Healing of the anterior cruciate ligament was studied in 170 male
rabbits. One group included immature animals that had open epiphyses, and a
second group consisted of only mature animals. In one knee of each animal,
the anterior cruciate ligament was transected either completely or
partially, and in the contralateral knee a sham operation was carried out.
Mechanical testing and histological studies of the ligaments were done
immediately postoperatively and at two weeks, six weeks, three months, and
one year. As we expected, there was no regeneration after complete
transection of the anterior cruciate ligament, and all of the animals in
which this procedure was done had severe osteoarthrosis of the joint at
three months. Postoperatively, the partially sectioned ligaments exhibited
one-third of the strength of the ligaments on the side on which the sham
operation had been done in the immature animals and one-fourth of the
strength of the ligaments on the side on which the sham operation had been
done in the mature animals. Subsequently, there was secondary complete
rupture of 20 per cent of the partially sectioned ligaments. The remaining
80 per cent of the partially sectioned ligaments were clearly weaker two
weeks after the operation than immediately postoperatively, but this was
also true on the side on which the sham operation had been done. At six
weeks, the initial postoperative strength of the partially sectioned
ligaments had been regained. At one year, the ligaments of the immature
animals were two-thirds as strong as those on the contralateral side, and
those of the mature animals were three-fourths as strong as those on the
contralateral side. The ligaments were markedly elongated, especially in
the mature animals. At three months, stiffness of the ligaments returned to
normal. Histologically, the defect was filled with tissue that was still
somewhat different from normal ligamentous tissue.