Posterior Cruciate Ligament Tear Clinical Trial
Official title:
The Biomechanical Mechanism for Gait and Plantar Pressure Changes After Posterior Cruciate Ligament Rupture and Reconstruction
Investigating the biomechanics for the PCL ruptured or reconstructed patients during walking, jogging, cutting, jumping. To establish a knee joint biomechanical evaluation model to quantify and evaluate the plantar pressure information under dynamic load-bearing state after PCL fracture. Provide a precise basis for the biomechanical state of the knee, and establish a clinically practical automatic analysis of plantar pressure information and an expert diagnostic system.
Background: The posterior cruciate ligament (PCL) is an essential structure in knee
stabilization. Knee cartilage degeneration after a PCL injury has been reported in several
studies. Understanding the changes in movement patterns of patients with PCL ruptures could
help clinicians make specific treatment protocols to restore patients' sporting ability and
prevent joint degeneration. However, the kinematics and kinetics of the lower limb in
patients with PCL injuries are still not clear.
Methods: Three-dimensional gait analysis system, force plate, electromyography will be used
for 55 healthy male participants (control group) and 55 male patients with isolated
PCL-deficiency (PCL-d group) during walking, jogging, cutting, jumping. Repeated measurement
two-factor analysis of variance will be performed to determine differences between involved
and uninvolved legs in the PCL-d group and control group at different rehabilitation times
(prior reconstruction surgery, 6 months, and 1-year post PCL reconstruction surgery).
Three-dimensional gait analysis and computer-aided analysis technology of plantar pressure
information were used to study the changes of PCL after fracture and reconstruction. Based on
the plantar pressure information, the movement parameters, and individual attribute
parameters, establish a knee joint biomechanical evaluation model to quantify and evaluate
the plantar pressure information under dynamic load-bearing state after PCL fracture. Provide
a precise basis for the biomechanical state of the knee, and establish a clinically practical
automatic analysis of plantar pressure information and an expert diagnostic system.
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