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• W2040674418 abstract "We wished to determine the optimal tensions required to restore normal joint laxity to anterior cruciate ligament (ACL)-deficient knees using a braided polyethylene ACL prosthesis (PACL). In 10 cadaveric specimens, we measured the anteroposterior (AP) laxity of the intact knee at 10°, 30°, 60°, and 90° of flexion. The ACL was then removed and replaced with the PACL using tunnel-tunnel (T-T) and “over-the-top” (OTT) placement techniques. In both positions, the PACL was initially tensioned to 0, 9, 18, and 27 N with the knee flexed to 30°. AP joint laxity was then measured at each flexion angle. With an increase in initial tension, there was a corresponding decrease in AP laxity. At 30° and 90° of flexion, AP laxity was not significantly different from normal using T-T placement and an initial tension of 0 N. At 90° of flexion, AP laxity was not signifincantly different from normal using OTT placement at 0 or 9 N of initial tension. For both positions, all other tension levels and flexion angles constrained AP laxity. No laxity differences were detected between the OTT and T-T positions at any flexion angle. The variability in AP laxity of the T-T position was significantly greater than OTT. With a 150-N anterior shear force applied to the proximal tibia, the maximum tensions developed in the PACL were not significantly different between the two positions except at 90°. The results suggest that implantation of the PACL is best performed using OTT positioning with an initial tension of 0 N applied at 30° of knee flexion." @default.
• W2040674418 created "2016-06-24" @default.
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• W2040674418 date "1992-03-01" @default.
• W2040674418 modified "2023-09-29" @default.
• W2040674418 title "Effect of tension and placement of a prosthetic anterior cruciate ligament on the anteroposterior laxity of the knee" @default.
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• W2040674418 doi "https://doi.org/10.1002/jor.1100100204" @default.
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