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大学・研究所にある論文を検索できる 「Steeper lateral posterior tibial slope and greater lateral-medial slope asymmetry correlate with greater preoperative pivot-shift in anterior cruciate ligament injury」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。
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Steeper lateral posterior tibial slope and greater lateral-medial slope asymmetry correlate with greater preoperative pivot-shift in anterior cruciate ligament injury

Kataoka, Kiminari Nagai, Kanto Hoshino, Yuichi Shimabukuro, Masashi Nishida, Kyohei Kanzaki, Noriyuki Matsushita, Takehiko Kuroda, Ryosuke 神戸大学

2022.12.07

概要

Purpose To investigate the association between posterior tibial slope (PTS) and preoperative pivot-shift phenomenon in anterior cruciate ligament (ACL)-injured knees. Methods Fifty unilateral ACL-injured patients (mean age: 28.0 ± 11.4 years, 29 males) who underwent ACL reconstruction were retrospectively included. Patients with a history of injury to the ipsilateral knee joint, concomitant ligament injuries with ACL injury, and/or more than one year from injury to surgery, were excluded. Pivot-shift tests were performed preoperatively under general anaesthesia using an electromagnetic measurement system, and tibial acceleration (m/s2) during the posterior reduction of the tibia was measured. Medial and lateral PTS (°) were measured respectively using high-resolution CT images taken two weeks after surgery. Lateral-medial slope asymmetry was calculated by subtracting medial PTS from lateral PTS (lateral-medial PTS) and we evaluated the correlation between each PTS parameter (medial PTS, lateral PTS, and lateral-medial slope asymmetry) and tibial acceleration during the pivot-shift test. The level of significance was set at p < 0.05. Results Medial PTS was 4.9 ± 2.0°, and lateral PTS was 5.2 ± 1.9°. The lateral-medial slope asymmetry was 0.3 ± 1.6° (range: -2.9 to 3.8). Tibial acceleration during the pivot-shift test in the ACL-injured knee was 1.6 ± 0.1 m/s2. Preoperative tibial acceleration was positively correlated with lateral PTS (r = 0.436, p < 0.01), and lateral-medial slope asymmetry (r = 0.443, p < 0.01), while no significant correlation was found between preoperative tibial acceleration and medial PTS (r = 0.06, p = 0.70). Conclusion Preoperative greater tibial acceleration during the pivot-shift test was associated with steeper lateral PTS and greater lateral-medial slope asymmetry in ACL-injured knees. These findings improve our understanding of anterolateral rotatory knee laxity by linking tibial bony morphology to quantitative measurement of pivot-shift phenomenon. Surgeons should be aware that not only lateral PTS but also lateral-medial slope asymmetry are the factors associated with preoperative pivot-shift.

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参考文献

1. Araki D, Matsushita T, Hoshino Y, Nagai K, Nishida K, Koga H et al (2019) The anterolateral structure of the knee does not afect anterior and dynamic rotatory stability in anterior cruciate ligament injury: quantitative evaluation with the electromagnetic measurement system. Am J Sports Med 47(14):3381–3388

2. Ayeni OR, Chahal M, Tran MN, Sprague S (2012) Pivot shift as an outcome measure for ACL reconstruction: a systematic review. Knee Surg Sports Traumatol Arthrosc 20(4):767–777

3. Bargagliotti M, Benazzo F, Bellemans J, Truijen J, Pietrobono L, Formagnana M et al (2019) The role of the posterolateral tibial slope in the rotational instability of the knee in patients afected by a complete isolated anterior cruciate ligament injury: its value in the decision-making process during the anterolateral ligament reconstruction. Joints 7(3):78–83

4. Batty LM, Firth A, Moatshe G, Bryant DM, Heard M, McCormack RG et al (2021) Association of ligamentous laxity, male sex, chronicity, meniscal injury, and posterior tibial slope with a high-grade preoperative pivot shift: a post hoc analysis of the STABILITY study. Orthop J Sports Med 9(4):232596712110000030

