The Displacement of the Bony Insertion Sites of the Anterior Cruciate Ligament during the Flexion of the Knee

  • J. M. Doriot
  • P. Christel
  • A. Meunier
  • J. Witvoet
Part of the Developments in Biomechanics book series (DEBI, volume 1)

Abstract

The function of the anterior cruciate ligament (ACL) of the knee in relation to knee stability and its mechanical properties is well documented in the litterature and is the subject of numerous papers (1 to 5). Several reconstructive procedures exist for treating ACL insufficiency (6 to 10). At present, prostheses are not yet available to replace the ACL but current research is focusing on composite devices (11) or carbon fibers (12). The long term success of ACL replacement is bound to implant properties closely mimicking the physiological pattern of the ACL. Besides adapted mechanical characteristics the function of these implants, whether natural or artificial is strongly dependent upon their specific insertion sites. Very few studies relate the effects of knee motion on the length variation of the ACL. WANG, WALKER and WOLF (13) performed such measurements by using x-ray techniques but the ACL was considered incorrectly to be a unique structure (14). The aim of the present study is to directly measure the length pattern of the different bands of the ACL during knee flexion.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Kennedy S.C., Weinberg H.W., Wilson A. 1974. The anatomy and function of the anterior cruciate ligament. J.-Bone Joint Surg. 56-A, 223–235.Google Scholar
  2. 2.
    Furman W., Marshall J.L., Girgis F.G. 1976. The anterior cruciate ligament. J. Bone Joint Surg., 58-A, 179–185.Google Scholar
  3. 3.
    Noyes F.R., Grood E.S. 1976. The strength of the anterior cruciate ligament in humans and rhesus monkeys. J. Bone Joint Surg., 58-A, 1074–1082.Google Scholar
  4. 4.
    Torzilli P.A., Greenberg R.L., Insall J. 1981. An in vivo biomechanical evaluation of anterior-posterior motion of the knee. J. Bone Joint. Surg., 63-A, 960–968.Google Scholar
  5. 5.
    Dorlot J.M., Christel P., Meunier A., L. Sedel, J. Witvoët. Déplacement et rigidité ligamentaire du genou lors du tiroir antérieur et postérieur. To be published in Rev. Chir. Orthop.Google Scholar
  6. 6.
    Jones K.G. 1970. Reconstruction of the anterior cruciate ligament using the central one-third of the patellar ligament. A follow-up report. J. Bone Joint Surg., 52-A, 1302–1308.Google Scholar
  7. 7.
    McIntosh D.L. 1974. Acute tears of the anterior cruciate ligament, over the top repair. Annual Meeting of the A.A.O.S., Dallas.Google Scholar
  8. 8.
    Marshall J.L., Warren R.F., Wickiewicz T.L., Fetto J.F. 1979. Reconstruction of functioning anterior cruciate ligament. Preliminary report using quadriceps tendon. Orthop. Rev., 8, 49–55.Google Scholar
  9. 9.
    Kennedy J.C., Roth J.H., Mendenhall H.V., Sanford J.B. 1980. Intra articular replacement of the anterior cruciate ligament-deficient knee. Am. J. Sports Med., 8, 1–8.CrossRefGoogle Scholar
  10. 10.
    Insall J., Joseph D.L., Aglieti P., Campbell R.D. 1981. Bone block iliotibial-band transfer for anterior cruciate insufficiency. J. Bone Joint Surg., 63-A, 560–569.Google Scholar
  11. 11.
    Drouin G., Thirry P., Dore R. 1980. Modelling a composite prosthesis for quasi-cylindrical ligaments. J. of Biomech. Eng., 102, 194–199.CrossRefGoogle Scholar
  12. 12.
    Jenkins D.H.R., McKibbin B. 1980. The role of flexible carbon-fiber implants as tendon and ligament substitutes in clinical practice. A preliminary report. J. Bone Joint Surg., 62-B, 497–499.Google Scholar
  13. 13.
    Wang C.J., Walker P.S., Wolf B. 1973. The effects of flexion and rotation on the length pattern of the ligaments of the knee. J. Biomechanics, 6, 587–596.CrossRefGoogle Scholar
  14. 14.
    Norwood L.A., Cross M.J. 1979. Anterior cruciate ligament: functional anatomy of its bundles in rotatory instability. Am. J. Sports. Med., 7, 23–26.CrossRefGoogle Scholar

Copyright information

© Martinus Nijhoff Publishers, The Hague, Boston, London 1982

Authors and Affiliations

  • J. M. Doriot
    • 1
    • 2
    • 4
  • P. Christel
    • 1
    • 3
  • A. Meunier
    • 1
    • 3
  • J. Witvoet
    • 1
    • 3
  1. 1.University of MontrealCanada
  2. 2.Ecole PolytechniqueMontréalCanada
  3. 3.Laboratoire de Recherches OrthopédiquesParisFrance
  4. 4.Ecole PolytechniqueCampus de l’Université de MontréalMontréalCanada

Personalised recommendations