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Posterior Cruciate Ligament Response to Proximal Tibia Impact
ISSN: 0148-7191, e-ISSN: 2688-3627
Published April 2, 2019 by SAE International in United States
This content contains downloadable datasetsAnnotation ability available
Posterior cruciate ligament (PCL) injuries, although rarely life threatening, affect the quality of life of the person who sustains the injury. The PCL is the primary restraint to posterior tibial translation and can be injured when the tibia moves posteriorly relative to the femur. This type of injury is common in frontal crashes where the tibia may impact the dashboard or steering column. To quantify what happens during dynamic loading of the tibial plateau, isolated cadaveric lower limbs (n = 14) were impacted at dynamic rates with a linear pneumatic ram. During the testing, a static load was applied to the quadriceps tendon to simulate active musculature. Forces as well as the stretch of the PCL were measured. The most common injuries were tibia fractures and PCL tears. The stiffness for the tests at impact velocities of 1.4 and 2.9 m/s were on average 120 N/mm and 141N/mm, respectively. A trend towards increasing femur force with increasing velocity was found. The study presents biofidelity targets for the response of the cadaveric limbs, which can be used in the development of anthropometric test devices or computational models.
CitationCiontea, A., Gustafson, H., Mansfield, J., McFadden, J. et al., "Posterior Cruciate Ligament Response to Proximal Tibia Impact," SAE Technical Paper 2019-01-1221, 2019, https://doi.org/10.4271/2019-01-1221.
Data Sets - Support Documents
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- Kuppa, S. and Fessahaie, O., “An Overview of Knee-Thigh-Hip Injuries in Frontal Crashes in the United States,” in Proceedings of the Eighteenth International Technical Conference on Enhanced Safety of Vehicles, 2003, National Highway Traffic Safety Association, Washington, DC.
- Amis, A.A., Bull, A.M., Gupte, C.M., Hijazi, I. et al., “Biomechanics of the PCL and Related Structures: Posterolateral, Posteromedial and Meniscofemoral Ligaments,” Knee Surg Sports Traumatol Arthrosc. 11:271-281, 2003.
- Keller, P., Shelbourne, K., McCarroll, R., and Rettig, A., “Nonoperatively Treated Isolated Posterior Cruciate Ligament Injuries,” Am J Sports Med. 21:132-136, 1993.
- Li, G., Papannagari, R. et al., “Effect of Posterior Cruciate Ligament Deficiency on In Vivo Translation and Rotation of the Knee during Weightbearing Flexion,” Am J Sports Med. 36:474-479, 2008.
- Yoshioka, Y., Siu, D., and Cooke, T.D., “The Anatomy and Functional Axes of the Femur,” J Bone Joint Surg Am. 69:873-880, 1987.
- Balasubramanian, S., Beillas, P., Belwadi, A., Hardy, W.N. et al., “Below Knee Impact Responses Using Cadaveric Specimens,” SAE Technical Paper 2004-22-0004, 2004, doi:10.4271/2004-22-0004.
- Viano, D., Culver, C., Haut, R., Melvin, J. et al., “Bolster Impacts to the Knee and Tibia of Human Cadavers and an Anthropomorphic Dummy,” SAE Technical Paper 780896, 1978, doi:10.4271/780896.
- Mertz, H.J., Injury Assessment Values Used to Evaluate Hybrid III Response Measurements. Accidental Injury (New York, NY, USA: Springer, 1984), 89-102.
- SAE International Surface Vehicle Recommended Practice, “Instrumentation for Impact Test,” SAE Standard SAEJ211-1, 2007.
- Bartsch, A., Bolte, J., Litsky, A., Herriott, R. et al., “Application of Anthropomorphic Test Device Crash Test Kinetics to Post Mortem Human Subject Lower Extremity Testing,” SAE Technical Paper 2006-01-0251, 2006, doi:10.4271/2006-01-0251.
- Haut, R. and Little, R., “Rheological Properties of Canine Anterior Cruciate Ligaments,” J Biomech. 2:289-298, 1969.
- Johnson, G., Tramaglini, D., Levine, R., Ohno, K. et al., “Tensile and Viscoelastic Properties of Human Patellar Tendon,” J Orthop Res. 12:796-803, 1994.
- Kwan, M.K., Lin, T.H., and Woo, S.L., “On the Viscoelastic Properties of the Anteromedial Bundle of the Anterior Cruciate Ligament,” J Biomech. 26:447-452, 1993.
- Pioletti, D., Rakotomanana, L., Benvenuti, J., and Leyvraz, P., “Viscoelastic Constitutive Law in Large Deformations: Application to Human Knee Ligaments and Tendons,” J Biomech. 31:753-757, 1998.
- Pioletti, D., Rakotomanana, L., and Leyvraz, P., “Strain Rate Effect on the Mechanical Behavior of the Anterior Cruciate Ligament-Bone Complex,” Med Eng Phys. 21:95-100, 1999.
- Butler, D., Noyes, F., and Grood, E., “Ligamentous Restraints to Anterior-Posterior Drawer in the Human Knee: A Biomechanical Study,” J Bone Joint Surg. 62:259-270, 1980.