Clinical Biomechanics
Volume 25, Issue 10 , Pages 1042-1046 , December 2010

Biomechanical evaluation of double bundle augmentation of posterior cruciate ligament using finite element analysis

  • Kyoung Ho Yoon

      Affiliations

    • Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University, Republic of Korea
    • Yoon Hyuk Kim and Kyoung Ho Yoon contributed equally to this study as first authors.
    • ,
  • Yoon Hyuk Kim

      Affiliations

    • Department of Mechanical Engineering, Kyung Hee University, Republic of Korea
    • e-Spine center, Industrial Liaison Research Institute, Kyung Hee University, Republic of Korea
    • Corresponding Author InformationCorresponding author. Department of Mechanical Engineering, Kyung Hee University Yongin-si, Gyeonggi-do, 446-701 Korea.
    • Yoon Hyuk Kim and Kyoung Ho Yoon contributed equally to this study as first authors.
    • ,
  • Jeong Han Ha

      Affiliations

    • Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University, Republic of Korea
    • ,
  • Kyungsoo Kim

      Affiliations

    • Department of Mathematics, Kyonggi University, Republic of Korea
    • ,
  • Won Man Park

      Affiliations

    • Department of Mechanical Engineering, Kyung Hee University, Republic of Korea

Received 15 March 2010 ,Accepted 27 July 2010.

