A new technique was used to measure the resultant forces in the anterior
cruciate ligament during a series of loading experiments on seventeen
fresh-frozen cadaver specimens. The base of the ligament's tibial
attachment was mechanically isolated with a coring cutter, and a specially
designed load-transducer was fixed to the bone-plug that contained the
ligament's tibial insertion so that the resultant forces were directly
measured by the load-cell. Although the magnitudes of values for forces
varied considerably between specimens for a given test condition, the
patterns of loading with respect to direction of loading and the angle of
flexion of the knee were remarkably consistent. Passive extension of the
knee generated forces in the ligament only during the last 10 degrees of
extension; at 5 degrees of hyperextension, the forces ranged from fifty to
240 newtons (mean, 118 newtons). When a 200-newton pull of the quadriceps
tendon was applied to extend a knee slowly against tibial resistance,
however, the force in the ligament increased at all angles of flexion of
the knee. Internal tibial torque always generated greater forces in the
ligament than did external tibial torque; higher forces were recorded as
the knee was extended. The greatest forces (133 to 370 newtons) were
generated when ten newton-meters of internal tibial torque was applied to a
hyperextended knee. Fifteen newton-meters of applied varus moment generated
forces of ninety-four to 177 newtons at full extension; fifteen
newton-meters of applied valgus moment generated a mean force of fifty-six
newtons, which remained unchanged with flexion of the knee. The force
during straight anterior translation of the tibia was approximately equal
to the anterior force applied to the tibia. The application of 925 newtons
of tibiofemoral contact force reduced the mean force in the ligament that
was generated by 200 newtons of anterior pull on the tibia by 36 per cent
at full extension and 46 per cent at 20 degrees of flexion.