Anterior cruciate ligament intactness in osteoarthritic patients indicated for total knee arthroplasty: a systematic literature review and meta-analysis.
Anterior cruciate ligament
Meta-analysis
Osteoarthritis
Systematic literature review
Total knee arthroplasty
Journal
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
ISSN: 1433-7347
Titre abrégé: Knee Surg Sports Traumatol Arthrosc
Pays: Germany
ID NLM: 9314730
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
24
06
2020
accepted:
14
09
2020
pubmed:
1
10
2020
medline:
25
9
2021
entrez:
30
9
2020
Statut:
ppublish
Résumé
Bi-cruciate retaining total knee arthroplasty (BCR TKA) is thought to result in more natural knee kinematics compared to conventional TKA designs. This may lead to a reduction in dissatisfied patients after TKA. An intact anterior cruciate ligament (ACL) is a prerequisite for implantation of a BCR TKA but the frequency of an intact ACL in patients indicated for TKA is not well known. The objective of this systematic literature review was to determine the presence of an intact ACL in patients undergoing TKA by intraoperative macroscopic or MRI assessment. A systematic literature review was conducted using PubMed™ and EMBASE™ in June 2020. The ACL of patients with knee osteoarthritis (OA) undergoing TKA was classified as present (including intact and degenerated) vs. absent, and as intact vs. not fully intact. Proportional meta-analyses were performed. 2840 articles were identified and screened. 135 full texts were analyzed and 18 studies met the inclusion criteria for subsequent qualitative and quantitative meta-analysis. Analysis of the status of the ACL when assessed intraoperatively during TKA showed that the ligament was present in 79.4% of patients (CI: 73.5-84.3%), from 14 studies with 2067 cases studied. The ACL was determined to be intact in 55.0% of patients (CI: 45.3-64.4%), from 14 studies with 1916 cases. Preoperative ACL assessment using MRI (2 studies) revealed it was present in 82.9% of 193 cases (CI: 76.9-87.6%), and intact in 56.8% of 176 cases (CI: 8.2-94.7%). This systematic literature review shows that the ACL is macroscopically intact in more than half of patients with knee OA undergoing TKA, based on intraoperative assessment of the ligament. The results suggest BCR TKA may be considered as an alternative to traditional TKA in a large number of TKA patients. More high-quality studies are needed to better understand the functional status of the ACL in TKA patients.Level of evidence III.
Identifiants
pubmed: 32997162
doi: 10.1007/s00167-020-06292-y
pii: 10.1007/s00167-020-06292-y
doi:
Types de publication
Journal Article
Meta-Analysis
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
3458-3466Informations de copyright
© 2020. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).
Références
Abdelbadie A, Toreih AA, Radwan MA (2018) ACL status in arthroplasty patients, why not to preserve? SICOT J 4:1
doi: 10.1051/sicotj/2017042
Aggarwal AK, Goel A, Radotra BD (2013) Predictors of posterior cruciate ligament degeneration in osteoarthritic knees. J Orthop Surg (Hong Kong) 21:15–18
doi: 10.1177/230949901302100106
Aglietti P, Buzzi R, De Felice R, Giron F (1999) The insall-burstein total knee replacement in osteoarthritis: a 10-year-minimum follow-up. J Arthroplasty 14:560–565
doi: 10.1016/S0883-5403(99)90077-3
Allain J, Goutallier D, Voisin MC (2001) Macroscopic and histological assessments of the cruciate ligaments in arthrosis of the knee. Acta Orthop Scand 72:266–269
