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Description of an evaluation system for knee kinematics in ligament lesions, by means of optical tracking and 3D tomography Please cite this article as: Fernandes TL, Ribeiro DB, da Rocha DC, Albuquerque C, Pereira CAM, Pedrinelli A et al. Descrição de sistema de avaliação da cinemática do joelho em lesões ligamentares a partir de rastreamento óptico e tomografia 3D. Rev Bras Ortop. 2014;49(5):513–19. ,☆☆ ☆☆ Work developed at the Institute of Orthopedics and Traumatology, Hospital das Clínicas, Medical School, Universidade de São Paulo, São Paulo, SP, Brazil.

Objective:

To describe and demonstrate the viability of a method for evaluating knee kine matics, by means of a continuous passive motion (CPM) machine, before and after anterio cruciate ligament (ACL) injury.

Methods:

This study was conducted on a knee from a cadaver, in a mechanical pivot-shif simulator, with evaluations using optical tracking, and also using computed tomography.

Results:

This study demonstrated the viability of a protocol for measuring the rotation an translation of the knee, using reproducible and objective tools (error<0.2mm). The mech anized provocation system of the pivot-shift test was independent of the examiner an always allowed the same angular velocity and traction of 20 N throughout the movement.

Conclusion:

The clinical relevance of this method lies in making inferences about the in viv behavior of a knee with an ACL injury and providing greater methodological quality in futur studies for measuring surgical techniques with grafts in relatively close positions.

Knee joint; Anterior cruciate ligament; X-ray computed tomography


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