Gyf. Ng et al., THE LONG-TERM BIOMECHANICAL AND VISCOELASTIC PERFORMANCE OF REPAIRINGANTERIOR CRUCIATE LIGAMENT AFTER HEMITRANSECTION INJURY IN A GOAT MODEL, American journal of sports medicine, 24(1), 1996, pp. 109-117
To test the healing of the partially torn anterior cruciate ligament,
we transected the posterolateral bundle in 11 adult female goats and t
ested the ligaments at 12, 24, and 52 weeks and 3 years after surgery,
As early as 12 weeks after surgery translucent fibrous tissue covered
the wound, The differences in anteroposterior laxity between right an
d left knees measured at 45 degrees and 90 degrees of flexion were not
significantly different at each period, Results of Instron testing of
the posterolateral bundle revealed the normalized changes in load-rel
axation and Young's modulus were not significantly different at each p
eriod, but the ultimate tensile strength and stiffness at 3 years were
significantly higher than at 12 weeks (P < 0.05), Failure started at
the repair site for the 12-week group, but at 24 and 52 weeks the fail
ure occurred throughout the ligament. At 3 years, the specimens failed
with bony avulsion, indicating the repaired tissue was not the weakes
t link of the bone-ligament-bone complex. This study shows that under
favorable conditions, partial anterior cruciate ligament injuries are
capable of repair. What is more important, the high ultimate tensile s
trength and stiffness of the 3-year repaired tissue indicate full stru
ctural repair of such an artificial transection injury may be possible
.