5. Bayer S, Meredith SJ, Wilson K, De Sa D, Pauyo T, Byrne K et al (2020) Knee morphological risk factors for anterior cruciate ligament injury: a systematic review. J Bone Joint Surg Am 102(8):703–718

6. Grood ES, Suntay WJ (1983) A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. J Biomech Eng 105(2):136–144

7. Hashemi J, Chandrashekar N, Mansouri H, Gill B, Slauterbeck JR, Schutt RC et al (2010) Shallow medial tibial plateau and steep medial and lateral tibial slopes: new risk factors for anterior cruciate ligament injuries. Am J Sports Med 38(1):54–62

8. Hiroshima Y, Hoshino Y, Miyaji N, Tanaka T, Araki D, Kanzaki N et al (2020) No diference in postoperative rotational laxity after ACL reconstruction in patients with and without anterolateral capsule injury: quantitative evaluation of the pivot-shift test at 1-year follow-up. Knee Surg Sports Traumatol Arthrosc 28(2):489–494

9. Hoshino Y, Araujo P, Ahlden M, Moore CG, Kuroda R, Zafagnini S et al (2012) Standardized pivot shift test improves measurement accuracy. Knee Surg Sports Traumatol Arthrosc 20(4):732–736

10. Hoshino Y, Araujo P, Ahldén M, Samuelsson K, Muller B, Hofbauer M et al (2013) Quantitative evaluation of the pivot shift by image analysis using the iPad. Knee Surg Sports Traumatol Arthrosc 21(4):975–980

11. Hoshino Y, Hiroshima Y, Miyaji N, Nagai K, Araki D, Kanzaki N et al (2020) Unrepaired lateral meniscus tears lead to remaining pivot-shift in ACL-reconstructed knees. Knee Surg Sports Traumatol Arthrosc 28(11):3504–3510

12. Hoshino Y, Kuroda R, Nagamune K, Yagi M, Mizuno K, Yamaguchi M et al (2007) In vivo measurement of the pivot-shift test in the anterior cruciate ligament-defcient knee using an electromagnetic device. Am J Sports Med 35(7):1098–1104

13. Hoshino Y, Miyaji N, Nishida K, Nishizawa Y, Araki D, Kanzaki N et al (2019) The concomitant lateral meniscus injury increased the pivot shift in the anterior cruciate ligament-injured knee. Knee Surg Sports Traumatol Arthrosc 27(2):646–651

14. Hudek R, Schmutz S, Regenfelder F, Fuchs B, Koch PP (2009) Novel measurement technique of the tibial slope on conventional MRI. Clin Orthop Relat Res 467(8):2066–2072

15. Jonsson H, Riklund-Åhlström K, Lind J (2004) Positive pivot shift after ACL reconstruction predicts later osteoarthrosis: 63 patients followed 5–9 years after surgery. Acta Orthop Scand 75(5):594–599

16. Kanda Y (2013) Investigation of the freely available easy-to-use software “EZR” for medical statistics. Bone Marrow Transplant 48(3):452–458

17. Kolbe R, Schmidt-Hebbel A, Forkel P, Pogorzelski J, Imhof AB, Feucht MJ (2019) Steep lateral tibial slope and lateral-to-medial slope asymmetry are risk factors for concomitant posterolateral meniscus root tears in anterior cruciate ligament injuries. Knee Surg Sports Traumatol Arthrosc 27(8):2585–2591

18. Koo TK, Li MY (2016) A guideline of selecting and reporting intraclass correlation coefcients for reliability research. J Chiropr Med 15(2):155–163

19. Li Y, Hong L, Feng H, Wang Q, Zhang J, Song G et al (2014) Posterior tibial slope infuences static anterior tibial translation in anterior cruciate ligament reconstruction: a minimum 2-year follow-up study. Am J Sports Med 42(4):927–933

