The contribution of each anterior cruciate ligament bundle to the Lachman test A CADAVER INVESTIGATION


Christel P. S. , Akgun U. , Yasar T., Karahan M., Demirel B.

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, ss.68-74, 2012 (SCI İndekslerine Giren Dergi)

  • Cilt numarası: Konu: 1
  • Basım Tarihi: 2012
  • Doi Numarası: 10.1302/0301-620x.94b1.26562
  • Dergi Adı: JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME
  • Sayfa Sayısı: ss.68-74

Özet

The clinical diagnosis of a partial tear of the anterior cruciate ligament (ACL) is still subject to debate. Little is known about the contribution of each ACL bundle during the Lachman test. We investigated this using six fresh-frozen cadaveric lower limbs. Screws were placed in the femora and tibiae as fixed landmarks for digitisation of the bone positions. The femur was secured horizontally in a clamp. A metal hook was screwed to the tibial tubercle and used to apply a load of 150 N directed anteroposteriorly to the tibia to simulate the Lachman test. The knees then received constant axial compression and 3D knee kinematic data were collected by digitising the screw head positions in 30 degrees flexion under each test condition. Measurements of tibial translation and rotation were made, first with the ACL intact, then after sequential cutting of the ACL bundles, and finally after complete division of the ACL. Two-way analysis of variance analysis was performed.