Evidence map›Paper›PMID 41307740›Full record

ArticleArchives of orthopaedic and trauma surgery2025

A novel biomechanical measure to determine knee instability after ACLR: variability at knee rotational axis.

Ömer Faruk İlicepınar, Mehmet İmir, Berat Can Cengiz, Senih Gürses, Yiğitcan Menderes, Egemen Turhan, Gürhan Dönmez, Feza Korkusuz

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Article in Archives of orthopaedic and trauma surgery, 2025. 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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5 · Who and what money

Authors and funding

8 authors.

Ömer Faruk İlicepınarDepartment of Sports Medicine, Mardin Training and Research Hospital, Mardin, Turkey. ofilicepinar@gmail.com.
Mehmet İmirFaculty of Engineering Department of Engineering Science, Middle East Technical University, Dumlupinar Blv, 06800, Ankara, Turkey.
Berat Can CengizFaculty of Engineering Department of Engineering Science, Middle East Technical University, Dumlupinar Blv, 06800, Ankara, Turkey.
Senih GürsesFaculty of Engineering Department of Engineering Science, Middle East Technical University, Dumlupinar Blv, 06800, Ankara, Turkey.
Yiğitcan MenderesFaculty of Medicine Department of Sports Medicine, Hacettepe University, 06230, Ankara, Türkiye.
Egemen TurhanFaculty of Medicine Department of Orthopedic Surgery and Traumatology, Hacettepe University, Gevher Nesibe St 3, 06230, Ankara, Türkiye.
Gürhan DönmezFaculty of Medicine Department of Sports Medicine, Hacettepe University, 06230, Ankara, Türkiye.
Feza KorkusuzFaculty of Medicine Department of Sports Medicine, Hacettepe University, 06230, Ankara, Türkiye. feza.korkusuz@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHop distance tests are commonly used to determine when it is safe to return to sports (RTS), but symmetrical test results do not necessarily indicate the absence of biomechanical deficiencies. Three-dimensional motion analysis may quantify ongoing lower extremity instability following anterior cruciate ligament reconstruction (ACLR). MATERIALS AND

methodsWe estimated the instantaneous knee rotation axis during the landing phase of the triple hop test. The angular deviation in the orientation of the knee rotation axis between two successive instants was computed and used as a variability measure at the knee joint rotation in three dimensions.

resultsKnee flexion was less, the duration of the landing interval was shorter, and the variation at the knee rotation axis orientation over landing duration was higher on the operated side. We then classified the participants into two groups due to the threshold (above versus below 90%) defined at the Range of Motion-Limb Symmetry Index. Significantly shorter landing intervals and higher variation at the knee rotation axis orientation over the landing period at the operated side persisted in the below-threshold group only.

conclusionWe suggest an assessment of the variation in the orientation of the knee rotation axis over the hop test landing duration, which has the potential to be utilized for decisions in RTS at ACLR.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionJoint InstabilityKnee JointPostoperative ComplicationsReturn to SportAdultAthletesCross-Sectional StudiesExercise TestHumansMaleRange of Motion, ArticularRotationYoung AdultAnterior cruciate ligamentAnterior cruciate ligament reconstructionBiomechanicsReturn to sportSports injuriesSports medicine

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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.