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General Discussion1899thesis we decided to measure from initial contact up to 200 ms afterwards. Ideally, one would like to see what happens during a game of soccer, for example, with all the movements that go with it. Sport-specific situations include acceleration, deceleration, pivoting, jumping and landing. All of these factors are interesting to evaluate, but also difficult to time when recording data. This would involve going from a 2-second measurement to a 10-minute measurement. That is not realistic with the current techniques, but perhaps in the future artificial intelligence can assist in the processing and analysis of knee kinematics. If this can be automated, more data can be collected towards improving knowledge about knee kinematics in sports.For future purposes, with the use of the data gathered in this thesis a finite element model may be created to evaluate the effect of both neuromuscular influence and bone morphology on dynamic range of tibial rotation and anterior tibial translation. Up to now, altering the posterior tibial slope is mostly reserved for revision cases, but using a finite element model maybe a cut-off point can be calculated to guide clinicians in the decision process of slope-altering osteotomies.There is a need to further investigate the association between knee kinematics and modifiable factors like psychological readiness to return to sports. Now that we have established the strong association between knee kinematics and psychological readiness to return to sports (Chapter 4), it would be of interest to investigate whether there is a causal relationship between the two. If we can identify patients with abnormal knee kinematics and randomise them between cognitive behavioural therapy and routine rehabilitation, we can determine whether the biomechanical outcome can be improved. If not, it may be the case that poor psychological readiness to return to sports is a consequence of poor biomechanics. The patient-specific ACL reconstruction technique needs fine-tuning. A pilot study in patients using a further developed variant of the aiming device as described in Chapter 7 is planned for the near future. First we need to prove the concept of the patient-specific instrument – can we achieve our planned tunnel position using the instrument? The next step would Mark Zee.indd 189 03-01-2024 08:56