Current measures of knee joint laxity, such as those found clinically using the KT-2000 arthrometer, are not highly repeatable or reliable by Huber et al. (1997, “Intratester and Intertester Reliability of the KT-1000 Arthrometer in the Assessment of Posterior Laxity of the Knee,” Am. J. Sports Med., 25(4), pp. 479–485). In this study, a noninvasive in vivo magnetic resonance (MR) imaging-based measure of laxity, the knee loading apparatus (KLA) with anterior positioning frame, was evaluated with five normal subjects (repeatability study, n = 3). Effects of hormones and muscle guarding were considered. When compared to the KT-2000, the KLA was found to be more precise (±0.33 mm versus ±1.17 mm) but less reliable (Cronbach's alpha > 0.70 in 0/8 versus 5/8 load levels). Improved control of the initial subject position is recommended for future design iterations. The KLA shows promise as an accurate and reliable tool for measuring in vivo joint and ligament laxity.
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October 2016
Technical Briefs
Application of a Novel Measure of In Vivo Knee Joint Laxity
J. C. Küpper,
J. C. Küpper
Department of Mechanical
and Manufacturing Engineering,
University of Calgary,
Calgary, AB T2N 1N4, Canada
and Manufacturing Engineering,
University of Calgary,
Calgary, AB T2N 1N4, Canada
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L. Westover,
L. Westover
Department of Mechanical and
Manufacturing Engineering,
University of Calgary,
Calgary, AB T2N 1N4, Canada
Manufacturing Engineering,
University of Calgary,
Calgary, AB T2N 1N4, Canada
Search for other works by this author on:
R. Frayne,
R. Frayne
Department of Radiology,
Department of Clinical Neurosciences,
University of Calgary,
Calgary, AB T2N 1N4, Canada;
University of Calgary,
Calgary, AB T2N 1N4, Canada;
Seaman Family Centre,
Foothills Medical Centre,
Alberta Health Services,
Calgary, AB T2N 2T9, Canada
Foothills Medical Centre,
Alberta Health Services,
Calgary, AB T2N 2T9, Canada
Search for other works by this author on:
J. L. Ronsky
J. L. Ronsky
Professor
Department of Mechanical and
Manufacturing Engineering,
Department of Mechanical and
Manufacturing Engineering,
McCaig Centre for Joint Injury and Arthritis Research,
University of Calgary,
Calgary, AB T2N 1N4, Canada;
University of Calgary,
Calgary, AB T2N 1N4, Canada;
Department of Surgery,
Faculties of Kinesiology and Medicine,
Schulich School of Engineering,
Calgary, AB T2N 1N4, Canada;
Faculties of Kinesiology and Medicine,
Schulich School of Engineering,
Calgary, AB T2N 1N4, Canada;
Zymetrix—BOSE Biomaterials & Tissue Engineering
Technology Development Centre,
2500 University Drive NW,
Calgary, AB T2N 1N4, Canada
e-mail: jlronsky@ucalgary.ca
Technology Development Centre,
2500 University Drive NW,
Calgary, AB T2N 1N4, Canada
e-mail: jlronsky@ucalgary.ca
Search for other works by this author on:
J. C. Küpper
Department of Mechanical
and Manufacturing Engineering,
University of Calgary,
Calgary, AB T2N 1N4, Canada
and Manufacturing Engineering,
University of Calgary,
Calgary, AB T2N 1N4, Canada
L. Westover
Department of Mechanical and
Manufacturing Engineering,
University of Calgary,
Calgary, AB T2N 1N4, Canada
Manufacturing Engineering,
University of Calgary,
Calgary, AB T2N 1N4, Canada
R. Frayne
Department of Radiology,
Department of Clinical Neurosciences,
University of Calgary,
Calgary, AB T2N 1N4, Canada;
University of Calgary,
Calgary, AB T2N 1N4, Canada;
Seaman Family Centre,
Foothills Medical Centre,
Alberta Health Services,
Calgary, AB T2N 2T9, Canada
Foothills Medical Centre,
Alberta Health Services,
Calgary, AB T2N 2T9, Canada
J. L. Ronsky
Professor
Department of Mechanical and
Manufacturing Engineering,
Department of Mechanical and
Manufacturing Engineering,
McCaig Centre for Joint Injury and Arthritis Research,
University of Calgary,
Calgary, AB T2N 1N4, Canada;
University of Calgary,
Calgary, AB T2N 1N4, Canada;
Department of Surgery,
Faculties of Kinesiology and Medicine,
Schulich School of Engineering,
Calgary, AB T2N 1N4, Canada;
Faculties of Kinesiology and Medicine,
Schulich School of Engineering,
Calgary, AB T2N 1N4, Canada;
Zymetrix—BOSE Biomaterials & Tissue Engineering
Technology Development Centre,
2500 University Drive NW,
Calgary, AB T2N 1N4, Canada
e-mail: jlronsky@ucalgary.ca
Technology Development Centre,
2500 University Drive NW,
Calgary, AB T2N 1N4, Canada
e-mail: jlronsky@ucalgary.ca
1Corresponding author.
Manuscript received September 11, 2015; final manuscript received July 7, 2016; published online August 8, 2016. Assoc. Editor: Kenneth Fischer.
J Biomech Eng. Oct 2016, 138(10): 104501 (7 pages)
Published Online: August 8, 2016
Article history
Received:
September 11, 2015
Revised:
July 7, 2016
Citation
Küpper, J. C., Westover, L., Frayne, R., and Ronsky, J. L. (August 8, 2016). "Application of a Novel Measure of In Vivo Knee Joint Laxity." ASME. J Biomech Eng. October 2016; 138(10): 104501. https://doi.org/10.1115/1.4034169
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