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A biomechanical analysis of joint contact forces in the posterior cruciate deficient knee

  • Biomechanics
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy

Abstract

The approach to the posterior cruciate deficient knee is controversial. The purpose of this study is to document the biomechanical changes in the static cadaveric knee model with simulated physiological loads. Nine fresh cadaveric knees from young donors (aged under 45 years) were mounted on a materials testing machine. Loading was carried out at 0°, 30° and 60° to 1.5 kN with low-pressure sensitive Prescale film (Fuji; Tokyo, Japan) inserted through arthrotomies into the medial and lateral compartments. Computerized analysis of the imprints on the film was then carried out. Tests were then repeated after cutting the posterior cruciate ligament (PCL). Results demonstrate a statistically significant posterior subluxation of the tibia on the femur at 60° flexion. This causes a significant increase in contact pressure and pressure concentration on the medial compartment of the knee after cutting the PCL. This may help explain the long-term degenerative changes observed in the medial femoral condyle after cutting the PCL.

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References

  1. Cain TE, Schwab GH (1981) Performance of an athlete with straight posterior knee instability. Am J Sports Med 9:203

    Article  PubMed  CAS  Google Scholar 

  2. Clancy WG, Shelbourne KD, Zoellner GB, Keene JS, Reider B, Rosenberg TD (1983) Treatment of knee joint instability secondary to rupture of the posterior cruciate ligament. J Bone Joint Surg [Am] 65:310

    Google Scholar 

  3. Cross MJ, Owell J (1981) Natural history of posterior cruciate ligament disruption. Orthop Trans 5:486

    Google Scholar 

  4. Dandy DJ, Pusey RJ (1982) The long term results of unrepaired tears of the posterior cruciate ligament. J Bone Joint Surg [Br] 64:92–94

    CAS  Google Scholar 

  5. Degenhardt TC, Hughston JC (1981) Chronic posterior cruciate instability: non-operative management. Orthop Trans 5:486–487

    Google Scholar 

  6. Fowler PJ, Messieh SS (1987) Isolated posterior cruciate injuries in athletes. Am J Sports Med 15:553

    Article  PubMed  CAS  Google Scholar 

  7. Fu F, Thompson WO, Thaete FL (1991) Meniscal pathomechanics by 3D magnetic resonance imaging. Presented at the International Arthroscopy Association Meeting, Toronto, Canada

  8. Fukubayashi T, Kurosawa H (1980) The contact area and pressure distribution pattern of the knee: a study of normal and osteoarthritic knee joints. Acta Orthop Scand 51:871–879

    Article  PubMed  CAS  Google Scholar 

  9. Hughston JC, Bowden JA, Andrews JR, Norwood LA (1980) Acute tears of the posterior cruciate ligament. J Bone Joint Surg [Am] 62:438

    CAS  Google Scholar 

  10. Inaba H, Arai M (1989) A method for measuring contact pressures instantaneously in articular joints. J Biomech 22:1293

    PubMed  CAS  Google Scholar 

  11. Kennedy JC, Grainger RW (1967) The posterior cruciate ligament. J Trauma 7:367

    Article  PubMed  CAS  Google Scholar 

  12. Loos WC, Fox JM, Blazina ME, Del Pizzo W, Friedman MJ (1981) Acute posterior cruciate ligament injuries. Am J Sports Med 9:86

    Article  PubMed  CAS  Google Scholar 

  13. Minlaci A, Patek R, Shields CL, Tibone JE, Perry J, Pink M. A functional analysis of the posterior cruciate deficient knee. (unpublished data)

  14. McMaster WC. Isolated posterior cruciate ligament injury: literature review and case reports. J Trauma 15:1025–1029

  15. Ogata K, McCarthy JA, Dunlop J, Manske PR (1988) Pathomechanics of posterior sag of the tibia in posterior cruciate deficient knees. An experimental study. Am J Sports Med 16:630

    Article  PubMed  CAS  Google Scholar 

  16. Paradis PD (1990) A design analysis of a total knee implant using Fuji pressure sensitive film. Thesis, University of Western Ontario

  17. Singerman R, Pederson D, Brown T (1988) Quantitation of Fuji Prescale pressures using digital image scanning. Thesis, University of Iowa

  18. Skyhar MJ, Warren RF, Ortiz GJ, Schwartz E, Otis JC (1993) The effects of sectioning of the posterior cruciate ligament and the posterolateral complex on the articular contact pressures within the knee. J Bone Joint Surg [Am] 75:694–699

    CAS  Google Scholar 

  19. Tibone JE, Antich TJ, Perry J, Moynes D (1988) Functional analysis of untreated and reconstructive posterior cruciate ligament injuries. Am J Sports Med 16:217

    Article  PubMed  CAS  Google Scholar 

  20. Torg JS, Baron TM, Pavlov H, Stine R (1989) Natural history of the posterior cruciate ligament deficient knee. Clin Orthop 246:208

    PubMed  Google Scholar 

  21. Werner F, Murphy D, Palmer A (1989) Pressures in the distal radioulnar joint: effect of surgical procedures used for Kienbock's disease. J Orthop Res 4:445

    Article  Google Scholar 

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Authors and Affiliations

  1. University Hospital, London, Ontario, Canada

    P. MacDonald, A. Miniaci, P. Fowler, P. Marks & B. Finlay

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  1. P. MacDonald
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  2. A. Miniaci
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  3. P. Fowler
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  4. P. Marks
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  5. B. Finlay
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MacDonald, P., Miniaci, A., Fowler, P. et al. A biomechanical analysis of joint contact forces in the posterior cruciate deficient knee. Knee Surg, Sports traumatol, Arthroscopy 3, 252–255 (1996). https://doi.org/10.1007/BF01466628

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  • DOI: https://doi.org/10.1007/BF01466628

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