Document Detail

Anterior cruciate ligament integrity in osteoarthritis of the knee in patients undergoing total knee replacement.
MedLine Citation:
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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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-09-11
Journal Detail:
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 
Date Detail:
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    
Other Details:
Languages:  eng     Pagination:  149-54     Citation Subset:  IM    
Department of Orthopaedics, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, Scotland, UK.
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MeSH Terms
Age Factors
Aged, 80 and over
Analysis of Variance
Anterior Cruciate Ligament / injuries*,  pathology*,  surgery
Arthroplasty, Replacement, Knee / methods*
Cohort Studies
Confidence Intervals
Joint Instability / complications,  diagnosis
Middle Aged
Osteoarthritis, Knee / etiology,  physiopathology,  surgery*
Pain Measurement
Physical Examination
Preoperative Care / methods
Range of Motion, Articular / physiology*
Recovery of Function
Reference Values
Risk Assessment
Rupture / complications,  surgery
Severity of Illness Index
Sex Factors
Surgical Procedures, Elective / methods
Treatment Outcome

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