July 10, 2026 · The American journal of sports medicine · DOI: 10.1177/03635465261456992

Quantitative Investigation of Tibiofemoral Cartilage Early Degeneration After ACL Reconstruction: An Integrated Biomechanical and Longitudinal MRI Analysis

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This study investigates the biomechanical mechanisms contributing to early cartilage degeneration following anterior cruciate ligament reconstruction (ACLR), specifically examining the role of altered dynamic contact pressure during gait. Through a combination of longitudinal MRI analysis and robotic gait simulations, the authors found significant cartilage thinning and persistent shifts in tibiofemoral pressure centers post-ACLR, suggesting a mechanical pathway that may lead to early osteoarthritis. The findings highlight the potential for using dynamic loading biomarkers to identify individuals at risk and guide targeted interventions in sports medicine.

Jinpeng Lin, Rongshan Cheng, Yuan Yan, Xiaolong Zeng, Wenhan Huang, Tsung-Yuan Tsai, Chunlin Deng, Shaobai Wang, Yu Zhang

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