Specially designed load-transducers that measured the resultant forces
exerted by the posterior and anterior cruciate ligaments on their
respective femoral and tibial insertions were applied to eighteen
fresh-frozen cadaveric knees for a series of controlled loading
experiments. The mean force in the posterior cruciate ligament at 5 degrees
of forced hyperextension of the knee was 23 per cent of the mean force in
the anterior cruciate ligament. When the knee was hyperflexed by
application of 10.0 newton-meters of bending moment to the tibia, the mean
force in the posterior cruciate ligament was 55 per cent of that in the
anterior cruciate ligament. Quadriceps tendon pull increased the force in
the posterior cruciate ligament in twelve of the fourteen specimens to
which it had been applied, at 80 and 90 degrees of flexion only. The force
generated in the posterior cruciate ligament by applied internal tibial
torque was greatest when the knee was in 90 degrees of flexion; the force
in the anterior cruciate ligament was greatest when the knee was fully
extended. External tibial torque generated force in the posterior cruciate
ligament in only eight specimens, and only at 80 and 90 degrees of flexion.
The levels of force that were generated in the posterior cruciate ligament
by applied varus and valgus bending moment were greatest at 90 degrees of
flexion of the knee; the levels of force in the anterior cruciate ligament
were greatest with the knee in full extension. With the knee flexed 90
degrees and the tibia in neutral rotation, fifty newtons of applied
posterior tibial force increased the mean force in the posterior cruciate
ligament by 58.4 newtons; at full extension, no increase in the force in
the ligament was recorded, indicating that tensed capsular structures were
absorbing the applied load. When the tibia was internally or externally
rotated by applied tibial torque, the increases in the force in the
ligament from applied posterior tibial force were sharply diminished.