systematic Review ePoster Presentation Basit Mir, MB, BcH, BAO, LRCP and Si, CANADA Prushoth Vivekanantha, BMSc, CANADA Saihaj Dhillon, BHSc, CANADA Odette Cotnareanu, BSc, CANADA Dan Cohen, MD, CANADA Kanto Nagai, MD, PhD, JAPAN Darren L. de SA, MBA(c), MD FRCSC, CANADA
The Statistical Fragility Of Clinical Trials Comparing Bone-Patellar Tendon-Bone Versus Hamstring Tendon Autografts In Anterior Cruciate Ligament Reconstruction Surgery: A Systematic Review ePoster Presentation Jeffrey Okewunmi, BS, UNITED STATES Zakaria Chakrani, BA, UNITED STATES John K Cordero, MD, UNITED STATES Robert L Parisien, MD, UNITED STATES
Impact of ACLR Graft Choice on Meniscal Repair Outcomes ePoster Presentation Emily Coffey, BS, UNITED STATES Amogh Iyer, BS, UNITED STATES Parker Cavendish, BS, UNITED STATES Eric Milliron, BS, UNITED STATES Spencer E. Talentino, MD, UNITED STATES James C. Kirven, BS, UNITED STATES Charles Qin, MD, UNITED STATES Ryan H. Barnes, MD, UNITED STATES David C. Flanigan, MD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES
Optimal Joint Loading Strategies to Lessen Cartilage Changes after ACL Reconstruction Differ Throughout the Postoperative Recovery ePoster Presentation Dalton House, BS, UNITED STATES Sawyer Blair, BS, UNITED STATES Cale A. Jacobs, PhD, UNITED STATES Caitlin Conley, PhD, UNITED STATES Darren L. Johnson, MD, UNITED STATES Austin V Stone, MD, PhD, UNITED STATES
Sex-Based Difference of the Most Common Autograft Sources for ACL Reconstruction Measured on Knee MRI ePoster Presentation Giovanna Medina, MD, MSc, PhD, UNITED STATES Maria Virginia Velasquez-Hammerle, MD, UNITED STATES Miho J. Tanaka, MD, PhD, UNITED STATES
Transtibial Femoral Tunnel Technique In ACL Reconstruction and Osteoarthritis Incidence ePoster Presentation Marcus Vinicius Danieli, MD, PhD, BRAZIL João P.F. Guerreiro, MD, PhD, BRAZIL Joao Vitor Guedes Guedes Suzze, MD, BRAZIL Victoria de Abreu, MD, BRAZIL
Single Graft Revision Anterior Cruciate Ligament Reconstruction With Anterolateral Extra-Articular Reconstruction: Description Of A Surgical Technique. Clinical And Functional Results After a 2 Year Follow-Up ePoster Presentation Monica Sánchez Santiuste, MD, SPAIN Cristina Jiménez Nava, Resident, SPAIN Víctor Vaquerizo García, MD, PhD, SPAIN Marta García López, SPAIN
Primary ACL Reconstruction With Lateral Extra Articular Augmentation With Modified Lemaire Technique ePoster Presentation Horacio F. Rivarola-Etcheto, MD, ARGENTINA Cristian Carlos Collazo Blanchod, MD, ARGENTINA Marcos Meninato, MD, ARGENTINA Carlos Mendoza Puello, MD, ARGENTINA Marcos Palanconi, MD, ARGENTINA Marcelo Libertini, ARGENTINA
New Injuries Within 2 Years After Acute ACL Injury Treated With Either ACL Reconstruction and Rehabilitation or With Rehabilitation Alone ePoster Presentation Anna Samuelsson Selin , MD, PhD student, SWEDEN Hakan Gauffin, MD PhD, SWEDEN Anne Fältström, PhD, SWEDEN Joanna Kvist, Professor, RPT, SWEDEN
Knee Arthroscopy: The “Crevice Sign,” A New Pathognomonic Sign For Unstable Posterior Medial Meniscal Tear In Anterior Cruciate Ligament Deficient Knees ePoster Presentation J Donald Hansom, FRCS, MD, MBChB, BSc (Hons), UNITED KINGDOM Jérôme Murgier, MD, FRANCE Mark G. Clatworthy, FRACS, NEW ZEALAND
