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A Biomechanical Analysis Of Joint Contact Forces In The Posterior Cruciate Deficient Knee

P. MacDonald, A. Miniaci, P. Fowler, P. Marks, B. Finlay
Published 2005 · Medicine

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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.
This paper references
10.1016/0021-9290(85)90254-4
Quantitation of Fuji prescale film pressures using digital image scanning
D. Pedersen (1985)
Chronic posterior cruciate instability: non-operative management
TC Degenhardt (1981)
10.2106/00004623-198062030-00014
Acute tears of the posterior cruciate ligament. Results of operative treatment.
J. C. Hughston (1980)
10.1302/0301-620X.64B1.7068728
The long-term results of unrepaired tears of the posterior cruciate ligament.
D. Dandy (1982)
10.1097/00005373-196705000-00004
The posterior cruciate ligament.
Kennedy Jc (1967)
10.1016/0021-9290(90)90136-Q
A method for measuring contact pressures instantaneously in articular joints.
H. Inaba (1989)
A design analysis of a total knee implant using Fuji pressure sensitive film
PD Paradis (1990)
Acute posterior crnciate ligament injuries
WC Loos (1981)
10.3109/17453678008990887
The contact area and pressure distribution pattern of the knee. A study of normal and osteoarthrotic knee joints.
T. Fukubayashi (1980)
Natural history of posterior cruciate ligament disruption
MJ Cross (1981)
10.2106/00004623-198365030-00004
Treatment of knee joint instability secondary to rupture of the posterior cruciate ligament. Report of a new procedure.
W. Clancy (1983)
10.2106/00004623-199305000-00008
The effects of sectioning of the posterior cruciate ligament and the posterolateral complex on the articular contact pressures within the knee.
M. Skyhar (1993)
10.1177/036354658701500606
Isolated posterior cruciate ligament injuries in athletes
P. Fowler (1987)
10.1177/036354658100900402
Performance of an athlete with straight posterior knee instability
T. Cain (1981)
10.1002/JOR.1100070318
Pressures in the distal radioulnar joint: Effect of surgical procedures used for kienbock's disease
F. Werner (1989)
10.1177/036354658801600613
Pathomechanics of posterior sag of the tibia in posterior cruciate deficient knees
K. Ogata (1988)
10.1177/036354658801600303
Functional analysis of untreated and reconstucted posterior cruciate ligament injuries
J. Tibone (1988)
10.1097/00005373-197511000-00014
Isolated posterior cruciate ligament injury: literature review and case reports.
W. McMaster (1975)
10.1097/00003086-198909000-00030
Natural history of the posterior cruciate ligament-deficient knee.
J. Torg (1989)
Meniscal pathomechanics by 3D magnetic resonance imaging
F Fu (1991)
10.1177/036354658100900203
Acute posterior cruciate ligament injuries
W. Loos (1981)



