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Cited by 24Knee injuries and reconstruction techniquesFoot and Ankle SurgeryTendon Structure and Treatment

The DOI matches its Crossref record; 24 of the 24 references it cites were found in a registry or an index.

The Normal Anterior Cruciate Ligament as a Model for Tensioning Strategies in Anterior Cruciate Ligament Grafts

Arnold, Markus P., Verdonschot, Nico, van Kampen, Albert·2005·The American Journal of Sports Medicine
DOI 10.1177/0363546504265909
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Abstract

Background: There is some confusion about the relationship between the tension placed on the graft and the joint position used in the fixation of anterior cruciate ligament grafts. This is because of deficiency in accurate basic science about this important interaction in the normal and reconstructed anterior cruciate ligament. Hypothesis: If the normal femoral attachment of the anterior cruciate ligament can be preserved and the tibial insertion isolated and tested, an accurate force-flexion curve of the human anterior cruciate ligament can be mapped out and used as a standard for proper graft tensioning protocols in anterior cruciate ligament reconstruction. Study Design: Controlled laboratory study. Methods: In 10 fresh-frozen human cadaveric knees, an isolated bone plug containing the tibial anterior cruciate ligament insertion was connected with a custom-made tensiometer. The knees were moved through the whole range of motion; the starting point chosen was an anterior cruciate ligament tension of 10 N, which was applied at 10 ° of knee flexion and resulted in a baseline curve. This curve was compared with the results recorded when the starting point was below the baseline curve, similar to, or above it. Results: The anterior cruciate ligament showed low tension close to slackness in midflexion after starting with 10 N at 10 ° of flexion. Starting points below the baseline curve shifted the whole curve downward; those above the baseline curve increased the force in the anterior cruciate ligament, resulting in a tight anterior cruciate ligament in midflexion. Clinical Relevance: The normal anterior cruciate ligament shows a physiological laxity in midflexion. This study gives guidelines for tensioning protocols in anterior cruciate ligament grafts to replicate the force-flexion curve characteristics of the normal anterior cruciate ligament.

Overview

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Crossref · 10.1177/0363546504265909

Cites

24 of 24 references verified0 citation errors · 0 not checkable

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Citations

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Research works printed but not linked: 1

  1. Mommersteeg TJ, 1995, J Anat, 187, 461

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Metadata

Authors
Arnold, M. P., Verdonschot, N., & van Kampen, A.
Affiliations
  • University Medical Center Groningen (NL)
  • Orthopaedic Department, University Hospital Nijmegen, the Netherlands
Corresponding author
Arnold, Markus P.
ORCID
Venue
The American Journal of Sports Medicine
Publisher
SAGE Publications
Published
2005-02
Volume
33
Issue
2
Pages
277-283
ISSN
  • 0363-5465 (ISSN-L)
  • 1552-3365
DOI
10.1177/0363546504265909
OpenAlex
W2084662862
Cited by
24
References
24
Citations by year
2021: 2 · 2020: 2 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 3 · 2012: 2
FWCI
1.58
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • The American Journal of Sports Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Foot and Ankle Surgery
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Tendon Structure and Treatment
Keywords
anterior cruciate ligament, graft tensioning, anterior cruciate ligament reconstruction, tibial insertion, knee flexion, cadaveric knee, graft fixation
MeSH terms
Anterior Cruciate Ligament Injuries, Aged, Aged, 80 and over, Biomechanical Phenomena, Humans, Knee Injuries, Middle Aged, Rupture, Range of Motion, Articular, Anterior Cruciate Ligament, Plastic Surgery Procedures

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