Circumferential measurement and analysis of strain distribution in the human ACL using a photoelastic coating method.

Large variable deformations of the ligament cannot be adequately quantified by one-dimensional and/or localized measurements. To obtain accurate measurement of non-uniform strains over the entire surface of anterior cruciate ligament (ACL), we used a photoelastic coating technique and a method that allowed us to photograph an ACL around its longitudinal axis. A cadaver knee was modified to expose its ACL for observation, and the ligament was then coated with a photoelastic material. The knee was locked in a jig that allowed simulation of natural knee motion. The jig containing the knee was then mounted on a stand, which allowed the exposed ACL to be photographed from any angle around its longitudinal axis while set at a chosen degree of knee flexion. The jig itself was rotated on its stand so as to obtain a panoramic view of the ACL at a given knee angle. The obtained images of the photoelastic fringe patterns yielded significant information for understanding how the strain distributions along the fiber bundles change in association with knee motion. From the results we obtained using the photoelastic measuring method, we reached the following conclusions. Reciprocal functioning between the anterior and the posterior bundles from extension to flexion of the knee does occur. Strain distribution is not uniform even along the same bundle. The strain behavior of the ACL under uniaxial tensile test does not duplicate the conditions in which the ACL is damaged during knee motion. The differences in strains on the ACL under active and passive knee motions may not be as large as those reported previously in the literature.