title: Total knee arthroplasty for advanced osteoarthritis in the anterior cruciate ligament deficient knee.
abstract: OBJECTIVE
  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.
authors.affiliation: Centre Albert Trillat, Hôpital de la Croix-Rousse, 103, Grande Rue de la Croix Rousse, 69004, Lyon, France. guillaume.demey@chu-lyon.fr
authors.forename: Guillaume
authors.initials: G
authors.lastname: Demey
authors.forename: Robert A
authors.initials: RA
authors.lastname: Magnussen
authors.forename: Sébastien
authors.initials: S
authors.lastname: Lustig
authors.forename: Elvire
authors.initials: E
authors.lastname: Servien
authors.forename: Philippe
authors.initials: P
authors.lastname: Neyret
mesh_terms: D000368:Aged; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D059549:Anterior Cruciate Ligament Reconstruction; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D007718:Knee Injuries / Q000150:complications / Q000601:surgery*; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D020370:Osteoarthritis, Knee / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications; D011446:Prospective Studies; D016059:Range of Motion, Articular; D020127:Recovery of Function; D013977:Tibia / Q000601:surgery