We performed instrumented measurement of anterior-posterior laxity of
the knee in thirty-three cadaver specimens, 338 normal subjects, and
eighty-nine patients with unilateral disruption of the anterior cruciate
ligament. The test instrument was the Medmetric knee arthrometer, model
KT-2000. We measured total anterior-posterior laxity, produced by anterior
and posterior loads of eighty-nine newtons (twenty pounds), and the
anterior compliance index. The total anterior-posterior laxity is composed
of an anterior displacement and a posterior displacement; these are
measured from a testing reference position, defined as the resting position
of the knee after applying and then releasing a posterior load of
eighty-nine newtons. The anterior compliance index is defined as the
anterior displacement between an anterior load of sixty-seven newtons and
one of eighty-nine newtons. All tests were performed with the knee held on
a thigh support that placed the knee in 20 +/- 5 degrees of flexion. The
mean anterior displacement at eighty-nine newtons was 5.7 millimeters in a
group of normal subjects and 13.0 millimeters in a group of patients with a
disrupted anterior cruciate ligament. Ninety-two per cent of the normal
subjects had a left knee-right knee difference in anterior displacement of
no more than two millimeters, while 96 per cent of the patients with a
unilateral disruption of the anterior cruciate ligament had an injured
knee-normal knee difference in anterior displacement of more than two
millimeters. Ninety-three per cent of the normal subjects had a difference
in the left-right compliance index of no more than 0.5 millimeter, and 85
per cent of the patients with unilateral disruption of the anterior
cruciate ligament had a difference in the compliance index of the injured
and normal sides of more than 0.5 millimeter.