Source:http://linkedlifedata.com/resource/pubmed/id/11292040
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2001-4-6
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pubmed:abstractText |
The relationship between the elongation values of an autogenous bone-patellar tendon-bone graft immediately after fixation and the anterior-posterior laxity of the knee 5 years later was studied in vivo. Immediately after fixation, the change in the graft midsubstance length during passive knee flexion-extension was measured using a Hall-effect transducer, and anterior-posterior knee laxity was measured with the KT-1000 arthrometer. Subjects were divided into group 1 (N = 6), with graft elongation values bounded by the 95% confidence intervals of the normal anterior cruciate ligament elongation values, and group 2 (N = 7), subjects with values outside these intervals. Immediately after reconstruction, the side-to-side difference in anterior-posterior laxity between the reconstructed and uninjured knees was not different between group 1 (-2.6 +/- 0.7 mm, mean +/- SEM) and group 2 (-1.7 +/- 1.0 mm) (P = 0.49). At 5-year follow-up, the difference was 1.2 +/- 0.7 mm for group 1, while for group 2 it was significantly greater at 4.7 +/- 0.6 mm (P = 0.004). At surgery, graft elongation values produced by flexion of the knee that are outside the limits of the anterior cruciate ligament result in significant increases in anterior knee laxity at long-term follow-up, while grafts with elongation values similar to the normal anterior cruciate ligament do not. Not only is restoration of anterior-posterior laxity values to within normal limits important, but the biomechanical behavior of the graft produced by flexion-extension of the knee should be appreciated.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0363-5465
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
29
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
161-6
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:11292040-Adult,
pubmed-meshheading:11292040-Anterior Cruciate Ligament,
pubmed-meshheading:11292040-Biomechanics,
pubmed-meshheading:11292040-Bone Transplantation,
pubmed-meshheading:11292040-Female,
pubmed-meshheading:11292040-Follow-Up Studies,
pubmed-meshheading:11292040-Humans,
pubmed-meshheading:11292040-Joint Instability,
pubmed-meshheading:11292040-Male,
pubmed-meshheading:11292040-Postoperative Complications,
pubmed-meshheading:11292040-Statistics, Nonparametric,
pubmed-meshheading:11292040-Tendons,
pubmed-meshheading:11292040-Time Factors,
pubmed-meshheading:11292040-Transplantation, Autologous
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pubmed:articleTitle |
The elongation behavior of the anterior cruciate ligament graft in vivo. A long-term follow-up study.
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pubmed:affiliation |
Department of Orthopaedics and Rehabilitation, University of Vermont, Burlington 05450, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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