Digital measurement of anterolateral knee laxity using strain sensors

• Published in: Archives of orthopaedic and trauma surgery Vol. 143; no. 11; pp. 6719 - 6729
• Main Authors: Mayr, Hermann O., Rosenstiel, Nikolaus, Prakash, Karthika S., Comella, Laura M., Woias, Peter, Schmal, Hagen, Seidenstuecker, Michael
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.11.2023; Springer Nature B.V
• Subjects: Arthroscopy and Sports Medicine; Knee; Medicine; Medicine & Public Health; Orthopedics; Sensors; Measurement knee rotation; Digital measurement; Anterolateral knee laxity; Rotational laxity knee; Strain sensors
• ISSN: 1434-3916; 0936-8051; 1434-3916
• DOI: 10.1007/s00402-023-05024-4

Purpose The ambition of the research group was to develop a sensor-based system that allowed the transfer of results with strain sensors applied to the knee joint. This system was to be validated in comparison to the current static mechanical measurement system. For this purpose, the internal rotation laxity of the knee joint was measured, as it is relevant for anterolateral knee laxity and anterior cruciate ligament (ACL) injury. Methods This is a noninvasive measurement method using strain sensors which are applied to the skin in the course of the anterolateral ligament. The subjects were placed in supine position. First the left and then the right leg were clinically examined sequentially and documented by means of an examination form. 11 subjects aged 21 to 45 years, 5 women and 6 men were examined. Internal rotation of the lower leg was performed with a torque of 2 Nm at a knee flexion angle of 30°. Results Comparison of correlation between length change and internal knee rotation angle showed a strong positive correlation ( r  = 1, p  < 0.01). Whereas females showed a significant higher laxity vs. males ( p  = 0.003). Conclusions The present study showed that the capacitive strain sensors can be used for reproducible measurement of anterolateral knee laxity. In contrast to the previous static systems, a dynamic measurement will be possible by this method in the future.