The effects of progressive removal of the menisci on the
anterior-posterior force-versus-displacement response of the anterior
cruciate-deficient knee were studied in fresh cadaver specimens at 20
degrees of flexion without and with tibial-femoral contact force (joint
load). In the absence of joint load, removal of the medial meniscus
increased total anterior-posterior laxity measured at 200 newtons of
applied tibial force by 10 per cent, and subsequent lateral meniscectomy
produced an additional 10 per cent increase. When a bucket-handle tear of
the medial meniscus was removed, the application of joint load caused the
tibia to displace (subluxate) forward on the femur, thereby changing the
balance condition of the knee. Subsequent removal of the remainder of the
medial meniscus and complete lateral meniscectomy both produced additional
smaller anterior tibial subluxations. Changes in total anterior-posterior
laxity due to progressive meniscectomy in the loaded knee were dependent on
both the amount of applied anterior-posterior force and the level of
compressive force. At 200 newtons of anterior-posterior tibial force,
increases in laxity in the loaded knee due to progressive meniscal removal
were not significantly different than those recorded in the unloaded
condition. At applied forces of fifty newtons or less, the laxities for
loaded specimens were always significantly less than those for unloaded
specimens at comparable stages of meniscal removal. Bilateral meniscectomy
had no significant effect on the posterior response curve, as posterior
tibial translation was effectively checked by the intact posterior cruciate
ligament.(ABSTRACT TRUNCATED AT 250 WORDS)