Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study
Abstract Background Mucoid degeneration of the anterior cruciate ligament (ACL) has been shown to cause restricted terminal range of motion and rest pain. If present in a patient undergoing unicompartmental knee arthroplasty, it can deteriorate the final outcome. This study aims to compare functiona...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-10-01
|
| Series: | Knee Surgery & Related Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43019-022-00169-9 |
| _version_ | 1811247860044267520 |
|---|---|
| author | Amyn M. Rajani Urvil A. Shah Anmol R. S. Mittal Sheetal Gupta Rajesh Garg Meenakshi Punamiya |
| author_facet | Amyn M. Rajani Urvil A. Shah Anmol R. S. Mittal Sheetal Gupta Rajesh Garg Meenakshi Punamiya |
| author_sort | Amyn M. Rajani |
| collection | DOAJ |
| description | Abstract Background Mucoid degeneration of the anterior cruciate ligament (ACL) has been shown to cause restricted terminal range of motion and rest pain. If present in a patient undergoing unicompartmental knee arthroplasty, it can deteriorate the final outcome. This study aims to compare functional and clinical outcomes of debulking the mucoid ACL in patients undergoing mobile-bearing unicompartmental knee arthroplasty (UKA). Methods Patients with mucoid ACL undergoing mobile-bearing UKA at five different centres by five different arthroplasty surgeons were included. They were segregated into two groups matched for all demographic and pre-operative values: group A did not undergo debulking; group B underwent open debulking by a 15-number blade prior to UKA. Patient-related outcome measures, rest pain, clinical outcomes, and subjective patient satisfaction were recorded and compared at 2 years follow-up. Results A total of 442 patients (226 patients underwent debulking, 216 patients did not undergo debulking) were included. Both groups showed overall improvement after surgery, however, patients who underwent debulking performed better at 2 years follow-up in terms of Knee Society functional score, International Knee Documentation Committee scores, range of motion, rest pain and overall patient satisfaction (p < 0.05) as compared with their counterparts. Conclusions Debulking of mucoid ACL in patients undergoing unicompartmental knee arthroplasty significantly reduces the rest pain and improves the final range of motion of the knee joint, subsequently improving the overall functional and clinical outcome of the patient and resulting in greater patient satisfaction. |
| first_indexed | 2024-04-12T15:16:53Z |
| format | Article |
| id | doaj.art-e48ef6aba0ca4b7ba46256893c537e2e |
| institution | Directory Open Access Journal |
| issn | 2234-2451 |
| language | English |
| last_indexed | 2024-04-12T15:16:53Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Knee Surgery & Related Research |
| spelling | doaj.art-e48ef6aba0ca4b7ba46256893c537e2e2022-12-22T03:27:35ZengBMCKnee Surgery & Related Research2234-24512022-10-013411910.1186/s43019-022-00169-9Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric studyAmyn M. Rajani0Urvil A. Shah1Anmol R. S. Mittal2Sheetal Gupta3Rajesh Garg4Meenakshi Punamiya5Breach Candy HospitalSurgikids HospitalOAKS ClinicGalaxy HospitalCanadian HospitalOAKS ClinicAbstract Background Mucoid degeneration of the anterior cruciate ligament (ACL) has been shown to cause restricted terminal range of motion and rest pain. If present in a patient undergoing unicompartmental knee arthroplasty, it can deteriorate the final outcome. This study aims to compare functional and clinical outcomes of debulking the mucoid ACL in patients undergoing mobile-bearing unicompartmental knee arthroplasty (UKA). Methods Patients with mucoid ACL undergoing mobile-bearing UKA at five different centres by five different arthroplasty surgeons were included. They were segregated into two groups matched for all demographic and pre-operative values: group A did not undergo debulking; group B underwent open debulking by a 15-number blade prior to UKA. Patient-related outcome measures, rest pain, clinical outcomes, and subjective patient satisfaction were recorded and compared at 2 years follow-up. Results A total of 442 patients (226 patients underwent debulking, 216 patients did not undergo debulking) were included. Both groups showed overall improvement after surgery, however, patients who underwent debulking performed better at 2 years follow-up in terms of Knee Society functional score, International Knee Documentation Committee scores, range of motion, rest pain and overall patient satisfaction (p < 0.05) as compared with their counterparts. Conclusions Debulking of mucoid ACL in patients undergoing unicompartmental knee arthroplasty significantly reduces the rest pain and improves the final range of motion of the knee joint, subsequently improving the overall functional and clinical outcome of the patient and resulting in greater patient satisfaction.https://doi.org/10.1186/s43019-022-00169-9Mucoid degenerationACLPartial knee replacementUnicompartmental knee arthroplastyDebulkingOpen debridement |
| spellingShingle | Amyn M. Rajani Urvil A. Shah Anmol R. S. Mittal Sheetal Gupta Rajesh Garg Meenakshi Punamiya Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study Knee Surgery & Related Research Mucoid degeneration ACL Partial knee replacement Unicompartmental knee arthroplasty Debulking Open debridement |
| title | Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study |
| title_full | Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study |
| title_fullStr | Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study |
| title_full_unstemmed | Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study |
| title_short | Role of debulking mucoid ACL in unicompartmental knee arthroplasty: a prospective multicentric study |
| title_sort | role of debulking mucoid acl in unicompartmental knee arthroplasty a prospective multicentric study |
| topic | Mucoid degeneration ACL Partial knee replacement Unicompartmental knee arthroplasty Debulking Open debridement |
| url | https://doi.org/10.1186/s43019-022-00169-9 |
| work_keys_str_mv | AT amynmrajani roleofdebulkingmucoidaclinunicompartmentalkneearthroplastyaprospectivemulticentricstudy AT urvilashah roleofdebulkingmucoidaclinunicompartmentalkneearthroplastyaprospectivemulticentricstudy AT anmolrsmittal roleofdebulkingmucoidaclinunicompartmentalkneearthroplastyaprospectivemulticentricstudy AT sheetalgupta roleofdebulkingmucoidaclinunicompartmentalkneearthroplastyaprospectivemulticentricstudy AT rajeshgarg roleofdebulkingmucoidaclinunicompartmentalkneearthroplastyaprospectivemulticentricstudy AT meenakshipunamiya roleofdebulkingmucoidaclinunicompartmentalkneearthroplastyaprospectivemulticentricstudy |