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Cited by 272

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The 6 Degrees of Freedom Kinematics of the Knee after Anterior Cruciate Ligament Deficiency: An in Vivo Imaging Analysis

DeFrate, Louis E., Papannagari, Ramprasad, Gill, Thomas J., Moses, Jeremy M., Pathare, Neil P., Li, Guoan·2006·The American Journal of Sports Medicine

Abstract

Background: Previous studies of knee joint function after anterior cruciate ligament deficiency have focused on measuring anterior-posterior translation and internal-external rotation. Few studies have measured the effects of anterior cruciate ligament deficiency on 6 degrees of freedom knee kinematics in vivo. Objective: To measure the 6 degrees of freedom knee kinematics of patients with anterior cruciate ligament deficiency. Study Design: Controlled laboratory study. Methods: The knee joint kinematics of 8 patients with unilateral anterior cruciate ligament rupture was measured during a quasi-static lunge. Kinematics was measured from full extension to 90° of flexion using imaging and 3-dimensional modeling techniques. The healthy, contralateral knee of each patient served as a control. Results: Anterior cruciate ligament deficiency caused a statistically significant anterior shift (approximately 3 mm) and internal rotation of the tibia (approximately 2°) at low flexion angles. However, ligament deficiency also caused a medial translation of the tibia (approximately 1 mm) between 15° and 90° of flexion. Conclusion: The medial shift of the tibia after anterior cruciate ligament deficiency might alter contact stress distributions in the tibiofemoral cartilage near the medial tibial spine. These findings correlate with the observation that osteoarthritis in patients with anterior cruciate ligament injuries is likely to occur in this region. Clinical Relevance: The data from this study suggest that future anterior cruciate ligament reconstruction techniques should reproduce not only anterior stability but also medial-lateral stability.

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Metadata

Authors
DeFrate, L. E., Papannagari, R., Gill, T. J., Moses, J. M., Pathare, N. P., & Li, G.
Venue
The American Journal of Sports Medicine
Published
2006-08
Volume
34
Issue
8
Pages
1240-1246
ISSN
  • 0363-5465 (ISSN-L)
  • 1552-3365
OpenAlex
W1994110560
Cited by
272
References
26
FWCI
13.71
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The 6 Degrees of Freedom Kinematics of the Knee after Anterior Cruciate Ligament Deficiency: An in Vivo Imaging Analysis. https://app.cochat.ai/papers/10.1177/0363546506287299
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DeFrate, L. E., Papannagari, R., Gill, T. J., Moses, J. M., Pathare, N. P., & Li, G. (2006). The 6 Degrees of Freedom Kinematics of the Knee after Anterior Cruciate Ligament Deficiency: An in Vivo Imaging Analysis. The American Journal of Sports Medicine. https://doi.org/10.1177/0363546506287299

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