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Erschienen in: International Orthopaedics 3/2012

01.03.2012 | Original Paper

Total knee arthroplasty for advanced osteoarthritis in the anterior cruciate ligament deficient knee

verfasst von: Guillaume Demey, Robert A. Magnussen, Sébastien Lustig, Elvire Servien, Philippe Neyret

Erschienen in: International Orthopaedics | Ausgabe 3/2012

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Abstract

Purpose

Little is known about intra-operative difficulties and outcomes of TKA in ACL deficient knees.

Methods

Fifty-seven osteoarthritic knees (mean age 70 years) with a history of ACL injury underwent posterior-stabilised TKA. Intra-operative findings and results were compared with a matched control group.

Results

Difficult tibial exposure and bone loss were noted in the ACL-deficient group leading to one partial patellar tendon avulsion and one femoral condylar fracture. After three years, no infections or revisions occurred. No differences were noted in ROM, IKS knee score (95 ± 6 versus 93 ± 8, p = 0.1), IKS function score (83 ± 19 versus 84 ± 16, p = 0.7), or radiolucent line presence.

Conclusions

Total knee arthroplasty in ACL deficient knees is effective. Difficulty obtaining tibial exposure and posteromedial tibial bone defects should be anticipated. Outcomes are comparable to standard primary TKA.
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Metadaten
Titel
Total knee arthroplasty for advanced osteoarthritis in the anterior cruciate ligament deficient knee
verfasst von
Guillaume Demey
Robert A. Magnussen
Sébastien Lustig
Elvire Servien
Philippe Neyret
Publikationsdatum
01.03.2012
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 3/2012
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-011-1306-7

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