KiRA:

Kinematic Rapid Assessment

Quantifies the progress of ACL recovery

A ground-breaking solution for clinical examination of joint kinematics.

KiRA quantifies the dynamic laxity of knee by real-time graphs during Pivot shift, Drawer and Lachman test comparing both limbs.

Fast, Effective, Immediate

Capture knee health condition

Greater security in diagnosis!

KiRA is really easy to use

Features

Small and light sensor
iPad based
Free download in App Store
Automatic connection via Bluetooth®
Integration with EHR
PDF report generation

Applications

Brochures

KiRA Catalog

KiRA Flyer

FAQ

Download

Certifications

See the specific section

Videos & Facts

Screenshots

Clinical Evidences

[9]

“A noninvasive acceleration measurement for the pivot shift where the sensor was placed on the skin between the lateral aspect of anterior tibial tuberosity and Gerdy’s tubercle.”

Ahldén M, Hoshino Y, Samuelsson K, Araujo P, Musahl V, Karlsson J

[10]

“Our experience showed us that the use of KiRA accelerometer for quantitative measurement of the PS is both promising and reliable.”

Berruto M, Uboldi F, Gala L, Marelli B, Albisetti W

[11]

“It has been shown to overcome the weaknesses of other available devices and systems. Therefore, since it can be considered a new paradigm in the quantification of pivot shift test, we can recommend its routine use in clinical practice.”

Zaffagnini S, Lopomo S, Signorelli C, Marcheggiani Muccioli GM, Bonanzinga T, Grassi A, Raggi F, Visani A, Marcacci M

[12]

“The KiRA showed an excellent inter- and intra-tester repeatability and it can be used non-invasively in the office to quantify the Lachman test in case of suspected ACL injury and assess ACL surgical reconstruction results.”

Raggi F, Roberti di Sarsina T, Signorelli C, Marcheggiani Muccioli GM, Macchiarola L, Cucurnia L, Romagnoli M, Grassi A, Zaffagnini S

[13]

“ The use of a triaxial accelerometer to quantify the lateral tibial plateau acceleration in the pivot shift test appears to be relevant for detecting an ALL injury on a deficient ACL knee. These findings help provide clinical guidelines for more effective objective measures to diagnose ALL injury, and determine the most effective management for each patient.”

Neri T, Lamotte A, Bonanzinga T, Farizon F, Philippot R

Ayeni OR, Chahal M, Tran MN, Sprague S (2012) Pivot shift as an outcome measure for ACL reconstruction: a systematic review. Knee Surgery, Sports Traumatology, Arthroscopy 20:767–777 https://pubmed.ncbi.nlm.nih.gov/22218828/

Kuroda R, Hoshino Y, Kubo S, Araki D, Oka S, Nagamune K, Kurosaka M (2012) Similarities and differences of diagnostic manual tests for anterior cruciate ligament insufficiency: a global survey and kinematics assessment. Am J Sports Med 40:91–99

https://pubmed.ncbi.nlm.nih.gov/21989128/

Snyder-Mackler L, Fitzgerald GK, Bartolozzi AR, Ciccotti MG (1997) The relationship between passive joint laxity and functional outcome after anterior cruciate ligament injury. Am J Sports Med 25:191–195 https://pubmed.ncbi.nlm.nih.gov/9079172/

Ostrowski JA (2006) Accuracy of 3 diagnostic tests for anterior cruciate ligament tears. J Athl Train 41:120–121

https://pubmed.ncbi.nlm.nih.gov/16619105/

Ahldén M, Araujo P, Hoshino Y, Samuelsson K, Middleton KK, Nagamune K, Karlsson J, Musahl V (2012) Clinical grading of the pivot shift test correlates best with tibial acceleration. Knee Surgery, Sports Traumatology, Arthroscopy 20:708–712

https://pubmed.ncbi.nlm.nih.gov/22215076/

Berruto M, Uboldi F, Gala L, Marelli B, Albisetti W (2013) Is triaxial accelerometer reliable in the evaluation and grading of knee pivot-shift phenomenon? Knee Surg Sports Traumatol Arthrosc 21:981–985 https://pubmed.ncbi.nlm.nih.gov/23392289/ > Download pdf

