{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T12:25:07Z","timestamp":1792844707687,"version":"4.5.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T00:00:00Z","timestamp":1632441600000},"content-version":"vor","delay-in-days":266,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T00:00:00Z","timestamp":1632441600000},"content-version":"vor","delay-in-days":266,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The knee stiffness acquired following an Anterior Cruciate Ligament (ACL) injury might affect clinical knee tests, i.e., the pivot\u2010shift maneuver. In contrast, the motor effects of spinal anesthesia could favor the identification of rotatory knee deficiencies prior to ACL reconstruction. Hence, we hypothesized that the intra\u2010operative pivot\u2010shift maneuver under spinal anesthesia generates more acceleration in the lateral tibial plateau of patients with an injured ACL than without.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seventy patients with unilateral and acute ACL rupture (62\u00a0men and 8 women, IKDC of 55.1\u2009\u00b1\u200913.8\u00a0pts) were assessed using the pivot\u2010shift maneuver before and after receiving spinal anesthesia. A triaxial accelerometer was attached to the skin between Gerdys\u2019 tubercle and the anterior tuberosity to measure the subluxation and reduction phases. Mixed ANOVA and multiple comparisons were performed considering the anesthesia and leg as factors (alpha\u2009=\u20095%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We found a higher acceleration in the injured leg measured under anesthesia compared to without anesthesia (5.12\u2009\u00b1\u20091.56\u2009m.s\n                      <jats:sup>\u2212\u20092<\/jats:sup>\n                      vs. 2.73\u2009\u00b1\u20091.19\u2009m.s\n                      <jats:sup>\u2212\u20092<\/jats:sup>\n                      ,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and compared to the non\u2010injured leg (5.12\u2009\u00b1\u20091.56\u2009m.s\n                      <jats:sup>\u2212\u20092<\/jats:sup>\n                      vs. 3.45\u2009\u00b1\u20091.35\u2009m.s\n                      <jats:sup>\u2212\u20092<\/jats:sup>\n                      ,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). There was a presence of significant interaction between leg and anesthesia conditions (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The pivot\u2010shift maneuver performed under anesthesia identifies better rotatory instability than without anesthesia because testing the pivot\u2010shift without anesthesia underestimates the rotatory subluxation of the knee by an increased knee stiffness. Thus, testing under anesthesia provides a unique opportunity to determine the rotational instability prior to ACL reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40634-021-00396-1","type":"journal-article","created":{"date-parts":[[2021,9,24]],"date-time":"2021-09-24T13:04:03Z","timestamp":1632488643000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Intraoperative pivot\u2010shift accelerometry combined with anesthesia improves the measure of rotatory knee instability in anterior cruciate ligament injury"],"prefix":"10.1002","volume":"8","author":[{"given":"Gast\u00f3n","family":"Caracciolo","sequence":"first","affiliation":[{"name":"Cl\u00ednica MEDS 7691236 Santiago RM Chile"},{"name":"Centro de investigaci\u00f3n en Medicina, Ejercicio Deporte y Salud Cl\u00ednica MEDS 7691236 Santiago RM Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Y\u00e1\u00f1ez","sequence":"additional","affiliation":[{"name":"Cl\u00ednica MEDS 7691236 Santiago RM Chile"},{"name":"Centro de investigaci\u00f3n en Medicina, Ejercicio Deporte y Salud Cl\u00ednica MEDS 7691236 Santiago RM Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rony","family":"Silvestre","sequence":"additional","affiliation":[{"name":"Cl\u00ednica MEDS 7691236 Santiago RM Chile"},{"name":"Centro de investigaci\u00f3n en Medicina, Ejercicio Deporte y Salud Cl\u00ednica MEDS 7691236 Santiago RM Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2429-837X","authenticated-orcid":false,"given":"Carlos","family":"De la Fuente","sequence":"additional","affiliation":[{"name":"Centro de investigaci\u00f3n en Medicina, Ejercicio Deporte y Salud Cl\u00ednica MEDS 7691236 Santiago RM Chile"},{"name":"Applied Neuromechanics Research Group Laboratory of Neuromechanics Federal University of Pampa 97500\u2010970 Uruguaiana RS Brazil"},{"name":"Carrera de Kinesiolog\u00eda Departamento de Cs. de la Salud Facultad de Medicina Pontificia Universidad Cat\u00f3lica de Chile 7820436 Santiago RM Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9ctor","family":"Zamorano","sequence":"additional","affiliation":[{"name":"Cl\u00ednica MEDS 7691236 Santiago RM Chile"},{"name":"Centro de investigaci\u00f3n en Medicina, Ejercicio Deporte y Salud Cl\u00ednica MEDS 7691236 Santiago RM Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandra","family":"Ossio","sequence":"additional","affiliation":[{"name":"Cl\u00ednica MEDS 7691236 Santiago RM Chile"},{"name":"Centro de investigaci\u00f3n en Medicina, Ejercicio Deporte y Salud Cl\u00ednica MEDS 7691236 Santiago RM Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Str\u00f6mb\u00e4ck","sequence":"additional","affiliation":[{"name":"Cl\u00ednica MEDS 7691236 Santiago RM Chile"},{"name":"Centro de investigaci\u00f3n en Medicina, Ejercicio Deporte y Salud Cl\u00ednica MEDS 7691236 Santiago RM Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Abusleme","sequence":"additional","affiliation":[{"name":"Cl\u00ednica MEDS 7691236 Santiago RM Chile"},{"name":"Centro de investigaci\u00f3n en Medicina, Ejercicio Deporte y Salud Cl\u00ednica MEDS 7691236 Santiago RM Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe","family":"P. 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