Evidence map›Paper›PMID 41537064›Full record

ArticleMaedica2025

Can We Predict Posterior Cruciate Ligament Degeneration with Functional Tests?

Mert Emre Aydin, Aziz Atik, Gülay Turan

Abstract read
In one paragraph

Article in Maedica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Mert Emre AydinDepartment of Orthopaedics and Traumatology, Çanakkale Çan State Hospital, Çanakkale, Türkiye.
Aziz AtikBalıkesir University Faculty of Medicine, Department of Surgical Medical Sciences, Department of Orthopaedics and Traumatology, Balıkesir, Türkiye.
Gülay TuranBalıkesir University Faculty of Medicine, Department of Surgical Medical Sciences, Department of Pathology, Balıkesir, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The PCL (posterior cruciate ligament) is the primary stabilizer to prevent posterior translation of the knee. It provides femoral roll-back, stability and proprioception. Pathology of the PCL are limited in the literature. The aim of this study was to histopathologically examine the PCL of patients undergoing total knee arthroplasty for gonarthrosis and to investigate the correlation of PCL histopathology with preoperative functional scores. Materials and methods: Seventy-three patients (19 males, 54 females) aged 50-75 years, with primary osteoarthritis, where bilateral knee arthroplasty was performed in three patients, resulting in 76 tibial plateaus, were included in the present study. Patients with a history of previous intra-articular knee surgery and rheumatic disease were excluded. Posterior cruciate ligament materials were graded between stages 0 and 4 according to the extent of histopathological changes recorded under light microscopy. Correlation of PCL histopathology with preoperative functional scores. SF-36 limitations of activities and physical health problems, Pain Quality Assessment Scale (PQAS), Lysholm and WOMAC scoring systems were assessed preoperatively. Results: There were significant correlations between light microscopic histopathologic staging of PCL and preoperative SF-36 limitations of activities (p<0.01), physical health problems (p<0.05); PQAS intense (p<0.05), radiating (p<0.01), throbbing (p<0.05), aching (p<0.05), heavy (p<0.05); Lysholm total (p<0.001); and WOMAC total scores (p<0.01). The correlation between histopathologic staging of PCL and using a cane or crutches of Lysholm and radiating of PQAS was found to be moderately significant (p<0.001, p<0.01). Conclusion: Despite significant correlations, the commonly used functional scores may not be sufficiently precise for granular preoperative assessment of PCL microscopic degeneration, highlighting the need for PCL-specific scoring systems.

Indexed as

LYSHOLMposterior cruciate ligamentPQASWOMAC

Identifiers

PMID41537064
PMCPMC12767880

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.