An Intact Anterior Cruciate Ligament at the Time of Posterior Cruciate Ligament–Retaining Total Knee Arthroplasty Was Associated With Reduced Patient Satisfaction and Inferior Pain and Stair Function

2016 ◽  
Vol 31 (8) ◽  
pp. 1732-1735 ◽  
Author(s):  
Cale A. Jacobs ◽  
Christian P. Christensen ◽  
Tharun Karthikeyan
Keyword(s):  
Total Knee Arthroplasty ◽  
Anterior Cruciate Ligament ◽  
Patient Satisfaction ◽  
Posterior Cruciate Ligament ◽  
Knee Arthroplasty ◽  
Cruciate Ligament ◽  
Posterior Cruciate Ligament Retaining ◽  
Total Knee ◽  
Anterior Cruciate

scholarly journals Impact of Anterior Cruciate Ligament Status on Early Satisfaction and Clinical Outcomes Following Total Knee Arthroplasty

2020 ◽  
Vol 10 ◽  
Author(s):  
Ali Etemad-Rezaie ◽  
Tori A. Edmiston ◽  
Sean M. Kearns ◽  
Philip H. Locker ◽  
Daniel D. Bohl ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Anterior Cruciate Ligament ◽  
Patient Satisfaction ◽  
Knee Arthroplasty ◽  
Cruciate Ligament ◽  
Outcome Scores ◽  
Operative Outcome ◽  
Total Knee ◽  
Anterior Cruciate ◽  
The Impact

Introduction While total knee arthroplasty (TKA) is a successful treatment for debilitating arthritis, up to 20% of patients may be dissatisfied with their outcome. One hypothesis for dissatisfaction is the distortion of native knee kinematics following sacrifice of the anterior cruciate ligament (ACL) during TKA. The purpose of this study was to determine the impact of ACL status at the time of surgery in patients undergoing Posterior Stabilized (PS) TKA for osteoarthritis (OA). Methods A consecutive prospective series of patients undergoing TKA by a single surgeon underwent prospective intraoperative assessment of their ACL status divided into three different groups:1) intact, 2) attenuated, or 3) deficient. Demographic, preoperative, intraoperative, and postoperative data were collected for each patient by two blinded, independent observers. Outcomes included patient satisfaction and Knee Society Score for Pain (KSS) and Function (KSF), Kellgren and Lawrence (K&L), UCLA Activity Score (UCLA), Short Form-12 (SF12), EuroQol (EQ5D) and patient satisfaction. Results: Of 116 patients, 33 (28.4%) patients had an ACL deficient knee, 40 (34.5%) patients had an attenuated ACL, and 43 (37.1%) patients had an intact ACL. Those with absent ACL were significantly more likely to have a higher BMI (p=.007) and be male (p=.003). Patient with a deficient ACL had significantly lower preoperative KSF and higher K&L scores (p=.009, p=1.26 x 10-7). Attenuated and deficient groups had the greatest change in SF12PCS scores at their one-year follow-up with increases of 9.9 (±10.0) and 10.8 (±8.0), respectively (p=.037). No significant differences in overall postoperative KSS, KSF and satisfaction scores based on ACL status (p=.574 and p=.529, respectively) were found. Conclusion In a relatively large series, patient with ACL deficiency were more likely to have worse pre-operative outcome scores and similar or better post-operative outcome scores. This suggests that those with ACL insufficiency may experience more subjective improvement from TKA. ACL status can be used as an additional surgical marker to help orthopaedic surgeons identify which patients would most benefit from TKA.

Knee Stability in Posterior Cruciate Ligament Retaining Total Knee Arthroplasty

1999 ◽  
Vol 366 ◽  
pp. 169-173 ◽  
Author(s):  
Shuichi Matsuda ◽  
Hiromasa Miura ◽  
Ryuji Nagamine ◽  
Ken Urabe ◽  
Tomoya Matsunobu ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Posterior Cruciate Ligament ◽  
Knee Arthroplasty ◽  
Cruciate Ligament ◽  
Knee Stability ◽  
Posterior Cruciate Ligament Retaining ◽  
Total Knee
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