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Rotatory Laxity of the Human Knee Joint
CHING-JEN WANG; PETER S. WALKER
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From The Hospital for Special Surgery, Affiliated with The New York Hospital-Cornell University Medical College, New York
1974 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1974; 56:161-170 
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Abstract

A method was developed for measuring the rotatory laxity of fresh knee-joint specimens by automatic cyclic rotation. Twenty-seven cadaver specimens were studied at an angle of 25 degrees of flexion. Primary laxity was defined as the rotation for a low torque of ± S kilograms force-centimeter Secondary laxity was the additional rotation at the extremes of motion at the maximum torque applied. There was a wide variation in laxity among different knees, with no discernible correlation with age, sex, race, or body build The menisci played a part in controlling laxity, particularly in the primary laxity phase at high torque. The collateral ligaments were twice as effective as the cruciate ligaments in controlling rotatory laxity. Axial load on the knee greatly reduced rotatory laxity. A 100-kilogram load reduced rotation to 20 per cent of that at zero axial load.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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