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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2011

01-10-2011 | Knee

Anterior cruciate ligament reconstruction after unicompartmental knee arthroplasty

Authors: Musa Citak, Marianne Roberta Frederiek Bosscher, Mustafa Citak, Volker Musahl, Andrew D. Pearle, Eduardo M. Suero

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2011

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Abstract

Purpose

ACL deficiency may cause abnormal knee kinematics and is associated with a tenfold increase in surgical failures after unicompartmental knee arthroplasty, such as aseptic loosening of the tibial compartment and medial bearing instability. The current investigators hypothesized that in a knee with UKA, single-bundle ACL reconstruction would restore tibiofemoral translation to levels similar to those of the intact ACL.

Methods

Two fresh frozen pelvis-to-toes specimens (four paired knees) were used. On each knee, medial unicompartmental knee arthroplasty was performed by a single surgeon. ACL reconstructions were performed by conventional single-bundle technique. Three trials of Lachman and pivot shift tests were performed and recorded for each knee with the ACL-intact, after sectioning the ACL and after single-bundle ACL reconstruction. A mechanized pivot shifter was used to perform the pivot shift maneuvers. A surgical navigation system (Praxim Grenoble, France) simultaneously tracked tibiofemoral kinematics.

Results

There was a significant difference in lateral compartment translation during the Lachman and pivot shift tests between the ACL-intact/UKA knee and the ACL-deficient/UKA knee (P < 0.05). There was no significant difference in lateral compartment translation during the Lachman and pivot shift tests between the intact/UKA knee and the ACL-reconstructed/UKA knee (n.s.).

Conclusions

For both the Lachman test and the pivot shift test, single-bundle ACL reconstruction restored kinematics in the UKA knee to magnitudes similar to those in the ACL-intact knee.
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Metadata
Title
Anterior cruciate ligament reconstruction after unicompartmental knee arthroplasty
Authors
Musa Citak
Marianne Roberta Frederiek Bosscher
Mustafa Citak
Volker Musahl
Andrew D. Pearle
Eduardo M. Suero
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2011
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-011-1449-5

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