The Effect of Length on the Structural Properties of an Achilles Tendon Graft as Used in Posterior Cruciate Ligament Reconstruction

Abstract

Background The clinical outcomes of posterior cruciate ligament reconstruction are varied. No previous studies have investigated the effect of graft length on the structural properties of the graft. Hypothesis Graft length significantly affects the structural properties of posterior cruciate ligament grafts. Study Design Controlled laboratory study. Methods Eight Achilles tendon grafts were tested under tensile loads up to 400 N at 3 different lengths: long (75 mm), medium (48 mm), and short (34 mm). These 3 lengths represent midtunnel fixation, inlay fixation, and fixation near the ligament insertions. Results Shortening the graft from both long to medium and from medium to short increased the stiffness by approximately 25%. Long and medium grafts displaced significantly more than medium and short grafts, respectively. Conclusion The effective length of a graft, which is determined by where it is fixed, should be considered an important variable in posterior cruciate ligament reconstruction.