20. Miyaji N, Hoshino Y, Tanaka T, Nishida K, Araki D, Kanzaki N et al (2019) MRI-determined anterolateral capsule injury did not afect the pivot-shift in anterior cruciate ligament-injured knees. Knee Surg Sports Traumatol Arthrosc 27(11):3426–3431

21. Musahl V, Grifth C, Irrgang JJ, Hoshino Y, Kuroda R, Lopomo N et al (2016) Validation of quantitative measures of rotatory knee laxity. Am J Sports Med 44(9):2393–2398

22. Musahl V, Karlsson J (2019) Anterior cruciate ligament tear. N Engl J Med 380(24):2341–2348

23. Musahl V, Rahnemai-Azar AA, Costello J, Arner JW, Fu FH, Hoshino Y et al (2016) The infuence of meniscal and anterolateral capsular injury on knee laxity in patients with anterior cruciate ligament injuries. Am J Sports Med 44(12):3126–3131

24. Nagai K, Hoshino Y, Nishizawa Y, Araki D, Matsushita T, Matsumoto T et al (2015) Quantitative comparison of the pivot shift test results before and after anterior cruciate ligament reconstruction by using the threedimensional electromagnetic measurement system. Knee Surg Sports Traumatol Arthrosc 23(10):2876–2881

25. Nishida K, Matsushita T, Hoshino Y, Araki D, Matsumoto T, Niikura T et al (2020) The infuences of chronicity and meniscal injuries on pivot shift in anterior cruciate ligament–defcient knees: quantitative evaluation using an electromagnetic measurement system. Arthroscopy 36(5):1398–1406

26. Pfeifer TR, Kanakamedala AC, Herbst E, Nagai K, Murphy C, Burnham JM et al (2018) Female sex is associated with greater rotatory knee laxity in collegiate athletes. Knee Surg Sports Traumatol Arthrosc 26(5):1319–1325

27. Rahnemai-Azar AA, Abebe ES, Johnson P, Labrum J, Fu FH, Irrgang JJ et al (2017) Increased lateral tibial slope predicts high-grade rotatory knee laxity pre-operatively in ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 25(4):1170–1176

28. Saita Y, Schoenhuber H, Thiébat G, Ravasio G, Pozzoni R, Panzeri A et al (2019) Knee hyperextension and a small lateral condyle are associated with greater quantifed antero-lateral rotatory instability in the patients with a complete anterior cruciate ligament (ACL) rupture. Knee Surg Sports Traumatol Arthrosc 27(3):868–874

29. Salmon LJ, Heath E, Akrawi H, Roe JP, Linklater J, Pinczewski LA (2018) 20-year outcomes of anterior cruciate ligament reconstruction with hamstring tendon autograft: the catastrophic efect of age and posterior tibial slope. Am J Sports Med 46(3):531–543

30. Simon RA, Everhart JS, Nagaraja HN, Chaudhari AM (2010) A casecontrol study of anterior cruciate ligament volume, tibial plateau slopes and intercondylar notch dimensions in ACL-injured knees. J Biomech 43(9):1702–1707

31. Song GY, Zhang H, Wang QQ, Zhang J, Li Y, Feng H (2016) Risk factors associated with grade 3 pivot shift after acute anterior cruciate ligament injuries. Am J Sports Med 44(2):362–369

32. Sundemo D, Blom A, Hoshino Y, Kuroda R, Lopomo NF, Zafagnini S et al (2018) Correlation between quantitative pivot shift and generalized joint laxity: a prospective multicenter study of ACL ruptures. Knee Surg Sports Traumatol Arthrosc 26(8):2362–2370

33. Yamamoto Y, Tsuda E, Maeda S, Naraoka T, Kimura Y, Chiba D et al (2018) Greater laxity in the anterior cruciate ligament–injured knee carries a higher risk of postreconstruction pivot shift: intraoperative measurements with a navigation system. Am J Sports Med 46(12):2859–2864

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