The effect of the material property change of anterior cruciate ligament by ageing on joint kinematics and biomechanics under tibial varus/valgus torques

It is known that the anterior cruciate ligament (ACL) plays a role in providing joint stabilities under tibial varus/valgus torques and the material behavior of the ACL has changed with ageing. However, the effect of this variation of the ACL material property on joint kinematics and biomechanics under tibial varus/valgus torques has still not been clarified. In this paper, three finite element (FE) models of an intact tibiofemoral joint were reconstructed with different ACL material properties, corresponding to the ACL on the younger, middle and older ages, respectively. The joint kinematics, the stress distribution and resultant force of the ACL were obtained under a tibial varus or valgus torque load. It was found that the variation in the ACL material property would result in great changes in some joint displacements (i.e., the tibial anterior translation and external rotation). The maximal stress value in the ACL had also altered while the stress distribution did not varied obviously. The great change in the tibial anterior translation illustrated that ACL played an important role against varus/valgus torques by controlling the coupled tibial anterior translation//external rotation rather than the corresponding varus/valgus rotation.