Kinematics Analysis of Knee Extensor Apparatus Rearrangement for Recurrent Patellar Dislocation
Department of Sports Medicine,No.1 Affiliated Hospital of Kunming Medical University
2nd Endocrinology Department,No.1 Affiliated Hospital of Kunming Medical University
Abstract:Objective To compare the kinematic changes of knee joint before and after knee extensor apparatus rearrangement in the treatment of recurrent patellar dislocation.Methods 45 patients (45 knees) with recurrent patellar dislocation and anchor-assisted extensor apparatus of the knee rearrangement were selected from the First Affiliated Hospital of Kunming Medical University from January 2016 to October 2021.The knee joint kinematics data of 45 normal subjects were collected,including 45 cases in the operation group.There were 21 males and 24 females,aged from 12 to 16 years old,with an average age of (13.0±1.25)years old.There were 20 cases in the right knee and 25 cases in the left knee.The control group had 45 healthy volunteers,including 23 males and 22 females,aged from 12 to 16 years old,with an average age of (14.0±0.75)years old.There were 22 cases of the right knee and 23 cases of the left knee.The kinematic data of the affected knee joint were recorded before and 12 months after operation,the range of motion,step number and step length of 6 degrees of freedom were compared between the affected knee joint and the normal knee joint 12 months after operation.Results (1)At 12 months after operation,the maximum knee extension angle decreased (P<0.05),the average step decreased (P<0.05),and the average step length changed (P<0.05).(2)12 months after operation,there was no difference in knee joint valgus angle,internal and external rotation angle,flexion and extension angle,anterior and posterior displacement,upper and lower displacement,internal and external displacement,step number and step length between patients and normal subjects (P>0.05).Conclusion (1) Satisfactory early knee function can be obtained in the treatment of recurrent patellar dislocation with rearrangement of extensor apparatus of the knee.(2)Knee joint kinematics analysis can more objectively evaluate the dynamic situation of knee joint before and after operation,which is helpful to evaluate the curative effect.
[1]SanchisAlfonso V,Torga-Spak R,Cortes A.Gait pattern normalization after lateral retinaculum reconstruction for iatrogenic medial patellarinstability[J].Knee,2007,14(6):484-488.
[2]Paulos L,Swanson SC,Stoddard GJ,et al.Surgical correction of limb malalignment for instability of the patella:A comparison of 2 techniques[J].Am J Sports Med,2009,37(7):1288-1300.
[3]Sowiński T,Syczewska M,Kwiatkowski K,et al.Changes in gait pattern in patients with recurrent patella dislocations after tibial tuberosity transfer by modified Elmsllie-Trillat procedure[J].Pol Merkur Lekarski,2010,29(169):30-32.
[4]Carnesecchi O,Philippot R,Boyer B,et al.Recovery of gait pattern after medial patellofemoral ligament reconstruction for objective patellar instability[J].Knee Surg Sports Traumatol Arthrosc,2016,24(1):123-128.
[5]Avvenuti M,Carbonaro N,Cimino MGCA,et al.Smart shoe-assisted evaluation of using a single trunk/pocket-worn accelerometer to detect gait phases[J].Sensors (Basel),2018,18(11):E3811.
[6]Bagheri R,Ebrahimi Takamjani I,Dadgoo M,et al.Gender-related differences in reliability of thorax,lumbar,and pelvis kinematics during gait in patients with non-specific chronic low back pain[J].Ann Rehabil Med,2018,42(2):239-249.
[7]Wang JP,Wang SH,Wang YQ,et al.A data process of human knee joint kinematics obtained by motion-capture measurement[J].BMC Med Inform Decis Mak,2021,21(1):121.
[8]刘德健,李彦林,蔡国锋,等.3D打印截骨导板辅助人工全膝关节置换术早期疗效分析[J].中国修复重建外科杂志,2018,32(7):899-905.
[9]Kang KT,Koh YG,Son J,et al.Finite element analysis of the biomechanical effects of 3 posterolateral corner reconstruction techniques for the knee joint[J].Arthroscopy,2017,33(8):1537-1550.
[10]李晗,王威,王娟,等.步态分析技术在髌骨骨折术后疗效评估中的应用价值[J].中华创伤骨科杂志[J].2013,15(11):932-935.
[11]Golant A,Quach T,Rosen J.Patellofemoral instability:Diagnosis and management[J].Current Issues in Sports and Exercise Medicine,2013(5):87-117.
[12]Balcarek P,Oberthü RS,Hopfensitz S,et al.Which patellae are likely to redislocate?[J].Knee Surg Sports Traumatol Arthrosc,2014,22(10):2308-2314.