{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T20:58:33Z","timestamp":1773608313366,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2012,1,27]],"date-time":"2012-01-27T00:00:00Z","timestamp":1327622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2012,1,27]],"date-time":"2012-01-27T00:00:00Z","timestamp":1327622400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2012,1,27]],"date-time":"2012-01-27T00:00:00Z","timestamp":1327622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2012,1,27]],"date-time":"2012-01-27T00:00:00Z","timestamp":1327622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to measure the in vivo graft tension in anatomic 2\u2010bundle anterior cruciate ligament (ACL) reconstruction during active leg\u2010raising exercise with the knee immobilized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Anatomic double\u2010bundle ACL reconstruction was performed with autogenous semitendinosus tendons in 7 patients while under general anesthesia. Two grafts were fixed with 2 EndoButton\u2010CL devices (Smith &amp; Nephew Endoscopy, Andover, MA) on the femur and were temporarily fixed to 2 tension\u2010adjustable force gauges on the anterior tibial cortex. Then, a knee brace in semi\u2010flexion was put around the knee, and 10 N of initial tension was applied to each graft at 20\u00b0 of flexion. The tension on the anteromedial (AM) and posterolateral (PL) grafts was continuously measured during active leg\u2010raising motion with the knee immobilized after patients had awoken from anesthesia. Then, the tension measurement was repeated during active leg\u2010raising motion with the knee immobilized while a 2\u2010kg weight was fitted around the ankle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In situ graft tension during active leg\u2010raising motion with a knee brace was 10.9 \u00b1 4.0 N for the AM graft and 8.6 \u00b1 5.1 N for the PL graft, whereas the tension with a 2\u2010kg weight around the ankle was 10.9 \u00b1 3.4 N for the AM graft and 9.9 \u00b1 3.6 N for the PL graft. There was no significant difference between each graft in the 2 motions with a paired\n                      <jats:italic>t<\/jats:italic>\n                      test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Graft tension with the knee immobilized with a semi\u2010flexed knee brace during active leg\u2010raising motion was 19.5 N with no weight and 20.8 N with additional weight, both of which were almost equal to the initial graft tension at the time of fixation at 20\u00b0. Thus the leg\u2010raising exercise can be recommended as safe when a semi\u2010flexed knee brace is worn after ACL reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>These findings will help to plan postoperative rehabilitation programs with security.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2011.09.015","type":"journal-article","created":{"date-parts":[[2012,1,31]],"date-time":"2012-01-31T00:14:41Z","timestamp":1327968881000},"page":"532-538","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["In Vivo Graft Tension in Anatomic Double\u2010Bundle Anterior Cruciate Ligament Reconstruction During Active Leg\u2010Raising Motion With the Knee Splinted"],"prefix":"10.1002","volume":"28","author":[{"given":"Tatsuo","family":"Mae","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Osaka University Graduate School of Medicine Osaka Japan"},{"name":"Department of Sports Medicine Osaka Kousei\u2010Nenkin Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konsei","family":"Shino","sequence":"additional","affiliation":[{"name":"Faculty of Comprehensive Rehabilitation Osaka Prefecture University Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norinao","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Osaka Kousei\u2010Nenkin Hospital Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ken","family":"Nakata","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Osaka University Graduate School of Medicine Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazutaka","family":"Kinugasa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Osaka University Graduate School of Medicine Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Yoshikawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Osaka University Graduate School of Medicine Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minoru","family":"Yoneda","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Osaka Kousei\u2010Nenkin Hospital Osaka 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