AJSM Click here for details!
HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Sign In to gain access to subscriptions and/or personal tools.
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Harner, C. D.
Right arrow Articles by Woo, S. L.-Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Harner, C. D.
Right arrow Articles by Woo, S. L.-Y.
Related Collections
Right arrow Knee
Right arrow Operative
Right arrow Biomechanics
The American Journal of Sports Medicine 28:144-151 (2000)
© 2000 American Orthopaedic Society for Sports Medicine

Winner of the 1999 Cabaud Award

Biomechanical Analysis of a Double-Bundle Posterior Cruciate Ligament Reconstruction

Christopher D. Harner, MD{dagger}, Marsie A. Janaushek, MS, Akihiro Kanamori, MD, Masayoshi Yagi, MD, Tracy M. Vogrin, MS and Savio L.-Y. Woo, PhD, DSc

Musculoskeletal Research Center, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania

Presented at the 25th annual meeting of the AOSSM, Traverse City, Michigan, June 1999.

{dagger} Address correspondence and reprint requests to Christopher D. Harner, MD, Musculoskeletal Research Center, Department of Orthopaedic Surgery, University of Pittsburgh, POB 71199, Pittsburgh, PA 15213

The objective of this study was to experimentally evaluate a single-bundle versus a double-bundle posterior cruciate ligament reconstruction by comparing the resulting knee biomechanics with those of the intact knee. Ten human cadaveric knees were tested using a robotic/universal force-moment sensor testing system. The knees were subjected to a 134-N posterior tibial load at five flexion angles. Three knee conditions were tested: 1) intact knee, 2) single-bundle reconstruction, and 3) double-bundle reconstruction. Posterior tibial translation of the intact knee ranged from 4.9 ± 2.7 mm at 90° to 7.2 ± 1.5 mm at full extension. After the single-bundle reconstruction, posterior tibial translation increased to 7.3 ± 3.9 mm and 9.2 ± 2.8 mm at 90° and full extension, respectively, while the corresponding in situ forces in the graft were up to 44 ± 19 N lower than those in the intact ligament. Conversely, with double-bundle reconstruction, the posterior tibial translation did not differ significantly from the intact knee at any flexion angle tested. This reconstruction also restored in situ forces more closely than did the single-bundle reconstruction. These data suggest that a double-bundle posterior cruciate ligament reconstruction can more closely restore the biomechanics of the intact knee than can the single-bundle reconstruction throughout the range of knee flexion.




This article has been cited by other articles:


