Retain or sacrifice the posterior cruciate ligament in total knee arthroplasty? A histopathological study of the cruciate ligament in osteoarthritic and rheumatoid disease

Journal of Clinical Pathology
R G Nelissen, P C Hogendoorn

Abstract

The decision whether to retain or resect the posterior cruciate ligament in total knee arthroplasty is at present determined clinically by preoperative radiological variables focusing upon the amount of joint destruction, and subsequent soft tissue contractures. However, these variables give only indirect information on the histological integrity and proprioceptive properties of the posterior cruciate ligament. Twenty posterior cruciate ligaments, obtained during total knee arthroplasty, were evaluated histologically to study the relation between the degree of preoperative radiological joint destruction, structural integrity of the posterior cruciate ligament and the neurological integrity of the targeted tissue. Eleven patients had osteoarthritis and nine patients rheumatoid arthritis. Haematoxylin and eosin, Alcian blue (mucoid degeneration), elastica von Gieson, Gomori (elastic fibres and collagen), and immunohistochemical staining for neural structures were used. In all but one of the posterior cruciate ligaments, morphologically intact neural tissue was present in the peritendineum of the ligaments. Structural integrity of the collagen framework was present in only seven posterior cruciate ligaments. These cases all had gr...Continue Reading

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Citations

Sep 5, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takeshi ShojiYoshiaki Sasashige
May 6, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Takeshi ShojiYoshiaki Sasashige
Sep 3, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·James Edmund ArbuthnotMichael J McNicholas
Sep 3, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Arturo MakinoDomingo L Muscolo
Feb 22, 2012·Archives of Orthopaedic and Trauma Surgery·M IkeuchiT Tani
Oct 19, 2011·Arthritis and Rheumatism·Akihiko HasegawaMartin K Lotz
Nov 22, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Brian H ParkScott A Banks
Jun 25, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Haluk ÇabukCem Dinçay Büyükkurt
Jul 29, 2010·The Journal of Arthroplasty·Tomoyuki MatsumotoRyosuke Kuroda
Aug 10, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Yoshio OnishiHiromasa Miura
Feb 9, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Glaucus Cajaty MartinsMarco Kawamura Demange
Feb 18, 2006·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Venkatesan Nagarajan, Asmahan Al-Shubaili
Oct 14, 2011·Clinical Orthopaedics and Related Research·Kelly Zhang, William M Mihalko
Oct 12, 2013·The Cochrane Database of Systematic Reviews·Wiebe C VerraRob G H H Nelissen
Nov 16, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·M J F DiksA B Wymenga
May 1, 2013·Journal of Orthopaedic Surgery·Aditya K AggarwalBishan D Radotra
Mar 9, 2021·Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology·Seiju HayashiNobuo Adachi
Sep 3, 2021·Journal of Clinical Orthopaedics and Trauma·Rajesh MalhotraSahil Batra

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