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Effects of Alterations in Gait Mechanics on the Development of Osteoarthritis in the ACL-Deficient Knee

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ACL Injuries in the Female Athlete

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Abstract

In this chapter, the kinematic and kinetic changes in the knee after ACL injury are discussed. Human motion analysis supports the observation that altered rotational positions in the ACL-deficient knee lead to changes in tibiofemoral contact during walking. The interaction between altered joint kinematics and the structural and biological components of articular cartilage are explored as an initiating mechanism of premature cartilage degradation following ACL injury. This mechanism provides a framework for studying OA that unifies kinematic and biological investigations and should form the development of techniques to prevent the initiation and progression of OA in the ACL-injured population.

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Acknowledgment

The authors would like to thank Maurice Manring, Ph.D. for his editorial assistance with this manuscript.

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Authors and Affiliations

  1. Department of Orthopaedics, Sports Health & Performance Institute, Ohio State University Sports Medicine Center, 2050 Kenny Rd, Suite 3100, Columbus, OH, 43221, USA

    Ajit M. W. Chaudhari Ph.D.

  2. Ohio State University School of Health & Rehabilitation Sciences, 516 Atwell Hall, 453 W. 10th Ave, Columbus, OH, 43210, USA

    Laura C. Schmitt Ph.D., P.T.

  3. Biomechanical Engineering Division, Stanford University, Durand Building #227, Stanford, CA, 94305-4038, USA

    Thomas P. Andriacchi Ph.D.

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  1. Ajit M. W. Chaudhari Ph.D.
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Correspondence to Ajit M. W. Chaudhari Ph.D. .

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Editors and Affiliations

  1. Cincinnati Sportsmedicine Research and E, Montgomery Road 10663, Cincinnati, 45242, Ohio, USA

    Frank R. Noyes

  2. Cincinnati Sportsmedicine Research and E, Montgomery Road 10663, Cincinnati, 45242, Ohio, USA

    Sue Barber-Westin

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Chaudhari, A.M.W., Schmitt, L.C., Andriacchi, T.P. (2012). Effects of Alterations in Gait Mechanics on the Development of Osteoarthritis in the ACL-Deficient Knee. In: Noyes, F., Barber-Westin, S. (eds) ACL Injuries in the Female Athlete. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32592-2_7

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