Morphological Evaluation Of The Quadriceps Tendon Using Preoperative Ultrasound In Anterior Cruciate Ligament Reconstruction ePoster Presentation Satoshi Takeuchi, MD, PhD, JAPAN Kevin J Byrne, MD, UNITED STATES Ryo Kanto, MD, JAPAN Kentaro Onishi, DO, UNITED STATES
Age-Related Microstructural Changes In Semitendinosus and Quadriceps Tendons ePoster Presentation Junsuke Nakase, MD, PhD, JAPAN Kazuki Asai, JAPAN Mitsuhiro Kimura, JAPAN Rikuto Yoshimizu, JAPAN Tomoyuki Kanayama, MD, JAPAN Yusuke Yanatori, MD, JAPAN Hiroyuki Tsuchiya, JAPAN
Adhesion Between the Anterior Cruciate Ligament Grafts and the Transverse Ligament of the Menisci: An effect of Arthroscopic Release ePoster Presentation Masashi Kusano, MD, PhD, JAPAN Keisuke Kita, MD, PhD, JAPAN Ryohei Uchida, MD, PhD, JAPAN Yukiyoshi Toritsuka, MD, PhD, JAPAN
Outcomes of Isolated HTO and Simultaneous HTO and ACL Reconstruction: A Systematic Review & Meta-Analysis ePoster Presentation Varun Dewan, MBChB MSc FRCS, UNITED KINGDOM Lebur Rohman, MBBS, MRCS, FRCSEd, UNITED KINGDOM Martyn Snow, FRCS, UNITED KINGDOM
No tourniquet reduces the incidence of asymptomatic deep venous thrombosis identified on ultrasonography after arthroscopic anterior cruciate ligament reconstruction: an observational study ePoster Presentation Masaki Nagashima, MD, PhD, Prof., JAPAN Ryo Sasaki, MD, JAPAN Kentaro Tanaka, MD, JAPAN Kenichiro Takeshima, MD, JAPAN Ken Ishii, MD, PhD, JAPAN
The Effect of Delaying Anterior Cruciate Ligament Reconstruction More Than 3 or 6 Months on Revision Rates and Knee Stability After 2 Years of Follow-up ePoster Presentation Helena Amstrup Jensen, BSc, DENMARK Torsten G. Nielsen, BSc, DENMARK Martin Lind, MD, PhD, Prof., DENMARK
Functional Results in Anterior Cruciate Ligament Reconstruction with Hybrid Grafts ePoster Presentation David H. Figueroa, MD, CHILE Maria Loreto Figueroa Berrios, MD, CHILE Alexandra Feuereisen, MD, CHILE Rafael Calvo, MD, CHILE Alex Vaisman, MD, Prof., CHILE
Patellar Tendon Autograft is Associated with Difficulty Kneeling but Does Not Result in a More Painful or Symptomatic Knee Compared to Hamstring Tendon Autograft after Anterior Cruciate Ligament Reconstruction: Results from the New Zealand ACL Registry ePoster Presentation Richard Rahardja, MBChB, BMedSc(Hons), NEW ZEALAND Hamish Love, FRACS, NEW ZEALAND Mark G. Clatworthy, FRACS, NEW ZEALAND Simon W. Young, MD, FRACS, NEW ZEALAND
Comparable Short-Term Clinical Outcomes In Rectangular-Tunnel Anterior Cruciate Ligament Reconstruction Using Quadriceps Tendon-Patellar Bone Autograft Over Round-Tunnel Reconstruction ePoster Presentation Do Weon Lee, MD, MS, KOREA, REPUBLIC OF Sang Yoon Kim, MD, KOREA, REPUBLIC OF Duhyun Ro, MD, Prof. , KOREA, REPUBLIC OF Myung Chul Lee, MD, PhD, Prof., KOREA, REPUBLIC OF Hyuk-Soo Han, MD, PhD, KOREA, REPUBLIC OF
Adductor Canal Block is Superior to Femoral Nerve Block for Early Postoperative Pain Relief after Single Bundle Anterior Cruciate Ligament Reconstruction with Hamstring Autograft ePoster Presentation Takeshi Oshima, MD, PhD, JAPAN Junsuke Nakase, MD, PhD, JAPAN Kengo Shimozaki, MD, JAPAN Rikuto Yoshimizu, JAPAN Mitsuhiro Kimura, JAPAN Tomoyuki Kanayama, MD, JAPAN Yusuke Yanatori, MD, JAPAN Hiroyuki Tsuchiya, JAPAN
