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Relationship between Mucoid Degeneration of the Anterior Cruciate Ligament and Posterior Tibial Slope in Patients with Total Knee Arthroplasty

Yoon-Seok Youm|Sung-Do Cho|Hye-Yong Cho|Seung-Hyun Jung
대한슬관절학회 (Korean Knee Society)|2016.03|Knee Surgery and Related Research|제28권 제1호|pp. 34-38

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참고문헌

키워드

Kneeanterior cruciate ligamentarthroplastyposterior tibial slopemucoid degeneration

초록

purpose: The purpose was to analyze the relationship between posterior tibial slope (PTS) and mucoid degeneration of the anterior cruciate ligament (ACL) in patients with total knee arthroplasty.materials and methods: Four hundred and twenty-four patients (24 males and 400 females; 636 knees) who received total knee arthroplasty for osteoarthritis were included. Their mean age was 68.9 years (range, 48 to 88 years). The patients were classified into three groups according to the status of ACL; normal ACL group (group I), mucoid degeneration of ACL group (group II) and ruptured or absent ACL group (group III). Plain lateral radiographs were used to measure the PTS and the values were compared among groups.results: There were no significant differences with regard to gender, age and left-to-right side ratio among groups (p>0.05). The mean PTS was 9.9o (range, 0.6o to 20.1o) in group I (161 knees), 10.8o (range, 0.2o to 21.8o) in group II (342 knees) and 12.3o (range, 2o to 22.2o) in group III (133 knees), which showed significant differences (p<0.001). conclusions: The patients with mucoid degeneration of the ACL and those with ruptured or absent ACL had greater PTS than those with normal ACL. These findings suggest that an increased PTS may be one of the causative factors for mucoid degeneration of the ACL.

Abstract

purpose: The purpose was to analyze the relationship between posterior tibial slope (PTS) and mucoid degeneration of the anterior cruciate ligament (ACL) in patients with total knee arthroplasty.materials and methods: Four hundred and twenty-four patients (24 males and 400 females; 636 knees) who received total knee arthroplasty for osteoarthritis were included. Their mean age was 68.9 years (range, 48 to 88 years). The patients were classified into three groups according to the status of ACL; normal ACL group (group I), mucoid degeneration of ACL group (group II) and ruptured or absent ACL group (group III). Plain lateral radiographs were used to measure the PTS and the values were compared among groups.results: There were no significant differences with regard to gender, age and left-to-right side ratio among groups (p>0.05). The mean PTS was 9.9o (range, 0.6o to 20.1o) in group I (161 knees), 10.8o (range, 0.2o to 21.8o) in group II (342 knees) and 12.3o (range, 2o to 22.2o) in group III (133 knees), which showed significant differences (p<0.001). conclusions: The patients with mucoid degeneration of the ACL and those with ruptured or absent ACL had greater PTS than those with normal ACL. These findings suggest that an increased PTS may be one of the causative factors for mucoid degeneration of the ACL.

참고문헌 (29)

