Abstract
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 language | English |
|---|---|
| Pages (from-to) | 149-154 |
| Number of pages | 6 |
| Journal | Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology |
| Volume | 11 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Sep 2010 |
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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
Anterior cruciate ligament integrity in osteoarthritis of the knee in patients undergoing total knee replacement. / Douglas, M J M; Hutchison, J D; Sutherland, A G.
In: Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, Vol. 11, No. 3, 09.2010, p. 149-154.Research output: Contribution to journal › Article
}
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 -