The strength and failure mode of a fresh femur-anterior cruciate
ligament-tibia complex was studied in normal rabbits and after the
induction of an experimental immune synovitis. Five modes of failure were
observed: (1) through the anterior cruciate ligament alone; (2) through a
small piece of bone with the anterior cruciate ligament attached; (3)
through a condyle; (4) through the metaphysis; and (5) through the
diaphysis. In the normal complex, failure always occurred through the
anterior cruciate ligament. In the controls, the average ratio of
failure-load to body weight was seventy-four newtons per kilogram. After
induction of an immune synovitis this ratio was significantly reduced, to
twenty-two newtons per kilogram. Synovial cathepsin-D enzyme activity in
these knees was 5.27 micromoles per hour per milligram of protein, which
was significantly elevated when compared with the control level of 0.26.
Histological examination of the anterior cruciate ligament after induction
of the immune synovitis but before strength-testing demonstrated loss of
the normal undulating fiber orientation, disorganization of the normal
cellular pattern, and a decrease in the staining of the interstitial matrix
with Mallory trichrome. There was a moderate infiltration of mononuclear
and polymorphonuclear inflammatory cells in the body of the ligament.
Histological studies of the ligament after strength-testing showed that the
failure resulted in a mop-like appearance and morphological characteristics
similar to those observed before testing.