Hip joint biomechanics in those with and without post-traumatic knee osteoarthritis after anterior cruciate ligament injury.
Hip joint biomechanics in those with and without post-traumatic knee osteoarthritis after anterior cruciate ligament injury.
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DOI：
10.1016/j.clinbiomech.2017.10.001
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Snyder-Mackler L
中科院分区：
文献类型：
--
作者：
Wellsandt E;Zeni JA;Axe MJ;Snyder-Mackler L
前交叉韧带损伤导致膝关节和髋关节的运动学和动力学改变，即使手术重建和康复也会持续存在。异常运动模式和骨关节炎病史是其他关节关节软骨退变的危险因素。本研究的目的是确定前交叉韧带损伤和重建后早期髋关节生物力学是否在重建后5年有和没有创伤后膝关节骨关节炎的患者之间存在差异。该研究的基本原理是，前交叉韧带损伤后发生膝关节骨关节炎的个体也可能表现出髋关节生物力学的巨大变化。19名前交叉韧带损伤的运动员在术前（基线）和术后（训练后）以及重建后6个月、1年和2年完成了标准步态分析。重建后5年完成负重膝关节X线片，以识别内侧间室骨关节炎。19例患者中有5例在前交叉韧带重建术后5年发生膝关节骨关节炎。与无膝关节骨关节炎的患者相比，5年时膝关节骨关节炎患者在重建前和重建后受伤肢体的矢状面髋关节角度（P：0.043）、下矢状面（P：0.021）和额状面（P：0.042）髋关节外力矩较小。目前的研究结果表明，髋关节生物力学可能会改变谁发展创伤后膝关节骨关节炎的患者。前交叉韧带损伤后非创伤性髋关节病变的风险是否增加，以及髋关节生物力学是否影响其发展，还需要进一步研究。
Anterior cruciate ligament injury results in altered kinematics and kinetics in the knee and hip joints that persist despite surgical reconstruction and rehabilitation. Abnormal movement patterns and a history of osteoarthritis are risk factors for articular cartilage degeneration in additional joints. The purpose of this study was to determine if hip joint biomechanics early after anterior cruciate ligament injury and reconstruction differ between patients with and without post-traumatic knee osteoarthritis 5 years after reconstruction. The study’s rationale was that individuals who develop knee osteoarthritis after anterior cruciate ligament injury may also demonstrate large alterations in hip joint biomechanics. Nineteen athletes with anterior cruciate ligament injury completed standard gait analysis before (baseline) and after (post-training) extended pre-operative rehabilitation and at 6 months, 1 year, and 2 years after reconstruction. Weightbearing knee radiographs were completed 5 years after reconstruction to identify medial compartment osteoarthritis. Five of 19 patients had knee osteoarthritis at 5 years after anterior cruciate ligament reconstruction. Patients with knee osteoarthritis at 5 years walked with smaller sagittal plane hip angles (P: 0.043) and lower sagittal (P: 0.021) and frontal plane (P: 0.042) external hip moments in the injured limb before and after reconstruction compared to those without knee osteoarthritis. The current findings suggest hip joint biomechanics may be altered in patients who develop post-traumatic knee osteoarthritis. Further study is needed to confirm whether the risk of non-traumatic hip pathology is increased after anterior cruciate ligament injury and if hip joint biomechanics influence its development.
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影响因子：
4.8
作者：
Hurd, Wendy J.;Axe, Michael J.;Snyder-Mackler, Lynn
通讯作者：
Snyder-Mackler, Lynn
影响因子：
7
作者：
Gillam, M. H.;Lie, S. A.;Ryan, P.
通讯作者：
Ryan, P.
影响因子：
1.8
作者：
Di Stasi, Stephanie L.;Snyder-Mackler, Lynn
通讯作者：
Snyder-Mackler, Lynn
影响因子：
1.8
作者：
Patterson, Matthew R.;Delahunt, Eamonn;Caulfield, Brian
通讯作者：
Caulfield, Brian
DOI：
10.2106/00004623-199808000-00006
发表时间：
1998-08-01
影响因子：
5.3
作者：
Irrgang, JJ;Snyder-Mackler, L;Harner, CD
通讯作者：
Harner, CD