The effects of immobilization and remobilization on the biomechanical
and morphological properties of the femur-medial collateral ligament-tibia
complex and each of its components were investigated in the rabbit.
Specimens that had been obtained after periods of unilateral immobilization
of the knee and remobilization were evaluated for structural properties. In
addition, the mechanical properties of the substance of the medial
collateral ligament and the histological characteristics of both the
substance of the ligament and its sites of insertion were evaluated. After
immobilization, there were significant reductions in the ultimate load and
energy-absorbing capabilities of the bone-ligament complex, and an
increased number of failures occurred by tibial avulsion. The tissue of the
medial collateral ligament also became less stiff as a result of
immobilization. Histologically, the femoral and tibial insertion sites
showed increased osteoclastic activity, resorption of bone, and disruption
of the normal attachment of the bone to the ligament. With remobilization,
the ultimate load and energy-absorbing capabilities of the bone-ligament
complex improved but did not return to normal. Failure by tibial avulsion
became less frequent, and the stress-strain characteristics of the medial
collateral ligament returned to normal. Histologically, the sites of
insertion of the ligament also showed evidence of recovery.