Cited by 731Knee injuries and reconstruction techniquesTendon Structure and TreatmentLower Extremity Biomechanics and Pathologies

Functional anatomy of the anterior cruciate ligament. Fibre bundle actions related to ligament replacements and injuries

Amis, AA, Dawkins, GP·1991·The Journal of Bone and Joint Surgery. British volume

Abstract

This work studied the fibre bundle anatomy of the anterior cruciate ligament. Three functional bundles--anteromedial, intermediate, and posterolateral--were identified in cadaver knees. Their contributions to resisting anterior subluxation in flexion and extension were found by repeated tests after sequential bundle transection. Changes of length in flexion and extension and in tibial rotation were measured. None of the fibres were isometric. The posterolateral bundle was stretched in extension and the anteromedial in flexion, which correlated with increased contributions to knee stability and the likelihood of partial ruptures in these positions. Tibial rotation had no significant effect. The fibre length changes suggested that the 'isometric point' aimed at by some ligament replacements lay anterior and superior to the femoral origin of the intermediate fibre bundle and towards the roof of the intercondylar notch.

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Crossref · 10.1302/0301-620x.73b2.2005151

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12 of 12 references verified0 citation errors · 0 not checkable

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  • The most likely diagnosis and possible diagnoses were evaluated using a five-point scale described by Bond et al. 45.

    “For the rating scales, the most likely diagnosis and possible diagnoses were evaluated using a five-point scale described by Bond et al. 45, which is shown in Table 5.”

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Authors
Amis, A., & Dawkins, G.
Affiliations
Imperial College London (GB)
Venue
The Journal of Bone and Joint Surgery. British volume
Published
1991-03
Volume
73-B
Issue
2
Pages
260-267
ISSN
  • 0301-620X (ISSN-L)
  • 2044-5377
OpenAlex
W1953146122
Cited by
731
References
12
Citations by year
2026: 12 · 2025: 11 · 2024: 12 · 2023: 15 · 2022: 16 · 2021: 16 · 2020: 23 · 2019: 24 · 2018: 46 · 2017: 42 · 2016: 28 · 2015: 34 · 2014: 43 · 2013: 47 · 2012: 52
FWCI
4.32
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Bone and Joint Surgery - British Volume (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Tendon Structure and Treatment
  • Physical Sciences › Engineering › Biomedical Engineering › Lower Extremity Biomechanics and Pathologies
Keywords
anterior cruciate ligament, anteromedial bundle, posterolateral bundle, knee stability, partial rupture, ligament replacement, tibial rotation, cadaveric knee
MeSH terms
Anterior Cruciate Ligament Injuries, Biomechanical Phenomena, Humans, Knee Joint, Movement, Anterior Cruciate Ligament, In Vitro Techniques

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