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

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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

DOI 10.1302/0301-620x.73b2.2005151

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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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Self-citation

Authors: Amis, A., & Dawkins, G.
Affiliations: Imperial College London (GB)
ORCID: Amis, AA
Venue: The Journal of Bone and Joint Surgery. British volume
Publisher: British Editorial Society of Bone & Joint Surgery
Published: 1991-03
Volume: 73-B
Issue: 2
Pages: 260-267
ISSN: 0301-620X (ISSN-L)
2044-5377
DOI: 10.1302/0301-620x.73b2.2005151
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
Licence: online.boneandjoint.org.uk/TDM (tdm)
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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Functional anatomy of the anterior cruciate ligament. Fibre bundle actions related to ligament replacements and injuries

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