Dataset Information

ACL Damage and Deficiency is Associated with More Severe Preoperative Deformity, Lower Range of Motion at the Time of TKA.

ABSTRACT:

Background

ACL status varies in the arthritic knee during TKA.

Questions/purposes

The purpose of this study was to examine clinical features and intraoperative findings associated with stages of ACL degeneration.

Methods

Coronal deformity, ROM, intra-articular degenerative patterns, and ligament releases were assessed for 1656 knees during TKA. Common patterns of deformity and severity of degenerative change were assessed as a function of the severity of ACL deficiency.

Results

Of the 1656 knees assessed, 27% had a normal ACL, 55% exhibited damage, and 18% exhibited complete absence of the ACL. Increased coronal deformity and lower preoperative ROM was associated with ACL deficiency. Increased chondral and meniscal damage and more extensive osteophyte formation were also found. More extensive ligament releases were required in ACL-deficient knees.

Conclusions

The status of the ACL is predictive of the need for increased surgical deformity correction. A better understanding of ACL status is an important consideration during in choosing TKA as opposed to unicompartmental arthroplasty. The status of the ACL should be considered in planning for implant choice in TKA.

SUBMITTER: Berend ME

PROVIDER: S-EPMC5026658 | biostudies-literature | 2016 Oct

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

ACL Damage and Deficiency is Associated with More Severe Preoperative Deformity, Lower Range of Motion at the Time of TKA.

Berend Michael E ME Meding John B JB Malinzak Robert A RA Faris Philip M PM Jackson Michael D MD Davis Kenneth E KE Ritter Merrill A MA

HSS journal : the musculoskeletal journal of Hospital for Special Surgery 20160608 3

<h4>Background</h4>ACL status varies in the arthritic knee during TKA.<h4>Questions/purposes</h4>The purpose of this study was to examine clinical features and intraoperative findings associated with stages of ACL degeneration.<h4>Methods</h4>Coronal deformity, ROM, intra-articular degenerative patterns, and ligament releases were assessed for 1656 knees during TKA. Common patterns of deformity and severity of degenerative change were assessed as a function of the severity of ACL deficiency.<h4> ...[more]

PMID: 27703416

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Dataset Information

ACL Damage and Deficiency is Associated with More Severe Preoperative Deformity, Lower Range of Motion at the Time of TKA.

Background

Questions/purposes

Methods

Results

Conclusions

Publications

ACL Damage and Deficiency is Associated with More Severe Preoperative Deformity, Lower Range of Motion at the Time of TKA.

Similar Datasets

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