Evidence map›Paper›PMID 39840128›Full record

ArticleFrontiers in bioengineering and biotechnology2024

Why do patients with isolated PCL rupture experience no subjective knee joint instability during walking? An

Mingfeng Lu, Wei Chen, Jinpeng Lin, Wenhan Huang, Junqing Gao, Lilian Zhao, Shilin Li, Lilei He, Yu Zhang

Abstract read
In one paragraph

Article in Frontiers in bioengineering and biotechnology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Mingfeng LuThe Eighth Clinical Medical College, Guangzhou University of Chinese Medicine, Foshan City, China.
Wei ChenDepartment of Rehabilitation Therapy Teaching and Research, Gannan Health Vocational College, Gan Zhou, China.
Jinpeng LinSchool of Materials Science and Engineering (National Engineering Research Center for Tissue Restoration and Reconstruction), South China University of Technology, Guangzhou, China.
Wenhan HuangDepartment of Orthopaedics, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical Universit, Guangzhou, China.
Junqing GaoThe Eighth Clinical Medical College, Guangzhou University of Chinese Medicine, Foshan City, China.
Lilian ZhaoDepartment of Sports Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan, China.
Shilin LiThe Eighth Clinical Medical College, Guangzhou University of Chinese Medicine, Foshan City, China.
Lilei HeDepartment of Sports Medicine, Foshan Hospital of Traditional Chinese Medicine, Foshan, China.
Yu ZhangDepartment of Orthopaedics, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical Universit, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this study is to assess the kinematic changes in the knee joint during walking in patients with isolated PCL-deficiency (PCLD) to determine the presence of walking-related joint instability (mechanical instability-abnormal displacement form structural damage). Additionally, the study seeks to provide biomechanical insights into the observed differences between subjective and objective assessments. Methods: 35 healthy volunteers and 27 patients with isolated PCLD (both involved and uninvolved sides) were included in the study. All participants walked on a treadmill at a self-selected comfortable speed. An optical 3D motion capture system was employed to collect six degrees of freedom kinematic data of the knee joint during walking. Statistical Parametric Mapping (SPM) was employed, using independent and paired t-tests to evaluate differences between the healthy control group and the PCLD group, as well as between the involved and uninvolved sides, respectively. Results: Compared with the healthy control group, posterior tibial displacement (the main indicator for anterior-posterior instability) of the involved limb was significantly decreased during 79%-94%. additionally, knee flexion angles of the involved limb were significantly increased compared with healthy control group during 0%-5% and 95%-99% of the gait cycle and significantly decreased during 66%-87%; In the uninvolved side, adaptive gait changes were observed, with knee flexion angles significantly reduced during 20%-50% and 64%-89% of the gait cycle and posterior tibial displacement significantly reduced during 60%-94% compared with the healthy control group; Compared to the uninvolved limb, the involved limb showed increased internal rotation during 62%-71% of the gait cycle and increased knee flexion during 8%-53%, with no significant differences in other dimensions. Conclusion: From a biomechanical perspective, patients with PCL rupture exhibit no joint instability during walking. Compared to the healthy control group, the involved leg shows a significant reduction in posterior tibial displacement and a diminished range of knee flexion. Clinical evaluations of PCLD should incorporate dynamic functional assessments, thereby providing a more comprehensive basis for treatment decisions.

Indexed as

biomechanicsgaitjoint instabilitykinematicposterior cruciate ligament

Identifiers

PMID39840128
PMCPMC11747807

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.