Knee joint gait function in patients with ACL rupture before and after the surgery

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Abstract

Materials and methods. The authors studied gait biomechanics in respect of time, velocity and dynamics in 34 patients with verified ACL rupture including 11 patients (first group) before the surgery and 23 patients (second group) after the surgery. Patients of the first group were followed in the period from 1 week up to 6 years (mean – 18 months), of the second group – from 1.5 months up to 5.5 years (mean – 13 months). Patients of the second group underwent standard arthroscopic ACL reconstruction with semitendinous and gracillis tendon autograft. Biomechanical gait examination was performed using strap down inertial motion sensors that register rotation angles in space. The authors measured time phases of gait cycle, movements in hip and knee joints in three mutually perpendicular planes as well as walking shock load.

Results. Time phases of gait cycle in both groups demonstrated normal values both on healthy and affected limbs. Movements in hip and knee joints were within the normal range, no reliable differences in the analogous indices for each limb were reported. Shock load in walking was registered within 1.6 g, symmetrical on both sides; shock load dynamics was absent in the group of patients after the surgery. Study results did not identify functional disorders during random flat surface waking that would be specific for ACL lesion as compared to normal values and to intact limb. However, a certain tendency was observed towards an increase of flexion-extension movement range in the knees following ACL reconstruction. The reported differences were not credible.

Conclusion. The authors did not observe any specific functional knee joint instability during normal activities in the first group of patients with ACL rupture. On the one hand, that means that ACL lesion does not manifest in such circumstances, on the other - knee joint instability does not progress during flat surface walking at a random pace. The obtained results give certain ground to reconsider the concept of “knee joint instability”.

About the authors

A. A. Akhpashev

Peoples’ Friendship University of Russia, ul. Miklukho-Maklaya, 6, Moskva, Russia, 117198

Author for correspondence.
Email: akhpashev@yandex.ru

adjunct-professor of chair of traumatology, orthopedics and arthrology Peoples’ Friendship University of Russia

Russian Federation

N. V. Zagorodniy

Peoples’ Friendship University of Russia, ul. Miklukho-Maklaya, 6, Moskva, Russia, 117198

Email: fake@neicon.ru
professor, chief of chair of traumatology and orthopedics Peoples’ Friendship University of Russia Russian Federation

A. S. Kanaev

Peoples’ Friendship University of Russia, ul. Miklukho-Maklaya, 6, Moskva, Russia, 117198

Email: fake@neicon.ru

professor, chief of chair of traumatology, orthopedics and arthrology Peoples’ Friendship University of Russia

Russian Federation

S. N. Kaurkin

Federal clinical research center FMBA of Russia, Orekhovyy bul’var, 28, Moskva, Russia, 115682

Email: fake@neicon.ru
research assistant, Federal Clinical Research Center FMBA of Russia Russian Federation

D. V. Skvortsov

Federal clinical research center FMBA of Russia, Orekhovyy bul’var, 28, Moskva, Russia, 115682

Email: fake@neicon.ru

professor, chief of the Center of Sport Medicine and rehabilitation of Federal Clinical Research Center FMBA of Russia

Russian Federation

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Cited-by

CrossRef: 3

  1. Skvortsov D, Kaurkin S, Goncharov E, Akhpashev A. Knee joint function and walking biomechanics in patients in acute phase anterior cruciate ligament tear. International Orthopaedics. 2020;44(5):885. doi: 10.1007/s00264-020-04485-1
  2. Udochkina LA, Grinberg EB, Galushko TG. Comprehensive Assessment of the Knee Joint Structures in Young Men and Men of the First Period of Adulthood Using Sonography. Journal of Anatomy and Histopathology. 2021;9(4):78. doi: 10.18499/2225-7357-2020-9-4-78-83
  3. Skvortsov DV, Churkin SN, Akhpashev AA, Agzamov DS, Kanaev AS, Lobov AN, et al. Biomechanics of walking before and after surgical treatment of damaged menisci of the knee joint. Rheumatology Science and Practice. 2019;57(1):106. doi: 10.14412/1995-4484-2019-106-110

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