Finite element analysis of the human ACL subjected to passive anterior tibial loads

In this study, a constitutive law based on a nearly incompressible transversely isotropic hyperelastic potential is proposed to describe the mechanical behaviour of the anterior cruciate ligament (ACL). The constitutive formulation is valid for arbitrary kinematics (finite elasticity) and is thermodynamically admissible. Based on anatomic measurements performed on a human cadaveric knee specimen, a three-dimensional continuum finite element model of the ACL was developed. The numerical model was used to simulate clinical procedures such as the Lachman and drawer tests, which are performed to assess the existence and severity of an ACL injury. Finite element analyses showed that the two procedures have distinct effects on the behaviour of the ACL and provided new insights into the stress distributions. Moreover, good qualitative and quantitative agreement was found between the present study and results obtained experimentally in comparable conditions.