doi: 10.1080/00016470152846592
Brady MP, Weiss W (2018) Clinical diagnostic tests versus MRI diagnosis of ACL tears. J Sport Rehabil 27:596–600
doi: 10.1123/jsr.2016-0188
Bullens PHJ, van Loon CJM, de Waal Malefijt MC, Laan RFJM, Veth RPH (2001) Patient satisfaction after total knee arthroplasty: a comparison between subjective and objective outcome assessments. J Arthroplasty 16:740–747
doi: 10.1054/arth.2001.23922
Cho SD, Youm YS, Kim JH, Cho HY, Kim KH (2016) Patterns and influencing factors of medial meniscus tears in varus knee osteoarthritis. Knee Surg Relat Res 28:142–146
doi: 10.5792/ksrr.2016.28.2.142
Cloutier JM, Sabouret P, Deghrar A (1999) Total knee arthroplasty with retention of both cruciate ligaments. a nine to eleven-year follow-up study. JBJS 81:697–702
doi: 10.2106/00004623-199905000-00011
Dargel J, Gotter M, Mader K, Pennig D, Koebke J, Schmidt-Wiethoff R (2007) Biomechanics of the anterior cruciate ligament and implications for surgical reconstruction. Strategies Trauma Limb Reconstr 2:1–12
doi: 10.1007/s11751-007-0016-6
De Faoite D, Ries C, Foster M, Boese CK (2020) Indications for bi-cruciate retaining total knee replacement: an international survey of 346 knee surgeons. PLoS ONE 15:e0234616
doi: 10.1371/journal.pone.0234616
Dodd M, Trompeter A, Harrison T, Palmer S (2010) The pivot shift test is of limited clinical relevance in the arthritic anterior cruciate ligament-deficient knee. J Knee Surg 23:131–136
doi: 10.1055/s-0030-1267473
Engh GA, Ammeen DJ (2014) Unicondylar arthroplasty in knees with deficient anterior cruciate ligaments. Clin Orthop Relat Res 472:73–77
doi: 10.1007/s11999-013-2982-y
Grieco TF, Sharma A, Dessinger GM, Cates HE, Komistek RD (2018) In vivo kinematic comparison of a bicruciate stabilized total knee arthroplasty and the normal knee using fluoroscopy. J Arthroplasty 33:565–571
doi: 10.1016/j.arth.2017.09.035
Harman MK, Markovich GD, Banks SA, Hodge WA (1998) Wear patterns on tibial plateaus from varus and valgus osteoarthritic knees. Clin Orthop Relat Res 352:149–158
Hatayama K, Terauchi M, Hashimoto S, Saito K, Higuchi H (2018) Factors associated with posterior cruciate ligament tightness during cruciate-retaining total knee arthroplasty. J Arthroplasty 33:1389–1393
doi: 10.1016/j.arth.2017.12.026
Hodge WA, Harman MK, Banks SA (2009) Patterns of knee osteoarthritis in Arabian and American knees. J Arthroplasty 24:448–453
doi: 10.1016/j.arth.2007.12.012
Hurst JM, Berend KR, Morris MJ, Lombardi AV Jr (2013) Abnormal preoperative MRI does not correlate with failure of UKA. J Arthroplasty 28:184–186
doi: 10.1016/j.arth.2013.05.011
Ishii Y, Noguchi H, Sato J, Yamamoto T, Takayama S, Toyabe S (2016) Macroscopic evaluation of the anterior cruciate ligament in osteoarthritic patients undergoing total knee arthroplasty. Eur J Orthop Surg Traumatol 26:205–208
doi: 10.1007/s00590-015-1736-9
Jenny JY, Jenny G (1998) Preservation of anterior cruciate ligament in total knee arthroplasty. Arch Orthop Trauma Surg 118:145–148
doi: 10.1007/s004020050335
Johnson AJ, Howell SM, Costa CR, Mont MA (2013) The ACL in the arthritic knee: how often is it present and can preoperative tests predict its presence? Clin Orthop Relat Res 471:181–188
doi: 10.1007/s11999-012-2505-2
Johnson VL, Guermazi A, Roemer FW, Hunter DJ (2017) Comparison in knee osteoarthritis joint damage patterns among individuals with an intact, complete and partial anterior cruciate ligament rupture. Int J Rheum Dis 20:1361–1371
