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An analysis of normative data on the knee rotatory profile and the usefulness of the Rotatometer, a new instrument for measuring tibiofemoral rotation: the reliability of the knee Rotatometer

Authors
 Ju Hwan Chung  ;  Keun Jung Ryu  ;  Dong Hoon Lee  ;  Kyung Ho Yoon  ;  Yang Woo Park  ;  Hyung Jong Kim  ;  Jae Hwa Kim 
Citation
 Knee Surgery Sports Traumatology Arthroscopy, Vol.23(9) : 2727-2733, 2015 
Journal Title
 Knee Surgery Sports Traumatology Arthroscopy 
ISSN
 0942-2056 
Issue Date
2015
Abstract
PURPOSE: This study proposes a simple and noninvasive instrument called the "Rotatometer" to measure tibiofemoral rotation and investigates its clinical applicability to the assessment of static rotational knee laxity. METHODS: The degree of tibiofemoral rotation was measured for a sample of 94 healthy volunteers with 188 knees by using the Rotatometer. The measurement was made by two independent and blinded examiners in three sessions at one-month intervals. The normative rotational profile and its relationship with gender and age were evaluated, and inter-observer reliability and intra-observer reliability were calculated. RESULTS: Males showed 62° ± 5° of external rotation, whereas females, 64° ± 5°. Males showed 44° ± 5° of internal rotation, whereas females, 49° ± 4°. Females showed significantly higher degrees of rotation than males. Tibiofemoral rotation was not correlated with age, and external rotation and internal rotation had a moderate positive relationship. Inter-observer reliability ranged from 0.84 to 0.91 for external rotation and 0.90 to 0.95 for internal rotation, and intra-observer reliability ranged from 0.69 to 0.89 for external rotation and 0.87 to 0.95 for internal rotation. CONCLUSIONS: The results suggest the Rotatometer to be a simple and noninvasive device with high inter- and intra-observer reliability. The device can provide a normative rotational profile for reference purposes and thus can be used to determine the preoperative and postoperative rotational status of knees with anterior cruciate ligament injuries and compare results from different reconstruction techniques.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/141032
DOI
10.1007/s00167-014-3039-9
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실)
Yonsei Authors
이동훈(Lee, Dong Hoon)
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Full Text
http://link.springer.com/article/10.1007/s00167-014-3039-9
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