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Review Question - QID 324

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QID 324 (Type "324" in App Search)
Following ACL reconstruction, which of the following tests most closely correlates with patient satisfaction with their reconstructed knee?

KT-1000 manual maximum value

14%

228/1661

Lachman's test

14%

237/1661

Anterior drawer test

4%

59/1661

Pivot shift test

62%

1031/1661

Cybex testing

6%

97/1661

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The pivot-shift examination may be a better measure of "functional instability" than instrumented knee laxity or Lachman examination following anterior cruciate ligament reconstruction.

Kocher et al in a study looking at 202 post ACL-reconstruction patients found that the pivot shift test was the only test significantly associated with patient satisfaction, knee giving away, difficulty cutting and twisting, activity limitation, sports participation, Lysholm score, and overall knee function. KT-1000 is an instrument to measure the anterior translation of the tibia.

Video V demonstrates the pivot shift test.

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