| No increased occurrence of osteoarthritis after anterior cruciate ligament reconstruction after isolated anterior cruciate ligament injury in athletes. | |
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MedLine Citation:
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PMID: 22265043 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the long-term radiographic and clinical results of anterior cruciate ligament (ACL) reconstruction by comparing the injured knee with the contralateral knee in athletes with isolated ACL tear returning to preinjury sports. METHODS: Twenty-eight patients with isolated ACL tears without concomitant injuries at baseline returning to previous sports were selected. ACL reconstruction was performed with patella or hamstring tendon graft. Conventional radiographs and a 3-T magnetic resonance imaging study of both knees were obtained at a mean follow-up of 10 years after ACL reconstruction and were compared with each other. The International Knee Documentation Committee score and Tegner activity index were used for clinical evaluation and the Knee Injury and Osteoarthritis Outcome Score for evaluating self-reported knee function. RESULTS: The 3-T magnetic resonance imaging study showed positive signs of osteoarthritis in 33% of operated knees and 39% of nonoperated knees (P = .64). Conventional radiographs showed ongoing signs of radiographic osteoarthritis in 14% of uninjured knees according to Kellgren and Lawrence, in comparison with 21% of injured knees (P = .73). The functional outcomes between the injured knee and uninjured knee did not show any statistical differences. The mean postoperative International Knee Documentation Committee score was 89.2 ± 9.3 points, and the total Knee Injury and Osteoarthritis Outcome Score was 92.7 ± 7.8. The median preinjury Tegner score was 8 ± 2, corresponding to 7 ± 2 at follow-up. In 68% of patients, the Tegner score was unchanged from preinjury to follow-up. CONCLUSIONS: Athletes with an isolated ACL rupture showed no increased risk of the development of post-traumatic osteoarthritis in the long-term after ACL replacement when compared with the uninjured contralateral knee. Our findings support the evidence to perform ACL replacement in athletes. LEVEL OF EVIDENCE: Level IV, therapeutic case series. |
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Authors:
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Thomas Hoffelner; Herbert Resch; Philipp Moroder; Jörg Atzwanger; Markus Wiplinger; Wolfgang Hitzl; Mark Tauber |
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Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2012-01-20 |
Journal Detail:
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Title: Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association Volume: 28 ISSN: 1526-3231 ISO Abbreviation: Arthroscopy Publication Date: 2012 Apr |
Date Detail:
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Created Date: 2012-04-02 Completed Date: 2012-07-31 Revised Date: 2013-01-17 |
Medline Journal Info:
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Nlm Unique ID: 8506498 Medline TA: Arthroscopy Country: United States |
Other Details:
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Languages: eng Pagination: 517-25 Citation Subset: IM |
Copyright Information:
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Copyright © 2012 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Traumatology and Sports Injuries, Paracelsus Medical University Salzburg, Salzburg, Austria. t.hoffelner@salk.at |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anterior Cruciate Ligament / injuries*, surgery Anterior Cruciate Ligament Reconstruction* / methods Female Follow-Up Studies Humans Knee Injuries / surgery* Magnetic Resonance Imaging Male Osteoarthritis, Knee / diagnosis, epidemiology*, etiology Postoperative Complications / diagnosis, epidemiology* Retrospective Studies Skiing / injuries* Soccer / injuries* Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Arthroscopy. 2012 Apr;28(4):448-50
[PMID:
22464288
]
Arthroscopy. 2012 Dec;28(12):1750; author's reply p. 1750-1 [PMID: 23200519 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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