  1. Fealy S, "Mucoid degeneration of the anterior cruciate ligament", Arthroscopy, 17, pp.E37~ (2001)
  2. Hsu CJ, "Mucoid degeneration of the anterior cruciate ligament", J Chin Med Assoc, 69, pp.449~452 (2006)
  3. Kumar A, "Mucoid cystic degeneration of the cruciate ligament", J Bone Joint Surg Br, 81, pp.304~305 (1999)
  4. McIntyre J, "Mucoid degeneration of the anterior cruciate ligament mistaken for ligamentous tears", Skeletal Radiol, 30, pp.312~315 (2001)
  5. Melloni P, "Mucoid degeneration of the anterior cruciate ligament with erosion of the lateral femoral condyle", Skeletal Radiol, 33, pp.359~362 (2004)
  6. Motmans R, "Mucoid degeneration of the anterior cruciate ligament", Knee Surg Sports Traumatol Arthrosc, 17, pp.737~740 (2009)
  7. Narvekar A, "Mucoid degeneration of the anterior cruciate ligament", Arthroscopy, 20, pp.141~146 (2004)
  8. Nishimori M, "Mucoid degeneration of the anterior cruciate ligament : a report of two cases", Magn Reson Imaging, 22, pp.1325~1328 (2004)
  9. Kim TH, "Arthroscopic treatment of mucoid hypertrophy of the anterior cruciate ligament", Arthroscopy, 24, pp.642~649 (2008)
  10. Kwee RM, "Association of mucoid degeneration of anterior cruciate ligament with knee meniscal and cartilage damage", Osteoarthritis Cartilage, 23, pp.1543~1550 (2015)
  11. Cha JR, "Symptomatic mucoid degeneration of the anterior cruciate ligament", Knee Surg Sports Traumatol Arthrosc, 21, pp.658~663 (2013)
  12. Salvati F, "Mucoid metaplastic-degeneration of anterior cruciate ligament", J Sports Med Phys Fitness, 48, pp.483~487 (2008)
  13. Cha JH, "Relationship between mucoid hypertrophy of the anterior cruciate ligament(ACL)and morphologic change of the intercondylar notch : MRI and arthroscopy correlation", Skeletal Radiol, 37, pp.821~826 (2008)
  14. Diard F, "Para-articular and intraosseous synovial cysts and articular mucoid cysts", J Radiol, 80(6 Suppl), pp.679~696 (1999)
  15. Rolf C, "Case report : intra-tendinous ganglion of the anterior cruciate ligament in a young footballer", J Orthop Surg Res, 1, pp.11~ (2006)
  16. Sonnery-Cottet B, "The influence of the tibial slope and the size of the intercondylar notch on rupture of the anterior cruciate ligament", J Bone Joint Surg Br, 93, pp.1475~1478 (2011)
  17. Jung KH, "Relation between mucoid degeneration of the anterior cruciate ligament and posterior tibial slope", Arthroscopy, 28, pp.502~506 (2012)
  18. Morice A, "Reduction plasty for hypertrophic anterior cruciate ligament mucoid degeneration : clinical and knee laxity outcomes in 23 cases", Orthop Traumatol Surg Res, 99, pp.693~697 (2013)
  19. Chudasama CH, "Arthroscopic management of mucoid degeneration of anterior cruciate ligament", Indian J Orthop, 46, pp.561~565 (2012)
  20. Lintz F, "Anterior cruciate ligament mucoid degeneration : selecting the best treatment option", Orthop Traumatol Surg Res, 96, pp.400~406 (2010)
  21. Dejour H, "Tibial translation after anterior cruciate ligament rupture : two radiological tests compared", J Bone Joint Surg Br, 76, pp.745~749 (1994)
  22. Giffin JR, "Effects of increasing tibial slope on the biomechanics of the knee", Am J Sports Med, 32, pp.376~382 (2004)
  23. Brandon ML, "The association between posterior-inferior tibial slope and anterior cruciate ligament insufficiency", Arthroscopy, 22, pp.894~899 (2006)
  24. Zeng C, "The influence of the tibial plateau slopes on injury of the anterior cruciate ligament : a meta-analysis", Knee Surg Sports Traumatol Arthrosc, 22, pp.53~65 (2014)
  25. Makino A, "Mucoid degeneration of the anterior cruciate ligament : MRI, clinical, intraoperative, and histological findings", Knee Surg Sports Traumatol Arthrosc, 19, pp.408~411 (2011)
  26. Lintz F, "Anterior cruciate ligament mucoid degeneration : a review of the literature and management guidelines", Knee Surg Sports Traumatol Arthrosc, 19, pp.1326~1333 (2011)
  27. Feucht MJ, "The role of the tibial slope in sustaining and treating anterior cruciate ligament injuries", Knee Surg Sports Traumatol Arthrosc, 21, pp.134~145 (2013)
  28. Hudek R, "Novel measurement technique of the tibial slope on conventional MRI", Clin Orthop Relat Res, 467, pp.2066~2072 (2009)
  29. Todd MS, "The relationship between posterior tibial slope and anterior cruciate ligament injuries", Am J Sports Med, 38, pp.63~67 (2010)

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