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The American Journal of Sports Medicine 22:105-112 (1994)
© 1994 SAGE Publications

The Effect of Joint-Compressive Load and Quadriceps Muscle Force on Knee Motion in the Intact and Anterior Cruciate Ligament-Sectioned Knee

Peter A. Torzilli, PhD

Laboratory for Soft Tissue Research and the Sports Medicine Service, The Hospital for Special Surgery, New York, New York

Xianghua Deng, MD

Laboratory for Soft Tissue Research and the Sports Medicine Service, The Hospital for Special Surgery, New York, New York

Russell F. Warren, MD

Laboratory for Soft Tissue Research and the Sports Medicine Service, The Hospital for Special Surgery, New York, New York

To determine the effect of an externally applied joint- compressive load and a quadriceps muscle force on knee motion, we tested nine intact cadaveric knees and four knees after sectioning of the anterior cruciate liga ment. Anteroposterior translation was measured at 0°, 15°, 30°, 45°, and 90° of knee flexion after the appli cation of an anteroposterior force of 100 N, a joint- compressive load of 0, 111, 222, 333, or 444 N, and a quadriceps force of 0 or 133 N. Both a joint-compressive load and a quadriceps force significantly decreased to tal anteroposterior translation by as much as 50% to 66% in intact knees and 42% to 71 % in anterior cruciate ligament-sectioned knees. A substantial anterior trans lation was also found with the application of a joint- compressive load or a quadriceps force and no anterior force. We termed this translation an anterior neutral- position shift. The anterior neutral-position shift was sig nificantly greater in the ligament-sectioned knees com pared with the intact knees, so much so that at flexion angles greater than 15°, the application of a 100-N pos terior force could not translate the tibia to the most an terior position achieved in the intact knee with a 100-N anterior force.




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