Mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplasty

Mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplasty

Mucoid degeneration of the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) with osteoarthritis is rarely reported. We experienced two knee osteoarthritic patients who had symptomatic mucoid degeneration of their ACL, and their PCL was also diagnosed as mucoid degeneration in h...

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Main Authors: Kohei Kawaguchi, Kazuhiko Michishita, Takeshi Manabe, Yoshiyuki Akasaka, Takahiro Arakawa, Junya Higuchi
Format: Article
Language:English
Published: Elsevier 2018-04-01
Series:Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
Online Access:http://www.sciencedirect.com/science/article/pii/S2214687317303308
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spelling doaj-d75da76d1b514f23b3725728597274322020-11-24T23:47:48ZengElsevierAsia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology2214-68732018-04-011214Mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplastyKohei Kawaguchi0Kazuhiko Michishita1Takeshi Manabe2Yoshiyuki Akasaka3Takahiro Arakawa4Junya Higuchi5Corresponding author. 438 Miyakami, Yugawara, Kanagawa 259-0396, Japan.; Orthopaedic Department, Japan Community Healthcare Organization, Yugawara Hospital, JapanOrthopaedic Department, Japan Community Healthcare Organization, Yugawara Hospital, JapanOrthopaedic Department, Japan Community Healthcare Organization, Yugawara Hospital, JapanOrthopaedic Department, Japan Community Healthcare Organization, Yugawara Hospital, JapanOrthopaedic Department, Japan Community Healthcare Organization, Yugawara Hospital, JapanOrthopaedic Department, Japan Community Healthcare Organization, Yugawara Hospital, JapanMucoid degeneration of the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) with osteoarthritis is rarely reported. We experienced two knee osteoarthritic patients who had symptomatic mucoid degeneration of their ACL, and their PCL was also diagnosed as mucoid degeneration in histological evaluation. Preoperative radiological evaluation could not reveal precisely whether the degeneration had extended to the PCL. We obtained good clinical results treating them with posterior-stabilized (PS) total knee arthroplasty (TKA) sacrificing both ligaments. In cases of osteoarthritis with mucoid degenerated ACL, PS TKA should be considered, sacrificing both cruciate ligaments, because mucoid degeneration might expand both cruciate ligaments. Keywords: Mucoid degeneration, Posterior cruciate ligament, Anterior cruciate ligament, Osteoarthritis, Total knee arthroplastyhttp://www.sciencedirect.com/science/article/pii/S2214687317303308
collection DOAJ
language English
format Article
sources DOAJ
author Kohei Kawaguchi
Kazuhiko Michishita
Takeshi Manabe
Yoshiyuki Akasaka
Takahiro Arakawa
Junya Higuchi
spellingShingle Kohei Kawaguchi
Kazuhiko Michishita
Takeshi Manabe
Yoshiyuki Akasaka
Takahiro Arakawa
Junya Higuchi
Mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplasty
Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
author_facet Kohei Kawaguchi
Kazuhiko Michishita
Takeshi Manabe
Yoshiyuki Akasaka
Takahiro Arakawa
Junya Higuchi
author_sort Kohei Kawaguchi
title Mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplasty
title_short Mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplasty
title_full Mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplasty
title_fullStr Mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplasty
title_full_unstemmed Mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplasty
title_sort mucoid degeneration of the cruciate ligaments in osteoarthritis under primary total knee arthroplasty
publisher Elsevier
series Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology
issn 2214-6873
publishDate 2018-04-01
description Mucoid degeneration of the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) with osteoarthritis is rarely reported. We experienced two knee osteoarthritic patients who had symptomatic mucoid degeneration of their ACL, and their PCL was also diagnosed as mucoid degeneration in histological evaluation. Preoperative radiological evaluation could not reveal precisely whether the degeneration had extended to the PCL. We obtained good clinical results treating them with posterior-stabilized (PS) total knee arthroplasty (TKA) sacrificing both ligaments. In cases of osteoarthritis with mucoid degenerated ACL, PS TKA should be considered, sacrificing both cruciate ligaments, because mucoid degeneration might expand both cruciate ligaments. Keywords: Mucoid degeneration, Posterior cruciate ligament, Anterior cruciate ligament, Osteoarthritis, Total knee arthroplasty
url http://www.sciencedirect.com/science/article/pii/S2214687317303308
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AT takeshimanabe mucoiddegenerationofthecruciateligamentsinosteoarthritisunderprimarytotalkneearthroplasty
AT yoshiyukiakasaka mucoiddegenerationofthecruciateligamentsinosteoarthritisunderprimarytotalkneearthroplasty
AT takahiroarakawa mucoiddegenerationofthecruciateligamentsinosteoarthritisunderprimarytotalkneearthroplasty
AT junyahiguchi mucoiddegenerationofthecruciateligamentsinosteoarthritisunderprimarytotalkneearthroplasty
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