Home page
 JBJSHome page
D. R. Whiddon, C. T. Zehms, M. D. Miller, J. S. Quinby, S. L. Montgomery, and J. K. Sekiya
Double Compared with Single-Bundle Open Inlay Posterior Cruciate Ligament Reconstruction in a Cadaver Model
J. Bone Joint Surg. Am., September 1, 2008; 90(9): 1820 - 1829.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
O. V. Lopes Jr., M. Ferretti, W. Shen, M. Ekdahl, P. Smolinski, and F. H. Fu
Topography of the Femoral Attachment of the Posterior Cruciate Ligament
J. Bone Joint Surg. Am., February 1, 2008; 90(2): 249 - 255.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
T. M. DeBerardino, K. T. Lonergan, and D. E. Brooks
Comparison of the Split Stacked Versus the Split Achilles Allograft for Dual Femoral Tunnel Posterior Cruciate Ligament Reconstruction
Am. J. Sports Med., January 1, 2008; 36(1): 142 - 148.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
R. Papannagari, L. E. DeFrate, K. W. Nha, J. M. Moses, M. Moussa, T. J. Gill, and G. Li
Function of Posterior Cruciate Ligament Bundles During In Vivo Knee Flexion
Am. J. Sports Med., September 1, 2007; 35(9): 1507 - 1512.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
K. L. Markolf, B. T. Feeley, S. R. Jackson, and D. R. McAllister
Biomechanical Studies of Double-Bundle Posterior Cruciate Ligament Reconstructions
J. Bone Joint Surg. Am., August 1, 2006; 88(8): 1788 - 1794.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
D. K. Davis, D. H. Goltz, D. C. Fithian, and D. D'Lima
Anatomical Posterior Cruciate Ligament Transplantation: A Biomechanical Analysis
Am. J. Sports Med., July 1, 2006; 34(7): 1126 - 1133.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
W. B. Wiley, M. J. Askew, A. Melby III, and D. A. Noe
Kinematics of the Posterior Cruciate Ligament/Posterolateral Corner-Injured Knee After Reconstruction by Single- and Double-Bundle Intra-articular Grafts
Am. J. Sports Med., May 1, 2006; 34(5): 741 - 748.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
W. Petersen, S. Lenschow, A. Weimann, M. J. Strobel, M. J. Raschke, and T. Zantop
Importance of Femoral Tunnel Placement in Double-Bundle Posterior Cruciate Ligament Reconstruction: Biomechanical Analysis Using a Robotic/Universal Force-Moment Sensor Testing System
Am. J. Sports Med., March 1, 2006; 34(3): 456 - 463.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
J. A. Bergfeld, S. M. Graham, R. D. Parker, A. D. C. Valdevit, and H. E. Kambic
A Biomechanical Comparison of Posterior Cruciate Ligament Reconstructions Using Single- and Double-Bundle Tibial Inlay Techniques
Am. J. Sports Med., July 1, 2005; 33(7): 976 - 981.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
C. A. Fontbote, T. C. Sell, K. G. Laudner, M. Haemmerle, C. R. Allen, F. Margheritini, S. M. Lephart, and C. D. Harner
Neuromuscular and Biomechanical Adaptations of Patients With Isolated Deficiency of the Posterior Cruciate Ligament
Am. J. Sports Med., July 1, 2005; 33(7): 982 - 989.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
F. R. Noyes and S. Barber-Westin
Posterior Cruciate Ligament Replacement with a Two-Strand Quadriceps Tendon-Patellar Bone Autograft and a Tibial Inlay Technique
J. Bone Joint Surg. Am., June 1, 2005; 87(6): 1241 - 1252.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
F. R. Noyes and S. D. Barber-Westin
Posterior Cruciate Ligament Revision Reconstruction, Part 1: Causes of Surgical Failure in 52 Consecutive Operations
Am. J. Sports Med., May 1, 2005; 33(5): 646 - 654.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
F. R. Noyes and S. D. Barber-Westin
Posterior Cruciate Ligament Revision Reconstruction, Part 2: Results of Revision Using a 2-Strand Quadriceps Tendon-Patellar Bone Autograft
Am. J. Sports Med., May 1, 2005; 33(5): 655 - 665.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
J. K. Sekiya, M. J. Haemmerle, K. J. Stabile, T. M. Vogrin, and C. D. Harner
Biomechanical Analysis of a Combined Double-Bundle Posterior Cruciate Ligament and Posterolateral Corner Reconstruction
Am. J. Sports Med., March 1, 2005; 33(3): 360 - 369.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
W. M. Wind Jr, J. A. Bergfeld, and R. D. Parker
Evaluation and Treatment of Posterior Cruciate Ligament Injuries: Revisited
Am. J. Sports Med., October 1, 2004; 32(7): 1765 - 1775.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
A. W. Pearsall IV and J. M. Hollis
The Effect of Posterior Cruciate Ligament Injury and Reconstruction on Meniscal Strain
Am. J. Sports Med., October 1, 2004; 32(7): 1675 - 1680.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
J. T. Shearn, E. S. Grood, F. R. Noyes, and M. S. Levy
Two-Bundle Posterior Cruciate Ligament Reconstruction: How Bundle Tension Depends on Femoral Placement
J. Bone Joint Surg. Am., June 1, 2004; 86(6): 1262 - 1270.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
L. E. DeFrate, A. van der Ven, T. J. Gill, and G. Li
The Effect of Length on the Structural Properties of an Achilles Tendon Graft as Used in Posterior Cruciate Ligament Reconstruction
Am. J. Sports Med., June 1, 2004; 32(4): 993 - 997.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
F. Margheritini, C. S. Mauro, J. A. Rihn, K. J. Stabile, S. L-Y. Woo, and C. D. Harner
Biomechanical Comparison of Tibial Inlay Versus Transtibial Techniques for Posterior Cruciate Ligament Reconstruction: Analysis of Knee Kinematics and Graft In Situ Forces
Am. J. Sports Med., April 1, 2004; 32(3): 587 - 593.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
D. E. Cooper and D. Stewart
Posterior Cruciate Ligament Reconstruction Using Single-Bundle Patella Tendon Graft With Tibial Inlay Fixation: 2- to 10-Year Follow-up
Am. J. Sports Med., March 1, 2004; 32(2): 346 - 360.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
C. D. Harner, R. L. Waltrip, C. H. Bennett, K. A. Francis, B. Cole, and J. J. Irrgang
Surgical Management of Knee Dislocations
J. Bone Joint Surg. Am., February 1, 2004; 86(2): 262 - 273.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
T. J. Gill, L. E. DeFrate, C. Wang, C. T. Carey, S. Zayontz, B. Zarins, and G. Li
The Effect of Posterior Cruciate Ligament Reconstruction on Patellofemoral Contact Pressures in the Knee Joint Under Simulated Muscle Loads
Am. J. Sports Med., January 1, 2004; 32(1): 109 - 115.
[Abstract] [Full Text]

