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The contralateral knee is a good predictor for determining normal knee stability : a cadaveric study

Nele Arnout (UGent) , Matthias Verstraete (UGent) , Jan Victor (UGent) , Johan Bellemans, Thomas Tampere (UGent) and Amélie Chevalier (UGent)
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Abstract
Purpose The goal is to evaluate contralateral knee joint laxity and ascertain whether or not contralateral symmetry is observable. Secondary, a validation of a knee laxity testing rig is provided. Methods Seven pairs of cadaveric knee specimens have been tested under passive conditions with and without external loads, involving a varus/valgus and an external/internal rotational torque and an anteroposterior shear force. Results Through the range of motion, the width of the varus/valgus laxity, internal/external laxity and anterior/posterior laxity for the medial and lateral compartment show no significant differences between left and right leg. These findings allow us to validate the setup, especially for relative values of laxity based on anatomical measures and knee joint biomechanics. Conclusion A multidirectional laxity symmetry has been demonstrated for the intact knee and its contralateral knee in passive conditions as in an anesthetized patient. The passive laxity evaluation setup has been validated. Our work furthermore demonstrated a pronounced difference in anteroposterior mobility between the medial and lateral compartment of the knee, with a more stable medial side and more mobile lateral side. Level of evidence Level IV, Case series
Keywords
Knee, Stability, Side difference, Knee laxity, Total knee replacement, Total knee arthroplasty

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MLA
Arnout, Nele, et al. “The Contralateral Knee Is a Good Predictor for Determining Normal Knee Stability : A Cadaveric Study.” KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, vol. 30, 2022, pp. 1316–24, doi:10.1007/s00167-021-06575-y.
APA
Arnout, N., Verstraete, M., Victor, J., Bellemans, J., Tampere, T., & Chevalier, A. (2022). The contralateral knee is a good predictor for determining normal knee stability : a cadaveric study. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 30, 1316–1324. https://doi.org/10.1007/s00167-021-06575-y
Chicago author-date
Arnout, Nele, Matthias Verstraete, Jan Victor, Johan Bellemans, Thomas Tampere, and Amélie Chevalier. 2022. “The Contralateral Knee Is a Good Predictor for Determining Normal Knee Stability : A Cadaveric Study.” KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY 30: 1316–24. https://doi.org/10.1007/s00167-021-06575-y.
Chicago author-date (all authors)
Arnout, Nele, Matthias Verstraete, Jan Victor, Johan Bellemans, Thomas Tampere, and Amélie Chevalier. 2022. “The Contralateral Knee Is a Good Predictor for Determining Normal Knee Stability : A Cadaveric Study.” KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY 30: 1316–1324. doi:10.1007/s00167-021-06575-y.
Vancouver
1.
Arnout N, Verstraete M, Victor J, Bellemans J, Tampere T, Chevalier A. The contralateral knee is a good predictor for determining normal knee stability : a cadaveric study. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY. 2022;30:1316–24.
IEEE
[1]
N. Arnout, M. Verstraete, J. Victor, J. Bellemans, T. Tampere, and A. Chevalier, “The contralateral knee is a good predictor for determining normal knee stability : a cadaveric study,” KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, vol. 30, pp. 1316–1324, 2022.
@article{8705419,
  abstract     = {{Purpose The goal is to evaluate contralateral knee joint laxity and ascertain whether or not contralateral symmetry is observable. Secondary, a validation of a knee laxity testing rig is provided. Methods Seven pairs of cadaveric knee specimens have been tested under passive conditions with and without external loads, involving a varus/valgus and an external/internal rotational torque and an anteroposterior shear force. Results Through the range of motion, the width of the varus/valgus laxity, internal/external laxity and anterior/posterior laxity for the medial and lateral compartment show no significant differences between left and right leg. These findings allow us to validate the setup, especially for relative values of laxity based on anatomical measures and knee joint biomechanics. Conclusion A multidirectional laxity symmetry has been demonstrated for the intact knee and its contralateral knee in passive conditions as in an anesthetized patient. The passive laxity evaluation setup has been validated. Our work furthermore demonstrated a pronounced difference in anteroposterior mobility between the medial and lateral compartment of the knee, with a more stable medial side and more mobile lateral side. Level of evidence Level IV, Case series}},
  author       = {{Arnout, Nele and Verstraete, Matthias and Victor, Jan and Bellemans, Johan and Tampere, Thomas and Chevalier, Amélie}},
  issn         = {{0942-2056}},
  journal      = {{KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY}},
  keywords     = {{Knee,Stability,Side difference,Knee laxity,Total knee replacement,Total knee arthroplasty}},
  language     = {{eng}},
  pages        = {{1316--1324}},
  title        = {{The contralateral knee is a good predictor for determining normal knee stability : a cadaveric study}},
  url          = {{http://doi.org/10.1007/s00167-021-06575-y}},
  volume       = {{30}},
  year         = {{2022}},
}

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