References 

  1. Ahn JH, Yang HS, Jeong WK, Koh KH. Arthroscopic transtibial posterior cruciate ligament reconstruction with preservation of posterior cruciate ligament fibers: clinical results of minimum 2-year follow-up. Am. J. Sports Med. 2006;34:194–204
  2. Bendjaballah MZ, Shirazi-Adl A, Zukor DJ. Biomechanics of the human knee joint in compression: reconstruction, mesh generation and finite element analysis. Knee. 1995;2:69–79
  3. Bendjaballah MZ, Shirazi-Adl A, Zukor DJ. Finite element analysis of human knee joint in varus–valgus. Clin. Biomech. 1997;12:139–148
  4. Berg EE. Posterior cruciate ligament tibial inlay reconstruction. Arthroscopy. 1995;11:69–76
  5. Bomberg B, Acker JH, Boyle J, Zarins B. The effects of posterior cruciate ligament loss and reconstruction on the knee. Am. J. Knee Surg. 1990;3:85–96
  6. Boynton MD, Tietjens BR. Long-term followup of the untreated isolated posterior cruciate ligament-deficient knee. Am. J. Sports Med. 1996;24:306–310
  7. Chen B, Gao S. Double-bundle posterior cruciate ligament reconstruction using a non-hardware suspension fixation technique and 8 strands of autogenous hamstring tendons. Arthroscopy. 2009;25:777–782
  8. Chen CH, Chen WJ, Shih CH. Arthroscopic reconstruction of the posterior cruciate ligament: a comparison of quadriceps tendon autograft and quadruple hamstring tendon graft. Arthroscopy. 2002;18:603–612
  9. Cosgarea AJ, Jay PR. Posterior cruciate ligament injuries: evaluation and management. J. Am. Acad. Orthop. Surg. 2001;9:297–307
  10. Covey DC, Sapega AA, Sherman GM. Testing for isometry during reconstruction of the posterior cruciate ligament. Anatomic and biomechanical considerations. Am. J. Sports Med. 1996;24:740–746
  11. Cross M, Powell J. Long-term follow-up of posterior cruciate ligament rupture: a study of 116 cases. Am. J. Sports Med. 1984;12:292–297
  12. Dandy D, Pusey R. Long-term follow-up of unrepaired tears of the posterior cruciate ligament. J. Bone Joint Surg. Br. 1982;64:92–94
  13. Galloway MT, Grood ES, Mehalik JN, Levy M, Saddler SC, Noyes FR. Posterior cruciate ligament reconstruction. An in vitro study of femoral and tibial graft placement. Am. J. Sports Med. 1996;24:437–445
  14. Garofalo R, Jolles BM, Moretti B, Siegrist O. Double-bundle transtibial posterior cruciate ligament reconstruction with a tendon-patellar bone-semitendinosus tendon autograft: clinical results with a minimum of 2years' follow-up. Arthroscopy. 2006;22:1331–1338
  15. Gill TJ, DeFrate LE, Wang C, Carey CT, Zayontz S, Zarins B, et al. The biomechanical effect of posterior cruciate ligament reconstruction on knee joint function. Kinematic response to simulated muscle loads. Am. J. Sports Med. 2003;31:530–536
  16. Harner CD, Fu FH, Irrgang JJ, Vogrin TM. Anterior and posterior cruciate ligament reconstruction in the new millennium: a global perspective. Knee Surg. Sports Traumatol. Arthrosc. 2001;9:330–336
  17. Harner CD, Höher J. Current concepts: evaluation and treatment of posterior cruciate ligament injuries. Am. J. Sports Med. 1998;26:471–482
  18. Harner CD, Janaushek MA, Kanamori A, Yagi M, Vogrin TM, Woo SL. Biomechanical analysis of a double-bundle posterior cruciate ligament reconstruction. Am. J. Sports Med. 2000;28:144–151
  19. Harner CD, Xerogeanes JW, Livesay GA, Carlin GJ, Smith BA, Kusayama T, et al. The human posterior cruciate ligament complex: an interdisciplinary study — ligament morphology and biomechanical evaluation. Am. J. Sports Med. 1995;23:736–745
  20. Jung YB, Jung HJ, Tae SK, Lee YS, Yang DL. Tensioning of remnant posterior cruciate ligament and reconstruction of anterolateral bundle in chronic posterior cruciate ligament injury. Arthroscopy. 2006;22:329–338
  21. Li G, Gill J, Kanamori A, Woo SL. A validated three-dimensional computational model of a human knee joint. J. Biomech. Eng. 1999;121:657–662
  22. Li G, Park SE, DeFrate LE, Schutzer ME, Ji L, Gill TJ, et al. The cartilage thickness distribution in the tibiofemoral joint and its correlation with cartilage to cartilage contact. Clin. Biomech. 2005;20:736–744
  23. Li G, Suggs J, Gill T. The effect of anterior cruciate ligament injury on knee joint function under a simulated muscle load: a three-dimensional computational simulation. Ann. Biomed. Eng. 2002;30:713–720
  24. Mariani PP, Andriani E, Santori N, Maresca G. Arthroscopic posterior cruciate ligament reconstruction with bone-tendon-bone patellar graft. Knee Surg. Sports Traumatol. Arthrosc. 1997;5:239–244
  25. Markolf KL, Feeley BT, Jackson SR, McAllister DR. Biomechanical studies of double-bundle posterior cruciate ligament reconstructions. J. Bone Joint Surg. Am. 2006;88:1788–1794
  26. Markolf KL, Slauterbeck JR, Armstrong KL, Shapiro MS, Finerman GA. A biomechanical study of replacement of the posterior cruciate ligament with a graft. Part II: forces in the graft compared with forces in the intact ligament. J. Bone Joint Surg. Am. 1997;79:381–386
  27. Noyes FR, Barber-Westin SD. Posterior cruciate ligament revision reconstruction, part 1: causes of surgical failure in 52 consecutive operations. Am. J. Sports Med. 2005;33:646–654
  28. Nyland J, Hester P, Caborn DN. Double-bundle posterior cruciate ligament reconstruction with allograft tissue: 2-year postoperative outcomes. Knee Surg. Sports Traumatol. Arthrosc. 2002;10:274–278
  29. Odensten M, Gillquist J. Reconstruction of the posterior cruciate ligament using a new drill-guide. Knee Surg. Sports Traumatol. Arthrosc. 1993;1:39–43
  30. Ortiz GJ, Schmotzer H, Bernbeck J, Graham S, Tibone JE, Vangsness CT. Isometry of the posterior cruciate ligament. Effects of functional load and muscle force application. Am. J. Sports Med. 1998;26:663–668
  31. Pena E, Calvo B, Martinez MA, Doblare M. A three-dimensional finite element analysis of the combined behavior of ligaments and menisci in the healthy human knee joint. J. Biomech. 2006;39:1686–1701
  32. Petermann J, Gotzen L, Trus P. Posterior cruciate ligament (PCL) reconstruction — an in vitro study of isometry. Part II. Tests using an experimental PCL graft model. Knee Surg. Sports Traumatol. Arthrosc. 1994;2:104–106
  33. Scapinelli R. Vascular anatomy of the human cruciate ligaments and surrounding structures. Clin. Anat. 1997;10:151–162
  34. Sekiya JK, West RV, Ong BC, Irrgang JJ, Fu FH, Harner CD. Clinical outcomes after isolated arthroscopic single-bundle posterior cruciate ligament reconstruction. Arthroscopy. 2005;21:1042–1050
  35. Shaw KM, Lewis G. Tensile properties of human Achilles tendon. Proceedings of 16th Southern Biomed. Eng. Conf.,. 1997;338–341
  36. Shearn JT, Grood ES, Noyes FR, Levy MS. Two-bundle posterior cruciate ligament reconstruction: how bundle tension depends on femoral placement. J. Bone Joint Surg. Am. 2004;86:1262–1270
  37. Shelbourne KD, Jennings RW, Vahey TN. Magnetic resonance imaging of posterior cruciate ligament injuries: assessment of healing. Am. J. Knee Surg. 1999;12:209–213
  38. Tewes DP, Fritts HM, Fields RD, Quick DC, Buss DD. Chronically injured posterior cruciate ligament: magnetic resonance imaging. Clin. Orthop. Relat. Res. 1997;335:224–232
  39. Yoon KH, Bae DK, Cho SM, Park SY, Lee JH. Standard anterior cruciate ligament reconstruction versus isolated single-bundle augmentation with hamstring autograft. Arthroscopy. 2009;25:1265–1274
  40. Yoon KH, Bae DK, Song SJ, Lim CT. Arthroscopic double-bundle augmentation of posterior cruciate ligament using split Achilles allograft. Arthroscopy. 2005;21:1436–1442

PII: S0268-0033(10)00217-2

doi: 10.1016/j.clinbiomech.2010.07.014

Clinical Biomechanics
Volume 25, Issue 10 , Pages 1042-1046 , December 2010

Article Tools

* Image Usage & Resolution