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Effect of Lateral and Posterior Placement of Single-Bundle and Double-Bundle ACL Reconstructions on Tibial Internal Rotation During Single-Leg Landing

전방십자인대 한다발재건술의 후외측다발 재건 및 두다발재건술이 외발착지 동작 시에 경골내회전에 미치는 영향

  • 신충수 (서강대학교 기계공학과)
  • Received : 2010.09.21
  • Accepted : 2011.02.15
  • Published : 2011.05.01

Abstract

Anterior cruciate ligament (ACL) injuries are treatedwith surgical reconstruction. Although ACL consists of two functional bundles, only the anteromedial bundle is surgically reconstructed, and the effect of the reconstruction of the posterolateral bundle is unknown. The purpose of this study is to investigate the role of the posterolateral bundle and the effect of double-bundle reconstruction during single-leg landing. A 3D dynamic knee with various ACL reconstructed models was created using MRI, and single-leg landing motion was simulated using in-vivo human experimental data. The results showed that the lateral shift of the tibial insertion of the anteromedial bundle and the posterolateral bundle of the ACL constrain the tibial internal rotation more efficiently than a single anteromedial bundle can. In addition, double-bundle ACL reconstruction is less sensitive to inaccuracies in the tibial tunnel placement.

Keywords

Anterior Cruciate Ligament Reconstruction;Posterolateral Bundle;Double-bundle Reconstruction;Knee Model;Single-Leg Landing

Acknowledgement

Supported by : 한국연구재단, 서강대학교

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