Social Media Content Related to ACL Recovery: An Analysis ePoster Presentation Sabreena Moosa, HBSc, CANADA Isabel Thomas, HBSc, CANADA Darren L. de SA, MBA(c), MD FRCSC, CANADA
“It’s Just My Knee”: The Role of Resilience and Reframing on Young Athlete’s Quality of Life Following ACL Injury ePoster Presentation Hana Marmura, BSc, CANADA Dianne M. Bryant, PhD, CANADA Alan Getgood, MD, FRCS(Tr&Orth), DipSEM, CANADA Fiona Webster, PhD, CANADA
Early Results of ACL Reconstruction with Quadriceps Tendon Autograft All-Inside Technique ePoster Presentation Amogh Iyer, BS, UNITED STATES Galo Bustamante, BS, UNITED STATES Eric Milliron, BS, UNITED STATES Parker Cavendish, BS, UNITED STATES James C. Kirven, BS, UNITED STATES Spencer E. Talentino, MD, UNITED STATES Charles Qin, MD, UNITED STATES Ryan H. Barnes, MD, UNITED STATES David C. Flanigan, MD, UNITED STATES Christopher C. Kaeding, MD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES Robert A. Duerr, MD, UNITED STATES
Posterior Displacement Of The Detached Meniscocapsular Ligament Of Ramp Lesion In ACL Injured Knee Observed On MRI In Flexed Knee Position Is Associated With Greater Preoperative Anterior Knee Laxity ePoster Presentation Satoshi Nonaka, MD, JAPAN Kazuhisa Hatayama, MD, PhD, JAPAN Hibiki Kakiage, MD, JAPAN Masanori Terauchi, MD, JAPAN
Clinical and Social Predictors Of Surgical Treatment for ACL Injuries ePoster Presentation Miho J. Tanaka, MD, PhD, UNITED STATES Harrison Hubbell, BA, UNITED STATES Nadine Jackson McCleary, MD, MPF, UNITED STATES Endel John Orav, PhD, UNITED STATES
Factors Associated with Tunnel Widening After ACL Reconstruction ePoster Presentation Garrett Kearney, Resident/Fellow, UNITED STATES Maxwell McKay, Bachelors Degree, UNITED STATES Peter Asnis, MD, UNITED STATES Lars C Richardson, MD, UNITED STATES Mark David Price, MD, UNITED STATES Miho J. Tanaka, MD, PhD, UNITED STATES
Return to Sports in Anterior Cruciate Ligament Reconstruction Revision Surgery ePoster Presentation David H. Figueroa, MD, CHILE Maria Loreto Figueroa Berrios, MD, CHILE Alexandra Feuereisen, MD, CHILE Javier Ignacio González, MD, CHILE Rafael Calvo, MD, CHILE
A Comparison of Postoperative Outcomes Between Internal Brace Augmented and Non-Augment Hamstring Tendon Autograft Anterior Cruciate Ligament Reconstruction (ACLR) ePoster Presentation Maria Melanie Legaspi Valbuena, MD, MBA, PHILIPPINES Raphael Coligado Jurilla, MD, PHILIPPINES Patrick How, PHILIPPINES Jason Paul Santiago, MD, PHILIPPINES
Contralateral ACL Rupture is More Common than ACL Graft Rupture in Australian Netballers After ACL Reconstruction ePoster Presentation Conor Honeywill, MD, B. Phty, AUSTRALIA Lucy J. Salmon, PhD, AUSTRALIA Leo A. Pinczewski, MBBS, FRACS, FAOA, AUSTRALIA Keran Sundaraj, MBBS MCs (Trauma) FRACS FAOA, AUSTRALIA Justin P. Roe, FRACS, A/Prof., AUSTRALIA
Simultaneous Reconstruction of the Anterior Cruciate Ligament and Medial Collateral Ligament Using Semitendinosus and Gracilis Autografts: A Minimum 2-Year Follow-Up Study ePoster Presentation Miten R. Sheth, MBBS, MS, DNB (Orth), INDIA