This paper is referenced by
10.1007/978-3-662-56127-0
ESSKA Instructional Course Lecture Book
G. Kerkhoffs (2018)
10.1177/0095399703258794
The Effect of Posterior Cruciate Ligament Reconstruction on Patellofemoral Contact Pressures in the Knee Joint under Simulated Muscle Loads
T. Gill (2004)
10.1177/0363546504271966
Neuromuscular and Biomechanical Adaptations of Patients with Isolated Deficiency of the Posterior Cruciate Ligament
Cristián A. Fontboté (2005)
10.1016/J.EJRAD.2005.01.021
Imaging evaluation of the postoperative knee ligaments.
H. Ilaslan (2005)
10.1302/0301-620X.101B9.BJJ-2018-1567.R1
Posterior cruciate ligament injury is influenced by intercondylar shape and size of tibial eminence.
K. S. R. van Kuijk (2019)
10.1302/0301-620X.86B4.15010
Reconstruction of the posterior cruciate ligament. Indications and results.
G. Dowd (2004)
10.3928/01477447-20080401-18
Unusual mechanism of posterior cruciate ligament injury.
J. Kelly (2008)
10.1142/S0218957708002085
PRELIMINARY VALIDATION OF MRI-BASED MODELING FOR EVALUATION OF JOINT MECHANICS
Bhaskar R. Thoomukuntla (2008)
10.1007/s001130050417
Clinical outcome of arthroscopic repair of the posterior cruciate ligament
R. Becker (2016)
10.1016/B978-1-4377-1503-3.00051-2
Osteotomy and the Cruciate-Deficient Knee
R. Clark (2012)
10.1016/j.knee.2020.01.004
Biomechanical evaluation of PCL reconstruction with suture augmentation.
John A Grotting (2020)
10.1302/2046-3758.61.BJR-2016-0184.R1
The effects of posterior cruciate ligament deficiency on posterolateral corner structures under gait- and squat-loading conditions
K. Kang (2017)
10.1016/j.ptsp.2012.03.016
Evaluation and management of posterior cruciate ligament injuries.
M. Rosenthal (2012)
10.1016/S0968-0160(02)00141-2
Surgical treatment of posterior cruciate ligament and posterolateral corner injuries. An anatomical, biomechanical and clinical review.
Pier Paolo Mariani (2003)
10.1115/1.4005171
MRI-based modeling for radiocarpal joint mechanics: validation criteria and results for four specimen-specific models.
K. Fischer (2011)
10.1016/J.JSAMS.2007.07.007
Posterior cruciate ligament deficiency: biomechanical and biological consequences and the outcomes of conservative treatment. A systematic review.
Matthew J Grassmayr (2008)
10.1515/bmte.2002.47.7-8.195
Die Validierung des Tekscan-Systems für statische und dynamische Druckmessungen am humanen Femorotibialgelenk. Validation of the Tekscan System for Static and Dynamic Pressure Measurements in the Human Femorotibial Joint
D. Wirz (2002)
10.1007/978-3-319-12072-0_27
Complications and PCL Reconstruction
Matthew S. Marcus (2015)
10.1016/B978-0-323-32903-3.00015-9
15 – Function of the Posterior Cruciate Ligament and Posterolateral Ligament Structures
Frank R. Noyes (2017)
10.1097/JSA.0000000000000267
Anatomy and Biomechanics of the Posterior Cruciate Ligament and Their Surgical Implications.
J. Arthur (2020)
10.1016/J.MPORTH.2019.01.002
Surgical reconstruction of the posterior cruciate ligament: current perspectives
S. Yasen (2019)
10.1016/J.INJURY.2005.08.003
Injuries of the posterior cruciate ligament and posterolateral corner of the knee.
A. Malone (2006)
10.1097/MD.0000000000018439
Modified tibial tunnel placement for single-bundle posterior cruciate ligament reconstruction reduces the “Killer Turn” in a biomechanical model
Z. Wang (2019)
10.1007/978-3-662-56127-0_11
Osteotomies: Advanced and Complex Techniques
S. Clarke (2018)
10.1007/s00167-015-3674-9
Multiple looping technique for tibial fixation in posterior cruciate ligament reconstruction using free tendon Achilles allograft
J. Noh (2015)
10.1007/s00402-013-1679-8
Arthroscopic transtibial single-bundle posterior cruciate ligament reconstruction using patellar tendon graft compared with hamstring tendon graft
Yu-chuan Lin (2013)
10.1115/SBC2011-53687
Effects of Surgical Repair or Reconstruction on Radiocarpal Mechanics From Wrists With Scapholunate Injury
J. E. Johnson (2011)
10.1016/S0736-0266(03)00036-6
Vascular adaptation of intact joint stabilizing structures in the posterior cruciate ligament deficient rabbit knee
R. Bray (2003)
10.1007/978-3-319-12072-0_23
Articular Cartilage Restoration in the PCL-Injured Knee
Clay G. Nelson (2015)
10.1177/0363546506288238
Anatomical Posterior Cruciate Ligament Transplantation
Daniel K Davis (2006)
10.1097/01.BLO.0000132461.34725.A7
Joint contact characteristics in agility total ankle arthroplasty.
J. J. Nicholson (2004)
Patterns of Meniscus Tears Associated with Posterior Cruciate Ligament Lesions
M. M. Sajjadi (2019)
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