ArticleJournal of orthopaedic research : official publication of the Orthopaedic Research Society2025
Bilateral waveform analysis of gait biomechanics presurgery to 12 months following ACL reconstruction compared to controls.
Article in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Gait differences after ACL reconstruction versus healthy controls: a three-level meta-analysis of kinematics, kinetics, and spatiotemporal parameters.Annals of medicine · 2025Pooled it
- Increasing dynamic limb-level loading via real-time biofeedback decreases cumulative loading impulse during gait post-anterior cruciate ligament reconstruction.Clinical biomechanics (Bristol, Avon) · 2026Article
- Effects of Quadriceps Strength Recovery in the First Year After Anterior Cruciate Ligament Reconstruction on Gait Biomechanics.Sports health · 2026Article
- Step-by-step insight into gait analysis: A narrative review unlocking knee biomechanics.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- Personalized musculoskeletal models show that gait biofeedback alters knee cartilage contact mechanics in ACL-reconstructed subjects.Journal of biomechanics · 2026Article
- Decoupling speed matters: Optimizing gait mechanics after anterior cruciate ligament reconstruction with Split-belt adaptation training of the healthy leg.Clinical biomechanics (Bristol, Avon) · 2026Article
- Recovery of Walking Function After ACL Reconstruction of the Knee Joint: A Non-Randomized Study and Mixed Cross-Sectional Comparison of Postoperative Time Groups.Journal of clinical medicine · 2026Article
- Gait Biomechanical Profiles Following Anterior Cruciate Ligament Reconstruction in Sexually-Immature Pediatrics.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026Article
- Advances in Gait Alterations and Rehabilitation After Anterior Cruciate Ligament Reconstruction: Biomechanics and Emerging Technologies.Orthopaedic surgery · 2026Review
- Associations between habitual walking speed and in vivo tibial cartilage strain in individuals with anterior cruciate ligament reconstruction.Osteoarthritis imaging · 2026Article
- The COMPWALK-ACL: A Dataset of Multi-pace IMU Gait Kinematics in Adolescents, Adults, and ACL Injured Patients.Scientific data · 2025Article
- Tibiofemoral Joint Contact Force Profiles of Pediatric Patients After Anterior Cruciate Ligament Reconstruction.The American journal of sports medicine · 2025Article
- Instrumented gait analysis post-anterior cruciate ligament reconstruction in pediatric patients: A non-invasive method for quantifying the static and dynamic leg axis.Journal of experimental orthopaedics · 2025Article
- Bilateral waveform analysis of gait biomechanics presurgery to 12 months following ACL reconstruction compared to controls.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025Article
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Authors and funding
11 authors.
Funding
Abstract
The purpose of this study was to compare gait biomechanics between limbs and to matched uninjured controls (i.e., sex, age, and body mass index) preoperatively and at 2, 4, 6, and 12 months following primary unilateral anterior cruciate ligament reconstruction (ACLR). Functional mixed effects models were used to identify differences in gait biomechanics throughout the stance phase between the a) ACLR limb and uninvolved limb, b) ACLR limb and controls, and c) uninvolved limb and controls. Compared with the uninvolved limb, the ACLR limb demonstrated lesser knee extension moment (KEM; within 8-37% range of stance) during early stance as well as lesser knee flexion moment (KFM; 45-84%) and greater knee flexion angle (KFA; 43-90%) during mid- to late stance at all timepoints. Compared with controls, the ACLR limb demonstrated lesser vertical ground reaction force (vGRF; 5-26%), lesser KEM (7-47%), and lesser knee adduction moment (KAM; 12-35%) during early stance as well as greater vGRF (39-63%) and greater KFA (34-95%) during mid- to late stance at all timepoints. Compared with controls, the uninvolved limb demonstrated lesser KFA (1-56%) and lesser KEM (12-54%) during early to mid-stance at all timepoints. While gait becomes more symmetrical over the first 12 months post-ACLR, the ACLR and uninvolved limbs both demonstrate persistent aberrant gait biomechanics compared to controls. Biomechanical waveforms throughout stance can be generally described as less dynamic following ACL injury and ACLR compared with uninjured controls.
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