The effect of graft strength on knee laxity and graft in-situ forces after posterior cruciate ligament reconstruction. 2015

Yu-Shu Lai, and Wen-Chuan Chen, and Chang-Hung Huang, and Cheng-Kung Cheng, and Kam-Kong Chan, and Ting-Kuo Chang
Orthopaedic Device Research Center, National Yang-Ming University, Taipei, Taiwan.

Surgical reconstruction is generally recommended for posterior cruciate ligament (PCL) injuries; however, the use of grafts is still a controversial problem. In this study, a three-dimensional finite element model of the human tibiofemoral joint with articular cartilage layers, menisci, and four main ligaments was constructed to investigate the effects of graft strengths on knee kinematics and in-situ forces of PCL grafts. Nine different graft strengths with stiffness ranging from 0% (PCL rupture) to 200%, in increments of 25%, of an intact PCL's strength were used to simulate the PCL reconstruction. A 100 N posterior tibial drawer load was applied to the knee joint at full extension. Results revealed that the maximum posterior translation of the PCL rupture model (0% stiffness) was 6.77 mm in the medial compartment, which resulted in tibial internal rotation of about 3.01°. After PCL reconstruction with any graft strength, the laxity of the medial tibial compartment was noticeably improved. Tibial translation and rotation were similar to the intact knee after PCL reconstruction with graft strengths ranging from 75% to 125% of an intact PCL. When the graft's strength surpassed 150%, the medial tibia moved forward and external tibial rotation greatly increased. The in-situ forces generated in the PCL grafts ranged from 13.15 N to 75.82 N, depending on the stiffness. In conclusion, the strength of PCL grafts have has a noticeable effect on anterior-posterior translation of the medial tibial compartment and its in-situ force. Similar kinematic response may happen in the models when the PCL graft's strength lies between 75% and 125% of an intact PCL.

UI MeSH Term Description Entries
D007593 Joint Instability Lack of stability of a joint or joint prosthesis. Hypermobility, Joint,Instability, Joint,Laxity, Joint,Hypermobilities, Joint,Instabilities, Joint,Joint Hypermobilities,Joint Hypermobility,Joint Instabilities,Joint Laxities,Joint Laxity,Laxities, Joint
D007719 Knee Joint A synovial hinge connection formed between the bones of the FEMUR; TIBIA; and PATELLA. Superior Tibiofibular Joint,Joint, Knee,Joint, Superior Tibiofibular,Knee Joints,Superior Tibiofibular Joints,Tibiofibular Joint, Superior
D008953 Models, Anatomic Three-dimensional representation to show anatomic structures. Models may be used in place of intact animals or organisms for teaching, practice, and study. Anatomic Models,Models, Surgical,Moulages,Models, Anatomical,Anatomic Model,Anatomical Model,Anatomical Models,Model, Anatomic,Model, Anatomical,Model, Surgical,Moulage,Surgical Model,Surgical Models
D002358 Cartilage, Articular A protective layer of firm, flexible cartilage over the articulating ends of bones. It provides a smooth surface for joint movement, protecting the ends of long bones from wear at points of contact. Articular Cartilage,Articular Cartilages,Cartilages, Articular
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001178 Arthroplasty Surgical reconstruction of a joint to relieve pain or restore motion. Bone Tunnel Enlargement,Bone Tunnel Widening,Arthroplasties,Bone Tunnel Enlargements,Bone Tunnel Widenings,Enlargement, Bone Tunnel,Tunnel Enlargement, Bone,Tunnel Widening, Bone,Widening, Bone Tunnel
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic
D016119 Posterior Cruciate Ligament A strong ligament of the knee that originates from the anterolateral surface of the medial condyle of the femur, passes posteriorly and inferiorly between the condyles, and attaches to the posterior intercondylar area of the tibia. Cruciate Ligament, Posterior,Cruciate Ligaments, Posterior,Ligament, Posterior Cruciate,Ligaments, Posterior Cruciate,Posterior Cruciate Ligaments
D016474 Weight-Bearing The physical state of supporting an applied load. This often refers to the weight-bearing bones or joints that support the body's weight, especially those in the spine, hip, knee, and foot. Load-Bearing,Axial Loading,Loadbearing,Weightbearing,Axial Loadings,Load Bearing,Weight Bearing
D019651 Plastic Surgery Procedures Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures. Cosmetic Reconstructive Surgical Procedures,Cosmetic Surgical Procedures,Esthetic Reconstructive Surgical Procedures,Esthetic Surgical Procedures,Plastic Surgical Procedures,Reconstructive Surgical Procedures,Reconstructive Surgical Procedures, Cosmetic,Cosmetic Reconstructive Surgery,Procedure, Reconstructive Surgical,Procedures, Reconstructive Surgical,Reconstructive Surgical Procedure,Reconstructive Surgical Procedures, Esthetic,Surgical Procedure, Reconstructive,Surgical Procedures, Reconstructive,Cosmetic Reconstructive Surgeries,Cosmetic Surgical Procedure,Esthetic Surgical Procedure,Plastic Surgery Procedure,Plastic Surgical Procedure,Procedure, Cosmetic Surgical,Procedure, Esthetic Surgical,Procedure, Plastic Surgery,Procedure, Plastic Surgical,Procedures, Cosmetic Surgical,Procedures, Esthetic Surgical,Procedures, Plastic Surgery,Procedures, Plastic Surgical,Reconstructive Surgeries, Cosmetic,Reconstructive Surgery, Cosmetic,Surgeries, Cosmetic Reconstructive,Surgery Procedure, Plastic,Surgery Procedures, Plastic,Surgery, Cosmetic Reconstructive,Surgical Procedure, Cosmetic,Surgical Procedure, Esthetic,Surgical Procedure, Plastic,Surgical Procedures, Cosmetic,Surgical Procedures, Esthetic,Surgical Procedures, Plastic

