Prognosis of anterior cruciate ligament reconstruction: a data-driven approach

• Published in: Proceedings of the Royal Society. A, Mathematical, physical, and engineering sciences Vol. 471; no. 2176; p. 20140526
• Main Authors: Chandra, Abhijit, Kar, Oliva, Wu, Kuan-Chuen, Hall, Michelle, Gillette, Jason
• Format: Journal Article
• Language: English
• Published: England 08.04.2015
• Subjects: anterior cruciate ligament reconstruction; data driven; energy dissipation rate; multi-scale; prognosis
• ISSN: 1364-5021; 1471-2946
• DOI: 10.1098/rspa.2014.0526

Individuals who suffer anterior cruciate ligament (ACL) injury are at higher risk of developing knee osteoarthritis (OA) and almost 50% display symptoms 10-20 years post injury. ( ) . Accordingly, a multi-scale formulation for data-driven prognosis (DDP) of post-ACLR is developed. Unlike traditional predictive strategies that require controlled off-line measurements or 'training' for determination of constitutive parameters to derive the transitional statistics, the proposed DDP algorithm relies solely on measurements. The proposed DDP scheme is capable of predicting onset of instabilities. As the need for off-line testing (or training) is obviated, it can be easily implemented for ACLR, where such controlled testing is almost impossible to conduct. The DDP algorithm facilitates hierarchical handling of the large dataset and can assess the state of recovery in post-ACLR conditions based on data collected from stair ascent and descent exercises of subjects. The DDP algorithm identifies inefficient knee varus motion and knee rotation as primary difficulties experienced by some of the post-ACLR population. In such cases, levels of energy dissipation rate at the knee, and its fluctuation may be used as measures for assessing progress after ACL reconstruction.