No abstract

We measured forces in the quadriceps tendon and ligamentum patellae in six human cadaver knee joints loaded through a range of flexion angles from 30 to 120 degrees. Using standardized loads based on one-sixth of maximum isometric quadriceps moments reported in human volunteers, we measured maximum average forces at 60 degrees flexion of 532 N in the quadriceps tendon (FQ) and 470 N in the ligamentum patellae (FL). Linear extrapolation to full maximum extensor moments results in estimates of 3,200 N for FQ and 2,800 N for FL. The force ratio (FL/FQ) reached a maximum value of 1.27 at 30 degrees and minimums of 0.7 at 90 and 120 degrees knee flexion. Contrary to prevailing opinion, our results indicate that the patella is not a simple pulley that serves only to change the direction of equal forces in the quadriceps tendon and ligamentum patellae. Instead, the ratio of forces in these structures varies significantly with flexion angle. The ratio appears to be determined by the changing location of the patellofemoral contact area relative to the insertions of the tendon and ligament. These findings emphasize the biomechanical importance of patellar length and of the vertical dimensions and locations of the patellofemoral contact area. Attempts at surgical intervention for the treatment of disorders of the extensor apparatus should recognize these variations. Procedures that tend to move the contact area more proximally (at a particular flexion angle) will also tend to decrease the FL/FQ ratio.

We measured patellofemoral contact areas and pressures using pressure sensitive film in ten human cadaver knees exhibiting degenerative lesions of patellar cartilage. We studied a flexion range from 20 degrees to 90 degrees and compared contact pressures before and after capsular reconstructive procedures. With an intact, normal capsule, localized lesions of grade I-II exhibited a 50% reduction in pressure (from 3.4 +/- 0.7 MPa to 1.6 +/- 0.9 MPa) directly over the lesion. Grade III-IV lesions exhibited a loss of contact pressure greater than 90%. This reduction in pressure appears to result from a loss of stiffness in the low-grade cartilage lesions and from a loss of cartilage thickness in higher grade lesions. Highly localized peak pressures were also observed on the normal cartilage bordering the lesions. Capsular reconstructive procedures (medial plication, lateral plication, lateral release, and bilateral release) did not result in consistent pressure reductions or in the creation of more uniform pressure distributions. In particular, lateral capsular release, a popular surgical procedure, resulted in no change in three knees and four different pressure patterns in the other seven knees.