A thorough understanding of ligament strains and behavior is necessary to create biomechanical models, comprehend trauma mechanisms, and surgically reconstruct those ligaments in a manner that restores a physiological performance. Measurement techniques and sensors are needed to conduct this data with high accuracy in an in vitro environment. In this work, we present a novel sensor device that is capable of continuously recording ligament strains with high resolution. The sensor principle of this biocompatible strain gauge may be used for in vitro measurements and can easily be applied to any ligament in the human body. The recently rediscovered anterolateral ligament (ALL) of the knee joint was chosen to display the capability of this novel sensor system. Three cadaver knees were tested to successfully demonstrate the concept of the sensor device and display first results regarding the elongation of the ALL during flexion/extension of the knee.

References

1.
Beynnon
,
B. D.
,
Fleming
,
B. C.
,
Johnson
,
R. J.
,
Nichols
,
C. E.
,
Renström
,
P. A.
, and
Pope
,
M. H.
,
1995
, “
Anterior Cruciate Ligament Strain Behavior During Rehabilitation Exercises In Vivo
,”
Am. J. Sports Med.
,
23
(
1
), pp.
24
34
.10.1177/036354659502300105
2.
Withrow
,
T. J.
,
Huston
,
L. J.
,
Wojtys
,
E. M.
, and
Ashton-Miller
,
J. A.
,
2006
, “
The Relationship Between Quadriceps Muscle Force, Knee Flexion, and Anterior Cruciate Ligament Strain in an In Vitro Simulated Jump Landing
,”
Am. J. Sports Med.
,
34
(
2
), pp.
269
274
.10.1177/0363546505280906
3.
Fleming
,
B. C.
,
Renstrom
,
P. A.
,
Beynnon
,
B. D.
,
Engstrom
,
B.
,
Peura
,
G. D.
,
Badger
,
G. J.
, and
Johnson
,
R. J.
,
2001
, “
The Effect of Weightbearing and External Loading on Anterior Cruciate Ligament Strain
,”
J. Biomech.
,
34
(
2
), pp.
163
170
.10.1016/S0021-9290(00)00154-8
4.
Cerulli
,
G.
,
Benoit
,
D.
,
Lamontagne
,
M.
,
Caraffa
,
A.
, and
Liti
,
A.
,
2003
, “
In Vivo Anterior Cruciate Ligament Strain Behaviour During a Rapid Deceleration Movement: Case Report
,”
Knee Surg. Sports Traumatol. Arthroscopy
,
11
(
5
), pp.
307
311
.10.1007/s00167-003-0403-6
5.
Incavo
,
S. J.
,
Johnson
,
C. C.
,
Beynnon
,
B. D.
, and
Howe
,
J. G.
,
1994
, “
Posterior Cruciate Ligament Strain Biomechanics in Total Knee Arthroplasty
,”
Clin. Orthop. Relat. Res.
,
309
, pp.
88
93
.
6.
Colville
,
M. R.
,
Marder
,
R. A.
,
Boyle
,
J. J.
, and
Zarins
,
B.
,
1990
, “
Strain Measurement in Lateral Ankle Ligaments
,”
Am. J. Sports Med.
,
18
(
2
), pp.
196
200
.10.1177/036354659001800214
7.
Stefko
,
J. M.
,
Tibone
,
J. E.
,
Cawley
,
P. W.
,
ElAttrache
,
N. E.
, and
McMahon
,
P. J.
,
1997
, “
Strain of the Anterior Band of the Inferior Glenohumeral Ligament During Capsule Failure
,”
J. Shoulder Elbow Surg.
,
6
(
5
), pp.
473
479
.10.1016/S1058-2746(97)70055-7
8.
Andrews
,
J. R.
,
Heggland
,
E. J.
,
Fleisig
,
G. S.
, and
Zheng
,
N.
,
2001
, “
Relationship of Ulnar Collateral Ligament Strain to Amount of Medial Olecranon Osteotomy
,”
Am. J. Sports Med.
,
29
(
6
), pp.
716
721
.
9.
Seide
,
K.
,
Schulz
,
A. P.
, and
Wendlandt
,
R.
,
2013
, “
Vorrichtung zur Messung von Längenänderungen in Biologischem Gewebe
,”
DE Patent No. 102,011,122,809
.
10.
Kennedy
,
J. C.
,
Hawkins
,
R. J.
, and
Willis
,
R. B.
,
1977
, “
Strain Gauge Analysis of Knee Ligaments
,”
Clin. Orthop. Relat. Res.
,
129
(
11/12
), pp.
225
229
.10.1097/00003086-197711000-00031
11.
Draganich
,
L. F.
, and
Vahey
,
J. W.
,
1990
, “
An in vitro Study of Anterior Cruciate Ligament Strain Induced by Quadriceps and Hamstrings Forces
,”
J. Orthop. Res
,
8
(
1
), pp.
57
63
.10.1002/jor.1100080107
12.
Berns
,
G. S.
,
Hull
,
M. L.
, and
Patterson
,
H. A.
,
1992
, “
Strain in the Anteromedial Bundle of the Anterior Cruciate Ligament Under Combination Loading
,”
J. Orthop. Res.
,
10
(
2
), pp.
