Anterior cruciate ligament integrity in osteoarthritis of the knee in patients undergoing total knee replacement

M J M Douglas, J D Hutchison, A G Sutherland

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background
Anterior cruciate ligament (ACL) rupture has been implicated in the development of knee osteoarthritis (OA). This study aimed at determining the incidence of prior ACL deficiency in patients undergoing total knee replacement (TKR), the effect of prior ACL deficiency on function and the macroscopic and microscopic appearance of the ligament.
Materials and methods
A total of 95 patients undergoing elective TKR for OA were recruited. Pre-operative knee assessment included questionnaires and KT1000 testing. The ACL was examined macroscopically at TKR in all patients, and 10 ACL specimens were examined histologically.
Results
The ACL was absent in 12% of the patients. There was no significant correlation between the pre-operative assessment or function and operative findings. The ACL samples all demonstrated degenerative change of varying severities.
Conclusion
ACL deficiency is uncommon in patients undergoing TKR for OA, and does not worsen pre-operative function.
Original languageEnglish
Pages (from-to)149-154
Number of pages6
JournalJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology
Volume11
Issue number3
DOIs
Publication statusPublished - Sep 2010

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Knee Replacement Arthroplasties
Knee Osteoarthritis
Anterior Cruciate Ligament
Ligaments
Rupture
Knee
Incidence

Keywords

  • age factors
  • aged
  • aged, 80 and over
  • analysis of variance
  • anterior cruciate ligament
  • arthroplasty, replacement, knee
  • cohort studies
  • confidence intervals
  • female
  • humans
  • joint instability
  • male
  • middle aged
  • osteoarthritis, knee
  • pain measurement
  • physical examination
  • preoperative care
  • range of motion, articular
  • recovery of function
  • reference values
  • risk assessment
  • rupture
  • severity of illness index
  • sex factors
  • surgical procedures, elective
  • treatment outcome

Cite this

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title = "Anterior cruciate ligament integrity in osteoarthritis of the knee in patients undergoing total knee replacement",
abstract = "BackgroundAnterior cruciate ligament (ACL) rupture has been implicated in the development of knee osteoarthritis (OA). This study aimed at determining the incidence of prior ACL deficiency in patients undergoing total knee replacement (TKR), the effect of prior ACL deficiency on function and the macroscopic and microscopic appearance of the ligament.Materials and methodsA total of 95 patients undergoing elective TKR for OA were recruited. Pre-operative knee assessment included questionnaires and KT1000 testing. The ACL was examined macroscopically at TKR in all patients, and 10 ACL specimens were examined histologically.ResultsThe ACL was absent in 12{\%} of the patients. There was no significant correlation between the pre-operative assessment or function and operative findings. The ACL samples all demonstrated degenerative change of varying severities.ConclusionACL deficiency is uncommon in patients undergoing TKR for OA, and does not worsen pre-operative function.",
keywords = "age factors, aged, aged, 80 and over, analysis of variance, anterior cruciate ligament, arthroplasty, replacement, knee, cohort studies, confidence intervals, female, humans, joint instability, male, middle aged, osteoarthritis, knee, pain measurement, physical examination, preoperative care, range of motion, articular, recovery of function, reference values, risk assessment, rupture, severity of illness index, sex factors, surgical procedures, elective, treatment outcome",
author = "Douglas, {M J M} and Hutchison, {J D} and Sutherland, {A G}",
year = "2010",
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doi = "10.1007/s10195-010-0103-1",
language = "English",
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pages = "149--154",
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TY - JOUR

T1 - Anterior cruciate ligament integrity in osteoarthritis of the knee in patients undergoing total knee replacement

AU - Douglas, M J M

AU - Hutchison, J D

AU - Sutherland, A G

PY - 2010/9

Y1 - 2010/9

N2 - BackgroundAnterior cruciate ligament (ACL) rupture has been implicated in the development of knee osteoarthritis (OA). This study aimed at determining the incidence of prior ACL deficiency in patients undergoing total knee replacement (TKR), the effect of prior ACL deficiency on function and the macroscopic and microscopic appearance of the ligament.Materials and methodsA total of 95 patients undergoing elective TKR for OA were recruited. Pre-operative knee assessment included questionnaires and KT1000 testing. The ACL was examined macroscopically at TKR in all patients, and 10 ACL specimens were examined histologically.ResultsThe ACL was absent in 12% of the patients. There was no significant correlation between the pre-operative assessment or function and operative findings. The ACL samples all demonstrated degenerative change of varying severities.ConclusionACL deficiency is uncommon in patients undergoing TKR for OA, and does not worsen pre-operative function.

AB - BackgroundAnterior cruciate ligament (ACL) rupture has been implicated in the development of knee osteoarthritis (OA). This study aimed at determining the incidence of prior ACL deficiency in patients undergoing total knee replacement (TKR), the effect of prior ACL deficiency on function and the macroscopic and microscopic appearance of the ligament.Materials and methodsA total of 95 patients undergoing elective TKR for OA were recruited. Pre-operative knee assessment included questionnaires and KT1000 testing. The ACL was examined macroscopically at TKR in all patients, and 10 ACL specimens were examined histologically.ResultsThe ACL was absent in 12% of the patients. There was no significant correlation between the pre-operative assessment or function and operative findings. The ACL samples all demonstrated degenerative change of varying severities.ConclusionACL deficiency is uncommon in patients undergoing TKR for OA, and does not worsen pre-operative function.

KW - age factors

KW - aged

KW - aged, 80 and over

KW - analysis of variance

KW - anterior cruciate ligament

KW - arthroplasty, replacement, knee

KW - cohort studies

KW - confidence intervals

KW - female

KW - humans

KW - joint instability

KW - male

KW - middle aged

KW - osteoarthritis, knee

KW - pain measurement

KW - physical examination

KW - preoperative care

KW - range of motion, articular

KW - recovery of function

KW - reference values

KW - risk assessment

KW - rupture

KW - severity of illness index

KW - sex factors

KW - surgical procedures, elective

KW - treatment outcome

U2 - 10.1007/s10195-010-0103-1

DO - 10.1007/s10195-010-0103-1

M3 - Article

VL - 11

SP - 149

EP - 154

JO - Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology

JF - Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology

SN - 1590-9999

IS - 3

ER -