Meniscal injury has been well documented in association with injury to the
anterior cruciate ligament. The purpose of this study was to evaluate the e
ffect of anterior cruciate ligament transection and reconstruction on menis
cal strain. Four differential variable reluctance transducer strain gauges
were placed in the medial and lateral menisci of nine cadaveric knees. Each
specimen was mounted to a six-degree-of-freedom knee testing device. Testi
ng was conducted with the knee fully extended and at 45 degrees and 90 degr
ees of flexion, both with and without applied axial load. At each angle of
flexion, an anterior and posterior tibial load was applied. Next, the anter
ior cruciate ligament was transected and the testing sequence was repeated.
Finally, the ligament was reconstructed using a central one-third patellar
tendon graft and the testing sequence was repeated. The results demonstrat
ed statistically significant increases in meniscal strain in ligament-trans
ected knees compared with intact specimens. A reduction in meniscal strain
to a level similar to that detected in the ligament-intact knees was observ
ed after anterior cruciate ligament reconstruction, These results have impo
rtant clinical implications regarding the potentially deleterious effect of
the anterior cruciate ligament-deficient knee on meniscal strain and the p
otential benefit of anterior cruciate ligament reconstruction.