167
176
.10.1002/jor.1100100203
13.
Bach
,
J.
,
Hull
,
M.
, and
Patterson
,
H.
,
1997
, “
Direct Measurement of Strain in the Posterolateral Bundle of the Anterior Cruciate Ligament
,”
J. Biomech.
,
30
(
3
), pp.
281
283
.10.1016/S0021-9290(96)00132-7
14.
Stone
,
J. E.
,
Madsen
,
N. H.
,
Milton
,
J. L.
,
Swinson
,
W. F.
, and
Turner
,
J. L.
,
1983
, “
Developments in the Design and Use of Liquid–Metal Strain Gages
,”
Exp. Mech.
,
23
(
2
), pp.
129
139
.10.1007/BF02320400
15.
Lu
,
N.
,
Lu
,
C.
,
Yang
,
S.
, and
Rogers
,
J.
,
2012
, “
Highly Sensitive Skin-Mountable Strain Gauges Based Entirely on Elastomers
,”
Adv. Funct. Mater.
,
22
(
19
), pp.
4044
4050
.10.1002/adfm.201200498
16.
Kim
,
D.-H.
,
Ghaffari
,
R.
,
Lu
,
N.
,
Wang
,
S.
,
Lee
,
S. P.
,
Keum
,
H.
,
D'Angelo
,
R.
,
Klinker
,
L.
,
Su
,
Y.
,
Lu
,
C.
,
Kim
,
Y.-S.
,
Ameen
,
A.
,
Li
,
Y.
,
Zhang
,
Y.
,
de Graff
,
B.
,
Hsu
,
Y.-Y.
,
Liu
,
Z.
,
Ruskin
,
J.
,
Xu
,
L.
,
Lu
,
C.
,
Omenetto
,
F. G.
,
Huang
,
Y.
,
Mansour
,
M.
,
Slepian
,
M. J.
, and
Rogers
,
J. A.
,
2012
, “
Electronic Sensor and Actuator Webs for Large-Area Complex Geometry Cardiac Mapping and Therapy
,”
Proc. Natl. Acad. Sci. USA
,
109
(
49
), pp.
19910
19915
.10.1073/pnas.1205923109
17.
Vincent
,
J.-P.
,
Magnussen
,
R. A.
,
Gezmez
,
F.
,
Uguen
,
A.
,
Jacobi
,
M.
,
Weppe
,
F.
,
Al-Saati
,
M. F.
,
Lustig
,
S.
,
Demey
,
G.
,
Servien
,
E.
, and
Neyret
,
P.
,
2012
, “
The Anterolateral Ligament of the Human Knee: An Anatomic and Histologic Study
,”
Knee Surg. Sports Traumatol., Arthroscopy
,
20
(
1
), pp.
147
152
.10.1007/s00167-011-1580-3
18.
Ruhhammer
,
J.
,
Zens
,
M.
,
Goldschmidtboeing
,
F.
,
Seifert
,
A.
, and
Woias
,
P.
, Highly Elastic Conductive Polymeric MEMS (submitted).
19.
Cherney
,
E. A.
,
2005
, “
Silicone Rubber Dielectrics Modified by Inorganic Fillers for Outdoor High Voltage Insulation Applications
,”
IEEE Trans. Dielectr. Electr. Insul.
,
12
(
6
), pp.
1108
1115
.10.1109/TDEI.2005.1561790
20.
Zens
,
M.
,
Ruhhammer
,
J.
,
Goldschmidtboeing
,
F.
,
Woias
,
P.
,
Mayr
,
H.
,
Niemeyer
,
P.
, and
Bernstein
,
A.
,
2014
, “
Novel Measurement Technique for Knee Joint Laxities Using Polymeric Capacitive Strain Gauges
,”
2014 IEEE International Symposium on Medical Measurements and Applications (MeMeA 2014)
, Lisbon, Portugal, June 11–12, pp.
1
6
.
21.
Claes
,
S.
,
Vereecke
,
E.
,
Maes
,
M.
,
Victor
,
J.
,
Verdonk
,
P.
, and
Bellemans
,
J.
,
2013
, “
Anatomy of the Anterolateral Ligament of the Knee
,”
J. Anat.
,
223
(
4
), pp.
321
328
.10.1111/joa.12087
22.
Noyes
,
F. R.
, and
Grood
,
E. S.
,
1976
, “
The Strength of the Anterior Cruciate Ligament in Humans and Rhesus Monkeys
,”
J. Bone Joint Surg.
,
58
(
8
), pp.
1074
1082
.
23.
Siegler
,
S.
,
Block
,
J.
, and
Schneck
,
C. D.
,
1988
, “
The Mechanical Characteristics of the Collateral Ligaments of the Human Ankle Joint
,”
Foot Ankle Int.
,
8
(
5
), Apr., pp.
234
242
.10.1177/107110078800800502
24.
Fleming
,
B. C.
,
Beynnon
,
B. D.
,
Renstrom
,
P. A.
,
Peura
,
G. D.
,
Nichols
,
C. E.
, and
Johnson
,
R. J.
,
1998
, “
The Strain Behavior of the Anterior Cruciate Ligament During Bicycling an In Vivo Study
,”
Am. J. Sports Med.
,
26
(
1
), pp.
109
118
.
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