Sagittal knee laxity is often quantified using arthrometers. Adding rotational laxity and compliance measurementsis relatively new and could bring new information for anterior cruciate ligament (ACL) injury diagnosis....Sagittal knee laxity is often quantified using arthrometers. Adding rotational laxity and compliance measurementsis relatively new and could bring new information for anterior cruciate ligament (ACL) injury diagnosis. TheDYNEELAX® is a new knee arthrometer able to evaluate simultaneously tibial translation and rotation. Thepurpose is to assess the sensitivity, reproducibility and repeatability of the DYNEELAX® with a prototype leg toprovide accurate instructions before using it in clinical practice. Sensitivity is studied by varying 7 parameters(positioning and sensors), and reproducibility by repeating measurement series with a group of two experiencedoperators and a group of two non-experienced operators. Repeatability is assessed throughout the study. Theresults showed that DYNEELAX® is poorly sensitive to the angle and the position of the displacement sensor, andthe angle of the rotation sensor. It is a bit sensitive to positioning of patella and ankle supports. It is very sensitiveto the tightening of the patella and ankle supports. It exists a significant difference only between groups (p <0.001), but there is no significant difference between the two experienced operators (p > 0.215), or between thetwo non-experienced operators (p > 0.229). Variation coefficients for intra-series are on average inferior to 5% fortranslation and rotation tests. Then, the DYNEELAX® presented encouraging results with a good accuracy and agood reliability but operators must be careful about positioning.展开更多
基金The ethics committee of our institution approved our study protocol and amendments(n°22.04729.000226).
文摘Sagittal knee laxity is often quantified using arthrometers. Adding rotational laxity and compliance measurementsis relatively new and could bring new information for anterior cruciate ligament (ACL) injury diagnosis. TheDYNEELAX® is a new knee arthrometer able to evaluate simultaneously tibial translation and rotation. Thepurpose is to assess the sensitivity, reproducibility and repeatability of the DYNEELAX® with a prototype leg toprovide accurate instructions before using it in clinical practice. Sensitivity is studied by varying 7 parameters(positioning and sensors), and reproducibility by repeating measurement series with a group of two experiencedoperators and a group of two non-experienced operators. Repeatability is assessed throughout the study. Theresults showed that DYNEELAX® is poorly sensitive to the angle and the position of the displacement sensor, andthe angle of the rotation sensor. It is a bit sensitive to positioning of patella and ankle supports. It is very sensitiveto the tightening of the patella and ankle supports. It exists a significant difference only between groups (p <0.001), but there is no significant difference between the two experienced operators (p > 0.215), or between thetwo non-experienced operators (p > 0.229). Variation coefficients for intra-series are on average inferior to 5% fortranslation and rotation tests. Then, the DYNEELAX® presented encouraging results with a good accuracy and agood reliability but operators must be careful about positioning.
