Virtually all types of collagenous tissues have been transferred in and
around the knee joint for intra-articular and extra-articular ligament
reconstructions. However, the mechanical properties (in particular,
strength) of such grafts have not been determined in tissues from young
adult donors, where age and disuse-related effects have been excluded. To
provide this information, we subjected ligament graft tissues to
high-strain-rate failure tests to determine their strength and elongation
properties. The results were compared with the mechanical properties of
anterior cruciate ligaments from a similar young-adult donor population.
The study indicated that some graft tissues used in ligament
reconstructions are markedly weak and therefore are at risk for elongation
and failure at low forces. Grafts utilizing prepatellar retinacular tissues
(as in certain anterior-cruciate reconstructions) and others in which a
somewhat narrow width of fascia lata or distal iliotibial tract is utilized
are included in this at-risk group. Wider grafts from the iliotibial tract
or fascia lata would of course proportionally increase ultimate strength.
The semitendinosus and gracilis tendons are stronger, having 70 and 49 per
cent, respectively, of the initial strength of anterior cruciate ligaments.
The bone-patellar tendon-bone graft (fourteen to fifteen millimeters wide,
medial or central portion) was the strongest, with a mean strength of 159
to 168 per cent of that of anterior cruciate ligaments. Patellar
tendon-bone units, based on grip-to-grip motions, were found to be three to
four times stiffer than similarly gripped anterior cruciate ligaments,
while gracilis and semitendinosus tendon preparations had values that were
nearly identical to those of anterior cruciate ligaments.(ABSTRACT
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