In vivo strain patterns in the four major canine knee ligaments.

Using mercury gauges, we measured strains in vivo in the four major ligaments of the canine knee joint as the tibia was loaded in valgus or varus at fixed angles of knee flexion. Free axial rotation of the tibia on the femur was allowed. Forces up to 78.4 N were applied to the tibia, producing moments of approximately 9 N-m. We found that with valgus loading, significant strains were observed in the medial collateral ligament at extension. At 45 degrees of flexion, the medial collateral, posterior cruciate, and anterior cruciate were strained. At 90 degrees of flexion, all four ligaments were strained. With varus loading, significant strains were found in the lateral collateral and anterior cruciate at extension. The lateral collateral and anterior cruciate ligaments were strained at 45 degrees of flexion. At 90 degrees of flexion, the lateral collateral, anterior cruciate, and posterior cruciate ligaments were strained. With valgus loading, the tibia rotated internally and the degree of axial rotation increased with flexion. External rotation of the tibia resulted from varus loading, and was relatively constant through the range of flexion. Thus when axial rotation is allowed, stability of the knee in response to valgus and varus loads is maintained by the cruciates as well as the collaterals, and the role of the cruciates increases with flexion and axial rotation.