ArticleJournal of experimental orthopaedics2021
Intraoperative pivot-shift accelerometry combined with anesthesia improves the measure of rotatory knee instability in anterior cruciate ligament injury.
Article in Journal of experimental orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 13 citations in OpenAlex.
- Preoperative quantitative pivot shift does not correlate with in vivo kinematics following ACL reconstruction with or without lateral extraarticular tenodesis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Trial
- Difference in anterior tibial subluxation measured with the bone axis method predicts high-grade pivot shift in ACL-deficient knees: A multicenter cohort study.Journal of experimental orthopaedics · 2026Article
- Posterior lateral meniscal overhang is associated with ACL tears: A retrospective case-control study.Journal of orthopaedics · 2024Article
- Factors Associated With Residual Pivot Shift After ACL Reconstruction: A Quantitative Evaluation of the Pivot-Shift Test Preoperatively and at Minimum 12-Month Follow-up.Orthopaedic journal of sports medicine · 2024Article
- Digital measurement of anterolateral knee laxity using strain sensors.Archives of orthopaedic and trauma surgery · 2023Article
- What it takes to have a high-grade pivot shift-focus on bony morphology.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Comparison of two different types of hybrid Tibial fixations for anterior cruciate ligament reconstruction: a prospective comparative cohort study.BMC musculoskeletal disorders · 2022Article
- Is the Rotatory Knee Stability Immediately Decreased Following a Competitive Soccer Match?Frontiers in bioengineering and biotechnology · 2022Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe knee stiffness acquired following an Anterior Cruciate Ligament (ACL) injury might affect clinical knee tests, i.e., the pivot-shift maneuver. In contrast, the motor effects of spinal anesthesia could favor the identification of rotatory knee deficiencies prior to ACL reconstruction. Hence, we hypothesized that the intra-operative pivot-shift maneuver under spinal anesthesia generates more acceleration in the lateral tibial plateau of patients with an injured ACL than without.
methodsSeventy patients with unilateral and acute ACL rupture (62 men and 8 women, IKDC of 55.1 ± 13.8 pts) were assessed using the pivot-shift maneuver before and after receiving spinal anesthesia. A triaxial accelerometer was attached to the skin between Gerdys' tubercle and the anterior tuberosity to measure the subluxation and reduction phases. Mixed ANOVA and multiple comparisons were performed considering the anesthesia and leg as factors (alpha = 5%).
resultsWe found a higher acceleration in the injured leg measured under anesthesia compared to without anesthesia (5.12 ± 1.56 m.s
conclusionsThe pivot-shift maneuver performed under anesthesia identifies better rotatory instability than without anesthesia because testing the pivot-shift without anesthesia underestimates the rotatory subluxation of the knee by an increased knee stiffness. Thus, testing under anesthesia provides a unique opportunity to determine the rotational instability prior to ACL reconstruction.
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