doi: 10.1111/1756-185X.13003
Kim KI, Kim GB, Kim HJ, Song SJ (2018) Does the pre-operative status of the anterior cruciate ligament affect the outcomes following medial open-wedge high tibial osteotomy? Knee 25:1197–1205
doi: 10.1016/j.knee.2018.10.010
Kono K, Inui H, Tomita T, Yamazaki T, Taketomi S, Tanaka S (2019) Bicruciate-retaining total knee arthroplasty reproduces in vivo kinematics of normal knees to a lower extent than unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-019-05754-2
doi: 10.1007/s00167-019-05754-2
pubmed: 31641811
Lee GC, Cushner FD, Vigoritta V, Scuderi GR, Insall JN, Scott WN (2005) Evaluation of the anterior cruciate ligament integrity and degenerative arthritic patterns in patients undergoing total knee arthroplasty. J Arthroplasty 20:59–65
doi: 10.1016/j.arth.2004.10.010
Martins GC, Camanho G, Rodrigues MI, Filho LFM, Demange MK (2018) Histopathological analysis of the posterior cruciate ligament in primary osteoarthritis. Eur J Orthop Surg Traumatol 28:691–699
doi: 10.1007/s00590-018-2136-8
Moschella D, Blasi A, Leardini A, Ensini A, Catani F (2006) Wear patterns on tibial plateau from varus osteoarthritic knees. Clin Biomech (Bristol, Avon) 21:152–158
doi: 10.1016/j.clinbiomech.2005.09.001
Mullaji AB, Marawar SV, Luthra M (2008) Tibial articular cartilage wear in varus osteoarthritic knees: correlation with anterior cruciate ligament integrity and severity of deformity. J Arthroplasty 23:128–135
doi: 10.1016/j.arth.2007.01.015
Noble PC, Gordon MJ, Weiss JM, Reddix RN, Conditt MA, Mathis KB (2005) Does total knee replacement restore normal knee function? Clin Orthop Relat Res 431:157–165
doi: 10.1097/01.blo.0000150130.03519.fb
Sabouret P, Lavoie F, Cloutier JM (2013) Total knee replacement with retention of both cruciate ligaments: a 22-year follow-up study. Bone Joint J 95-b:917–922
doi: 10.1302/0301-620X.95B7.30904
Scott CEH, Holland G, Krahelski O, Murray IR, Keating JF, Keenan OJF (2020) Patterns of cartilage loss and anterior cruciate ligament status in end-stage osteoarthritis of the knee. Bone Joint J 102-B:716–726
doi: 10.1302/0301-620X.102B6.BJJ-2019-1434.R1
Siddiqui MA, Ahmad I, Sabir AB, Ullah E, Rizvi SA, Rizvi SW (2013) Clinical examination vs. MRI: evaluation of diagnostic accuracy in detecting ACL and meniscal injuries in comparison to arthroscopy. Pol Orthop Traumatol 78:59–63
pubmed: 23416722
Suda AJ, Seeger JB, Bitsch RG, Krueger M, Clarius M (2010) Are patients' expectations of hip and knee arthroplasty fulfilled? A prospective study of 130 patients. Orthopedics 33:76–80
doi: 10.3928/01477447-20100510-59
Trompeter AJ, Gill K, Appleton MA, Palmer SH (2009) Predicting anterior cruciate ligament integrity in patients with osteoarthritis. Knee Surg Sports Traumatol Arthrosc 17:595–599
doi: 10.1007/s00167-008-0701-0
van Eck CF, van den Bekerom MP, Fu FH, Poolman RW, Kerkhoffs GM (2013) Methods to diagnose acute anterior cruciate ligament rupture: a meta-analysis of physical examinations with and without anaesthesia. Knee Surg Sports Traumatol Arthrosc 21:1895–1903
doi: 10.1007/s00167-012-2250-9
Wada M, Kawahara H, Shimada S, Miyazaki T, Baba H (2002) Joint proprioception before and after total knee arthroplasty. Clin Orthop Relat Res 403:161–167
doi: 10.1097/00003086-200210000-00024
Waldstein W, Merle C, Monsef JB, Boettner F (2015) Varus knee osteoarthritis: how can we identify ACL insufficiency? Knee Surg Sports Traumatol Arthrosc 23:2178–2184
doi: 10.1007/s00167-014-2994-5