The synergistic action of the ACL and the thigh muscles in maintaining joint stability was studied experimentally. The EMG from the quadriceps and hamstring muscle groups was recorded and analyzed in three separate experimental procedures in which the knee was stressed. The test revealed that direct stress of the ACL has a moderate inhibitory effect on the quadriceps, but simultaneously it directly excites the hamstrings. Similar responses were also obtained in patients with ACL damage during loaded knee extension with tibia subluxation, indicating that an alternative reflex arc unrelated to ACL receptors was available to maintain joint integrity. The antagonist muscles (hamstrings) were clearly demonstrated to assume the role of joint stabilizers in the patient who has a deficient ACL. The importance of an appropriate muscle-conditioning rehabilitation program in such a patient is substantiated.

A biomechanical analysis of the results of an over‐the‐top procedure for replacement of the cranial cruciate ligament (CCL) in the dog is presented. Using 15 adult mongrel dogs, the CCL in one stifle joint was reconstructed using fascia lata and the lateral one‐third of the patellar ligament. The opposite CCL served as the control. Animals were sacrificed at 0, 4, 12 and 26 weeks postoperation and axial failure tests were performed. Stiffness, maximum load, and elastic modulus of the replacement increased over time, while elongation to maximum load continually decreased as compared to controls. Other parameters showed less consistent trends. The results are encouraging given the reduction in joint laxity and the increases in tissue stiffness and strength. However, the ligament substitute was still unable to replicate the mechanical properties of the normal cruciate ligament. Longer studies therefore are required to determine if this replacement is capable of completely restoring joint stability and normal function.

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BackgroundSuggestions for improved wear performance of total knee replacements have included replacement of standard CoCr femoral components with ceramic and replacement of 3.5-Mrad ultra-high molecular weight polyethylene (UHMWPE) inserts with 5-or 7-Mrad UHMWPE inserts. The ceramic materials used clinically have included alumina, zirconia ceramic and oxidized zirconium.Patients and method We compared both CoCr and zirconia versions of the Bi-Surface knee replacement in a 6-station knee simulator using alpha calf serum for lubrication (20 mg protein per mL) to evaluate the relative bearing performance.Results We studied the 4-way knee simulation of implant materials: zirconia ceramic, CoCr, 3.5-Mrad UHMWPE, and 7-Mrad UHMWPE. With CoCr femoral components, the 7-Mrad UHMWPE resulted in a 5-to 8-fold reduction in wear compared to the 3.5-Mrad insert. With the 3.5-Mrad insert, the zirconia bearing provided approximately 4-fold wear reduction compared to CoCr. These wear rates with standard UHMWPE were similar to published wear studies on entire knees. With the exception of the CoCr/7-Mrad and ZrO 2 /3.5-Mrad combinations, the wear differences were statistically significant.Interpretation The ZrO 2 /7-Mrad UHMWPE combination gave the best performance, with no measurable wear over the 5.5 million cycle test duration.

Following an “over‐the‐top” reconstruction of the cranial cruciate ligament using fascia lata and the lateral one‐third of the patellar ligament, joint instability was measured using an in vitro laxity testing device. Cranlocaudal drawer increased between zero and four weeks, then returned to initial values at 26 weeks.

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We investigate three-dimensional Turing patterns in two-component reaction diffusion systems. The FitzHugh-Nagumo equation, the Brusselator, and the Gray-Scott model are solved numerically in three dimensions. Several interconnected structures of domains as well as lamellar, hexagonal, and spherical domains are obtained as stable motionless equilibrium patterns. The relative stability of these structures is studied analytically based on the reduction approximation. The relation with the microphase-separated structures in block copolymers is also discussed.