Lopomo N, Signorelli C, Bonanzinga T, Marcheggiani Muccioli GM, Visani A, Zaffagnini S. Quantitative assessment of pivot-shift using inertial sensors. Knee Surg Sports Traumatol Arthrosc. 2012 Apr;20(4):713-7 https://pubmed.ncbi.nlm.nih.gov/22222615/ > Download pdf

Zaffagnini S, Lopomo N, Signorelli C, Marcheggiani Muccioli GM, Bonanzinga T, Grassi A, Visani A, Marcacci M. Innovative technology for knee laxity evaluation: clinical applicability and reliability of inertial sensors for quantitative analysis of the pivot-shift test. Clin Sports Med. 2013 Jan;32(1):61-70 https://pubmed.ncbi.nlm.nih.gov/23177462/ > Download pdf

Ahldén M, Hoshino Y, Samuelsson K, Araujo P, Musahl V, Karlsson J (2012) Dynamic knee laxity measurement devices. Knee Surgery, Sports Traumatology, Arthroscopy 20(4):621-32. https://pubmed.ncbi.nlm.nih.gov/22210516/

Berruto M, Uboldi F, Gala L, Marelli B, Albisetti W (2013) Is triaxial accelerometer reliable in the evaluation and grading of knee pivot-shift phenomenon? Knee Surg Sports Traumatol Arthrosc. 21(4):981-5. https://pubmed.ncbi.nlm.nih.gov/23392289/

Zaffagnini S, Lopomo S, Signorelli C, Marcheggiani Muccioli GM, Bonanzinga T, Grassi A, Raggi F, Visani A, Marcacci M (2014) Inertial sensors to quantify the pivot shift test in the treatment of anterior cruciate ligament injury. Joints. 2014 Jul-Sep; 2(3): 124–129. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295682/

Raggi F, Roberti di Sarsina T, Signorelli C, Marcheggiani Muccioli GM, Macchiarola L, Cucurnia L, Romagnoli M, Grassi A, Zaffagnini S (2019) Knee Surg Sports Traumatol Arthrosc. 27(8):2698-2703. doi: 10.1007/s00167-018-5306-7. Epub 2018 Nov 24. https://pubmed.ncbi.nlm.nih.gov/30474693/

Neri T, Lamotte A, Bonanzinga T, Farizon F, Philippot R (2019) Comparison of the use of a laximeter and a triaxial accelerometer for Anterolateral ligament injury diagnosis in ACL deficient knee. Orthop J Sports Med. 7(5 suppl3): 2325967119S00206. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6543791/

Our key reference centers

University of Pittsburgh - Pennsylvania - US
Centre Orthopédique Santy - Lyon - France
Istituto Ortopedico Rizzoli - Bologna - Italy
ASST Gaetano Pini CTO - Milano - Italy
Göteborgs Universitet - Göteborg - Sweden
Aspetar Clinic Qatar - Doha - Qatar
Kobe University - Kobe - Japan

What our customers say about us

"Tibial acceleration parameters during the pivot shift test most closely correlated with the clinical grading performed by 12 expert surgeons."

Dr. Mattias Ahldén

University of Göteborg

"Based on our experience, the use of the accelerometer KiRA for quantitative measurement of the PS is both promising and reliable. It has the value of being easy to set up and easy to use in both the clinic and the operating room."

Dr. Massimo Berruto

Orthopedic Surgeon

"KiRA represents a valid non-invasive instrument able to quantify dynamic instability. Also for ambulatory assessment."

Prof. Nicola Francesco Lopomo

Biomedical Engineer

"A further application is the use fo KiRA as a teaching tool to instruct young surgeons to perform the PS test in a more standardized way, ultimately enabling comparison of clinical outcome following ACL reconstruction surgery."

Prof. Stefano Zaffagnini