Related Publications

Yu-Shu Lai, and Wen-Chuan Chen, and Chang-Hung Huang, and Cheng-Kung Cheng, and Kam-Kong Chan, and Ting-Kuo Chang
June 2008, Orthopedics,
Yu-Shu Lai, and Wen-Chuan Chen, and Chang-Hung Huang, and Cheng-Kung Cheng, and Kam-Kong Chan, and Ting-Kuo Chang
January 2003, The American journal of sports medicine,
Yu-Shu Lai, and Wen-Chuan Chen, and Chang-Hung Huang, and Cheng-Kung Cheng, and Kam-Kong Chan, and Ting-Kuo Chang
January 1995, The American journal of sports medicine,
Yu-Shu Lai, and Wen-Chuan Chen, and Chang-Hung Huang, and Cheng-Kung Cheng, and Kam-Kong Chan, and Ting-Kuo Chang
February 2005, Computer methods in biomechanics and biomedical engineering,
Yu-Shu Lai, and Wen-Chuan Chen, and Chang-Hung Huang, and Cheng-Kung Cheng, and Kam-Kong Chan, and Ting-Kuo Chang
September 2002, Journal of orthopaedic research : official publication of the Orthopaedic Research Society,
Yu-Shu Lai, and Wen-Chuan Chen, and Chang-Hung Huang, and Cheng-Kung Cheng, and Kam-Kong Chan, and Ting-Kuo Chang
July 2008, Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association,
Yu-Shu Lai, and Wen-Chuan Chen, and Chang-Hung Huang, and Cheng-Kung Cheng, and Kam-Kong Chan, and Ting-Kuo Chang
February 2019, The American journal of sports medicine,
Yu-Shu Lai, and Wen-Chuan Chen, and Chang-Hung Huang, and Cheng-Kung Cheng, and Kam-Kong Chan, and Ting-Kuo Chang
April 2024, Journal of sport rehabilitation,
Yu-Shu Lai, and Wen-Chuan Chen, and Chang-Hung Huang, and Cheng-Kung Cheng, and Kam-Kong Chan, and Ting-Kuo Chang
July 2022, Orthopaedic journal of sports medicine,
Yu-Shu Lai, and Wen-Chuan Chen, and Chang-Hung Huang, and Cheng-Kung Cheng, and Kam-Kong Chan, and Ting-Kuo Chang
January 2004, The American journal of sports medicine,
Copied contents to your clipboard!