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TECHNICAL PAPERS

A Modeling Study of Partial ACL Injury: Simulated KT-2000 Arthrometer Tests

[+] Author and Article Information
Wen Liu

Department of Physical Therapy and Rehabilitation Science, The University of Kansas Medical Center, Kansas City, Kansas 66160-7601

Murray E. Maitland, G. Douglas Bell

Sport Medicine Center, Faculty of Kinesiology, The University of Calgary, Calgary, Canada

J Biomech Eng 124(3), 294-301 (May 21, 2002) (8 pages) doi:10.1115/1.1468636 History: Received March 01, 1999; Revised December 01, 2001; Online May 21, 2002
Copyright © 2002 by ASME
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References

Gillquist,  J., Hagberg,  G., and Oretorp,  N., 1977, “Arthroscopy in Acute Injuries of the Knee Joint,” Acta Orthop. Scand., 48, pp. 190–196.
DeHaven,  K. E., 1980, “Diagnosis of Acute Knee Injuries With Hemarthrosis,” Am. J. Sports Med., 8, pp. 910–914.
Noyes,  F. R., Mooar,  P. A., Matthews,  D. A., and Butler,  D. L., 1983, “The Symptomatic Antrior Cruciate Deficient Knee: Part 1. The Long-term Functional Disability in Athletically Active Individuals,” J. Bone Jt. Surg., 65A, pp. 154–162.
Butler,  J. C., and Andrews,  J. R., 1988, “The Role of Arthroscopic Surgery in the Evaluation of Acute Traumatic Hemarthrosis of the Knee,” Clin. Orthop., 228, pp. 150–152.
Buckley,  S. L., Barrack,  R. L., and Alexander,  A. H., 1989, “The Natural History of Conservatively Treated Partial Anterior Cruciate Ligament Tears,” Am. J. Sports Med., 17, pp. 221–225.
Hardacker,  W. T., Garrett,  W. E., and Bassett,  F. H., 1990, “Evaluation of Acute Traumatic Hemarthrosis of the Knee Joint,” South Med. J., 83, pp. 640–644.
Noyes,  F. R., Mooar,  P. A., Moorman,  C. T., and McGinniss,  G. H., 1989, “Partial Tears of the Anterior Cruciate Ligament,” J. Bone Jt. Surg., 71B, pp. 270–272.
Sandberg,  R., and Balkfors,  B., 1987, “Partial Rupture of the Anterior Cruciate Ligament: Natural Course,” Clin. Orthop. Relat. Res., 220, pp. 176–178.
Daniel, D. M., 1993, “Selecting Patients for ACL Surgery,” The Anterior Cruciate Ligament: Current and Future Concepts, Jackson, D. W., ed., pp, 251–258, Raven Press, Ltd., New York.
Torg,  J. S., Conrad,  W., and Kalen,  V., 1976, “Clinical Diagnosis of Anterior Cruciate Ligament Instability in the Athlete,” Am. J. Sports Med., 4, pp. 84–93.
Oberlander,  M. A., Shalvoy,  R. M., Hughston,  J. C., 1993, “The Accuracy of Clinical Knee Examination Documented by Arthroscopy: A Prospective Study,” Am. J. Sports Med., 21, pp. 773–778.
Nielson,  S., Ovesen,  J., and Rasmussen,  O., 1984, “The Anterior Cruciate Ligament in the Knee. An Experimental Study of its Importance in Rotatory Knee Instability,” Arch. Orthop. Trauma Surg., 103, pp. 170–174.
Odensten,  M., Lysholm,  J., and Gillquist,  J., 1985, “The Course of Partial Anterior Cruciate Ligament Rupture,” Am. J. Sports Med., 13, pp. 182–186.
Rijke,  A. M. , 1991, “Graded Stress Radiography of Injured Cruciate Ligaments,” Invest. Radiol., 26, pp. 926–933.
Rijke,  A. M., Perrin,  D. H., Goitz,  H. T., and McCue,  F. C., 1994, “Instrumented Arthrometry for Diagnosing Partial Versus Complete Anterior Cruciate Ligament Tears,” Am. J. Sports Med., 22, pp. 294–298.
Matsumoto,  H., Toyoda,  T., Kawakubo,  M., Otani,  T., Fujikawa,  K., 1999, “The End-point and the Remnant of the Injured Cruciate Ligaments of the Knee,” Knee, 6, pp. 43–47.
Wismans,  J., Veldpaus,  F., Janssen,  J., 1980, “A Three-dimensional Mathematical Model of the Knee-joint,” J. Biomech., 13, pp. 677–685.
Yamaguchi,  G. T., and Zajac,  F. E., 1989, “A Planar Model of the Knee Joint to Characterize the Knee Extensor Mechanism,” J. Biomech., 22, pp. 1–10.
Abdel-Rahman,  E., and Hefzy,  M. S., 1993, “A Two-dimensional Dynamic Anatomical Model of the Human Knee Joint,” ASME J. Biomech. Eng., 115, pp. 357–365.
Beynnon,  B., Yu,  J., Huston,  D., Fleming,  B., Johnson,  R., Haugh,  L., and Pope,  M. H., 1996, “A Sagittal Plane Model of the Knee and Cruciate Ligaments With Application of a Sensitivity Analysis,” ASME J. Biomech. Eng., 118, pp. 227–239.
Blankevoort,  L., and Huiskes,  R., 1996, “Validation of a Three-dimensional Model of the Knee,” J. Biomech., 29, pp. 955–961.
Pandy,  M. G., and Shelburne,  K. B., 1997, “Dependence of Cruciate-ligament Loading on Muscle Forces and External Load,” J. Biomech., 30, pp. 1015–1024.
Liu,  W., Maitland,  M. E., 2000, “The Effect of Hamstring Muscle Compensation for Anterior Laxity in the ACL-deficient Knee During Gait,” J. Biomech., 33, pp. 871–879.
Daniel,  D. M., Malcom,  L. L., Losse,  G., Stone,  M. L., Sachs,  R., and Burks,  R., 1985, “Instrumented Measurement of Anterior Laxity of the Knee,” J. Bone Jt. Surg., 67A, pp. 720–725.
Nisell,  R., Nemeth,  G., and Ohlsen,  H., 1986, “Joint Forces in Extension of the Knee,” Geosynthet. Int., 57, pp. 41–46.
Blankevoort,  L., Kuiper,  J. H., Huiskes,  R., and Grootenboer,  H. J., 1991, “Articular Contact in a Three-dimensional Model of the Knee,” J. Biomech., 24, pp. 1019–1031.
Maitland,  M. E., Bell,  G. D., Mohtadi,  N. G. H., and Herzog,  W., 1995, “Quantitative Analysis of Anterior Cruciate Ligament Instability,” Clin. Biomech. (Los Angel. Calif.), 10, pp. 93–97.