Quad Versus Patella Tendon Autograft for Anterior Cruciate Ligament Reconstruction In Young Athletes ePoster Presentation Cory Riccio, MD, UNITED STATES Nathan Fackler, MD, UNITED STATES Christopher M Kuenze, PhD, UNITED STATES Tarun Vippa, BS, UNITED STATES Sarah Powell, MD, UNITED STATES Rachel E Cherelstein, BS, UNITED STATES Edward S. Chang, MD, UNITED STATES
Return To Play And Pattern Of Injury In A Consecutive Case Series Of Elite UEFA Football Player Following Anterior Cruciate Ligament Rupture ePoster Presentation Luca Farinelli, MD, ITALY Elisabeth Abermann, MD, AUSTRIA Amit Meena, MBBS, MS, DNB, INDIA Christian Fink, MD, Prof., AUSTRIA
Clinical And Patient-Reported Outcomes Of Arthroscopic Repair Versus Reconstruction Of The Cruciate Ligaments In The Multiligamentous Injured Knee ePoster Presentation Sebastian Rilk, MD, UNITED STATES Gabriel C Goodhart, BsC, UNITED STATES Kurt S. Holuba, BA, UNITED STATES Harmen D. Vermeijden, MD, UNITED STATES Robert O'Brien, MHS, PA-C, UNITED STATES Jelle P. van der List, MD, PhD, NETHERLANDS Gregory S. Difelice, MD, UNITED STATES
Ideal Combination Of Anatomic Tibial And Femoral Tunnel Positions for Single-Bundle ACL Reconstruction ePoster Presentation Kyoung-Ho Yoon, MD, PhD, Prof., KOREA, REPUBLIC OF Cheol Hee Park, MD, PhD, KOREA, REPUBLIC OF Sang-Gyun Kim, MD, PhD, KOREA, REPUBLIC OF Jae-Young Park, MD, KOREA, REPUBLIC OF Yoon-Seok Kim, MD, KOREA, REPUBLIC OF Hee Sung Lee, MD, KOREA, REPUBLIC OF Sung Hyun Hwang, MD, KOREA, REPUBLIC OF Dae Keun Suh, MD, PhD, KOREA, REPUBLIC OF Bo Seung Bae, MD, KOREA, REPUBLIC OF
Is Asymmetry of the Medial and Lateral Posterior Femoral Condyles Associated With ACL Rupture? A Case-Control Study of Pediatric Patients ePoster Presentation Nicolas Pascual-Leone, BA, UNITED STATES Danielle E Chipman, BS, UNITED STATES Danielle S Gorelick, NP, UNITED STATES Peter D. Fabricant, MD, MPH, UNITED STATES Russell F. Warren, MD, UNITED STATES Douglas Mintz, MD, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
Elevated Posterior Tibial Slope is Associated with Anterior Cruciate Ligament Reconstruction Failures: A Systematic Review and Meta-Analysis ePoster Presentation Benjamin Ormseth, BS, UNITED STATES Jeremy Adelstein, BS, UNITED STATES Andrew Garrone, MD, UNITED STATES Alex C. Dibartola, MD, MPH, UNITED STATES Ryan H. Barnes, MD, UNITED STATES Charles Qin, MD, UNITED STATES Christopher C. Kaeding, MD, UNITED STATES David C. Flanigan, MD, UNITED STATES Robert Siston, PhD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES Robert A. Duerr, MD, UNITED STATES
Biomechanical Changes at the Knee Joint between Pre- and Post-Operative Gait in Patients with ACL Injury ePoster Presentation Kohei Nishizawa, PhD, JAPAN Kengo Harato, MD, PhD, JAPAN Shu Kobayashi, MD, PhD, JAPAN Yasuo Niki, MD, PhD, JAPAN Takeo Nagura, MD, JAPAN
Spin in the Abstracts of Meta-Analyses and Systematic Reviews: Quadriceps Tendon Graft for Anterior Cruciate Ligament Reconstruction ePoster Presentation Matthew T Gulbrandsen, MD, UNITED STATES Taha Taka, BS, UNITED STATES Joshua Peterson, BS, UNITED STATES Jun Ho Chung, MD, UNITED STATES Hasan Syed, MD Austin V Stone, MD, PhD, UNITED STATES John Xerogeanes, MD, UNITED STATES Joseph N. Liu, MD, UNITED STATES
