|Anterior cruciate ligament integrity in osteoarthritis of the knee in patients undergoing total knee replacement.|
|PMID: 20835745 Owner: NLM Status: MEDLINE|
|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.
|M J M Douglas; J D Hutchison; A G Sutherland|
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|Type: Comparative Study; Journal Article Date: 2010-09-11|
|Title: Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology Volume: 11 ISSN: 1590-9999 ISO Abbreviation: J Orthop Traumatol Publication Date: 2010 Sep|
|Created Date: 2010-10-04 Completed Date: 2011-02-07 Revised Date: 2013-05-28|
Medline Journal Info:
|Nlm Unique ID: 101090931 Medline TA: J Orthop Traumatol Country: Italy|
|Languages: eng Pagination: 149-54 Citation Subset: IM|
|Department of Orthopaedics, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, Scotland, UK.|
|APA/MLA Format Download EndNote Download BibTex|
Aged, 80 and over
Analysis of Variance
Anterior Cruciate Ligament / injuries*, pathology*, surgery
Arthroplasty, Replacement, Knee / methods*
Joint Instability / complications, diagnosis
Osteoarthritis, Knee / etiology, physiopathology, surgery*
Preoperative Care / methods
Range of Motion, Articular / physiology*
Recovery of Function
Rupture / complications, surgery
Severity of Illness Index
Surgical Procedures, Elective / methods
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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