Figures

Grahic Jump Location
Schematic of an anatomical knee model in an simulated Lachman’s test using the KT-2000 arthrometer
Grahic Jump Location
(a) Simulated force-displacement curve was compared to a typical curve obtained from clinical measurement (Maitland et al. 27). (b) Simulated anterior force on the ligaments of the normal knee. The force on the LCL was zero throughout the test.
Grahic Jump Location
Force-displacement curves obtained from simulated Lachman’s test for the normal and ACL-deficient knees with comparison to the knees with (a) the first type (anterior bundle dominant), and (b) the second type (posterior bundle dominant) of the partial ACL injuries
Grahic Jump Location
Force versus α−1/α2 curves obtained from simulated Lachman’s test for the normal and ACL-deficient knees with comparison to the knees with (a) the first type (anterior bundle dominant), and (b) the second type (posterior bundle dominant) of the partial ACL injuries
Grahic Jump Location
For the first type (anterior bundle dominant) of partial ACL injuries, (a) curve fit (solid line) of the force-displacement data, (b) the stiffness calculated from the fitted curves, and (c) the rate of change of stiffness
Grahic Jump Location
For the second type (posterior bundle dominant) of partial ACL injuries, (a) curve fit of the force-displacement data, (b) the stiffness calculated from the fitted curves, and (c) the rate of change of stiffness
Grahic Jump Location
(a) Schematic of ligamentous force-strain characteristics used in this study. A quadratic function before 2ε1 and a linear function after 2ε1 were used to represent the force-strain property of the ligament. (b) The stiffness in the injury of ACLa4 calculated from fitted curve is compared to the same stiffness calculated from simulated original data. The point c corresponds to a dramatic change in the stiffness.

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