Clinical Outcomes and Return to Sport After Quadriceps Tendon Autograft ACL Reconstruction: Comparison to Bone-Patellar Tendon-Bone Autograft at a Minimum 2-Year Follow-Up ePoster Presentation Evan W. James, MD, UNITED STATES Dakota Adamec , BS , UNITED STATES Per-Henrik Randsborg, MD, PhD, NORWAY Joseph T. Nguyen, MPH, UNITED STATES Robert G. Marx, MD, UNITED STATES Answorth A. Allen, MD, UNITED STATES Frank A. Cordasco, MD, MS, UNITED STATES Benedict U. Nwachukwu, MD, MBA, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES
Quadrupled Semitendinosus vs. Semitendinosus-Gracilis Graft for ACL Reconstruction:a Randomized Controlled Trial ePoster Presentation Juan Pablo Martinez-Cano, MD, MSc, PhD, COLOMBIA Laura Zamudio, MD, COLOMBIA Julian Chica, MD, COLOMBIA Juan José Martinez Arboleda, MD, COLOMBIA Fernando M. Mejia, MD, COLOMBIA Alfredo Martinez Rondanelli, MD, COLOMBIA
Analysis of Patient Reported Outcomes and Subsequent Surgery Rate Following Quadriceps Tendon Anterior Cruciate Ligament Reconstruction and Lateral extra-articular Tenodesis in Skeletally Immature Patients: Two Year Follow-Up ePoster Presentation Sofia Hidalgo Perea, BS, UNITED STATES Danielle E Chipman, BS, UNITED STATES Frank A. Cordasco, MD, MS, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
Urinary CTX-II, Serum MMP-3 And Serum PIIANP Following Anterior Cruciate Ligament Reconstruction: A Pilot Study ePoster Presentation Lachlan Batty, FRACS, AUSTRALIA Julian A. Feller, FRACS, FAOrthA, AUSTRALIA Timothy S. Whitehead, MBBS, FRACS, AUSTRALIA Brian M. Devitt, MD, PhD, FRCS, FRACS, IRELAND Kate E. Webster, PhD, AUSTRALIA
No Single Dominant Risk Factor for Noncontact ACL Injury: Key Thresholds and Relative Contributions of Knee Geometry and Anterior-Posterior Laxity ePoster Presentation Jacob Zeitlin, BA, UNITED STATES Mark Alan Fontana, PhD, UNITED STATES Michael Parides, PhD, UNITED STATES Thomas L. Wickiewicz, MD, UNITED STATES Andrew D. Pearle, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES Bruce D. Beynnon, PhD, UNITED STATES Carl W Imhauser, PhD, UNITED STATES
Investigation of the Effect Of Anterior Cruciate Ligament Injury on the Axial Rotation of the Knee Joint ePoster Presentation Kenjiro Okimura, MD, JAPAN Yuichi Hoshino, MD, PhD, JAPAN Kyohei Nishida , MD, PhD, JAPAN Kanto Nagai, MD, PhD, JAPAN Noriyuki Kanzaki, MD, PhD, JAPAN Takehiko Matsushita, MD, PhD, JAPAN Ryosuke Kuroda, MD, PhD, JAPAN
Clinical Outcome Of Bicruciate Ligament Reconstruction In Multiple Knee Ligament Injuries: Comparison With Bicruciate And Collateral Ligament Reconstructions ePoster Presentation Zenta Jotoku, MD, PhD, JAPAN Eiji Kondo, MD, PhD, JAPAN Koji Iwasaki, MD, PhD, JAPAN Tomohiro Onodera, MD, PhD, JAPAN Daisuke Momma, PhD, JAPAN Kazunori Yasuda, MD, PhD, Prof., JAPAN Norimasa Iwasaki, MD, PhD, JAPAN

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Novel Arthrometer Provides Quantitative and Objective Measures of Uniplanar and Multiplanar Knee Laxity

Novel Arthrometer Provides Quantitative and Objective Measures of Uniplanar and Multiplanar Knee Laxity

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Novel Arthrometer Provides Quantitative and Objective Measures of Uniplanar and Multiplanar Knee Laxity

Novel Arthrometer Provides Quantitative and Objective Measures of Uniplanar and Multiplanar Knee Laxity

Introduction

Methods

Results

Discussion