Home page
 Am J Sports MedHome page
C. B. Ma, A. Kanamori, T. M. Vogrin, S. L-Y. Woo, and C. D. Harner
Measurement of Posterior Tibial Translation in the Posterior Cruciate Ligament-Reconstructed Knee: Significance of the Shift in the Reference Position
Am. J. Sports Med., November 1, 2003; 31(6): 843 - 848.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
D. A. Oakes, K. L. Markolf, J. McWilliams, C. R. Young, and D. R. McAllister
The Effect of Femoral Tunnel Position on Graft Forces During Inlay Posterior Cruciate Ligament Reconstruction
Am. J. Sports Med., September 1, 2003; 31(5): 667 - 672.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
F. R. Noyes and J. P. Stannard
Anatomic reconstruction of the posterior cruciate ligament after multiligament knee injuries. A combination of the tibial-inlay and two-femoral-tunnel techniques.
Am. J. Sports Med., September 1, 2003; 31(5): 812 - 813.
[Full Text] [PDF]

Home page
 Am J Sports MedHome page
T. J. Gill, L. E. DeFrate, C. Wang, C. T. Carey, S. Zayontz, B. Zarins, and G. Li
The Biomechanical Effect of Posterior Cruciate Ligament Reconstruction on Knee Joint Function: Kinematic Response to Simulated Muscle Loads
Am. J. Sports Med., July 1, 2003; 31(4): 530 - 536.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
C. S. Ahmad, Z. A. Cohen, W. N. Levine, T. R. Gardner, G. A. Ateshian, and V. C. Mow
Codominance of the Individual Posterior Cruciate Ligament Bundles: An Analysis of Bundle Lengths and Orientation
Am. J. Sports Med., March 1, 2003; 31(2): 221 - 225.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
D. A. Oakes, K. L. Markolf, J. McWilliams, C. R. Young, and D. R. McAllister
Biomechanical Comparison of Tibial Inlay and Tibial Tunnel Techniques for Reconstruction of the Posterior Cruciate Ligament : Analysis of Graft Forces
J. Bone Joint Surg. Am., June 1, 2002; 84(6): 938 - 944.
[Abstract] [Full Text] [PDF]

Home page
 J Am Acad Orthop SurgHome page
A. J. Cosgarea and P. R. Jay
Posterior Cruciate Ligament Injuries: Evaluation and Management
J. Am. Acad. Ortho. Surg., September 1, 2001; 9(5): 297 - 307.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
J. A. Bergfeld, D. R. McAllister, R. D. Parker, A. D. C. Valdevit, and H. E. Kambic
A Biomechanical Comparison of Posterior Cruciate Ligament Reconstruction Techniques
Am. J. Sports Med., March 1, 2001; 29(2): 129 - 136.
[Abstract] [Full Text] [PDF]

Home page
 JBJSHome page
C. D. Harner
What's New in Sports Medicine?
J. Bone Joint Surg. Am., February 1, 2001; 83(2): 305 - 305.
[Full Text]

Home page
 J Am Acad Orthop SurgHome page
S. L.-Y. Woo, T. M. Vogrin, and S. D. Abramowitch
Healing and Repair of Ligament Injuries in the Knee
J. Am. Acad. Ortho. Surg., November 1, 2000; 8(6): 364 - 372.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
D. A. Mannor, J. T. Shearn, E. S. Grood, F. R. Noyes, and M. S. Levy
Two-Bundle Posterior Cruciate Ligament Reconstruction: An In Vitro Analysis of Graft Placement and Tension
Am. J. Sports Med., November 1, 2000; 28(6): 833 - 845.
[Abstract] [Full Text] [PDF]


HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2000 by the American Orthopaedic Society for Sports Medicine.