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July 1, 1992The American Journal of Sports Medicine

KT-1000 arthrometer: Conscious and unconscious test results using 15, 20, and 30 pounds of force

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Authors

CHCarl L. HighgenbotenUniversity of North TexasAJAllen W. JacksonUniversity of North TexasKJKen A. Jansson

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Implication

Diagnostic study shows greater anterior knee laxity under anesthesia and 30 pounds of force in ACL injuries, indicating increased diagnostic accuracy with higher load.

Key Points

  • To assess the diagnostic validity of KT-1000 arthrometer anterior knee laxity measurements in conscious versus unconscious states at 15, 20, and 30 pounds of force.
  • Evaluated N=68 patients with confirmed anterior cruciate ligament disruption.
  • Performed anterior-posterior drawer tests at 20 degrees of knee flexion during conscious and unconscious states at forces of 15, 20, and 30 pounds.
  • Anterior laxity measurements were significantly higher in the unconscious state compared to the conscious state (P < 0.01), with ACL-disrupted knees showing significantly greater displacement than normal knees (P < 0.01).
  • Differences between injured and uninjured knees enlarged significantly as force increased (P < 0.01), with 81% to 83% demonstrating a side-to-side difference >2 mm at 30 pounds versus 64% to 72% at 20 pounds.
  • A compliance index difference >1 mm occurred in 79% of patients between 15 and 30 pounds, though approximately 20% failed to exceed standard diagnostic laxity thresholds.

Cite This Study

Highgenboten et al. (1992) studied this question.

synapsesocial.com/papers/6a94fe8cc163d75667fa628bhttps://doi.org/10.1177/036354659202000415
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Arthrometric evaluation of knees that have a torn anterior cruciate ligament.1990 · 223 citations
  2. 2Genucom, KT-1000, and Stryker knee laxity measuring device comparisons1989 · 93 citations
  3. 3Instrumented measurement of anterior laxity of the knee.1985 · 750 citations
  4. 4Measurements of Anterior Laxity in Normal and Anterior Cruciate Absent Knees with Two Instrumented Test Devices1987 · 78 citations
  5. 5Measurement of anterior-posterior displacement of the knee. A comparison of the results with instrumented devices and with clinical examination.1990 · 139 citations