Cargando…
Higher frequency of osteoarthritis in patients with ACL graft rupture than in those with intact ACL grafts 30 years after reconstruction
PURPOSE: The aim was to assess the results of anterior cruciate ligament (ACL) reconstruction regarding graft failure, knee laxity, and osteoarthritis (OA) from a longterm perspective. It was hypothesized that intact ACL graft reduces the risk for increased OA development. METHODS: The cohort compri...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7347674/ https://www.ncbi.nlm.nih.gov/pubmed/31664487 http://dx.doi.org/10.1007/s00167-019-05726-6 |
_version_ | 1783556638629691392 |
---|---|
author | Söderman, Tomas Wretling, Marie-Louise Hänni, Mari Mikkelsen, Christina Johnson, Robert J. Werner, Suzanne Sundin, Anders Shalabi, Adel |
author_facet | Söderman, Tomas Wretling, Marie-Louise Hänni, Mari Mikkelsen, Christina Johnson, Robert J. Werner, Suzanne Sundin, Anders Shalabi, Adel |
author_sort | Söderman, Tomas |
collection | PubMed |
description | PURPOSE: The aim was to assess the results of anterior cruciate ligament (ACL) reconstruction regarding graft failure, knee laxity, and osteoarthritis (OA) from a longterm perspective. It was hypothesized that intact ACL graft reduces the risk for increased OA development. METHODS: The cohort comprised 60 patients with a median follow-up 31 (range 28–33) years after ACL reconstruction. They were evaluated with magnetic resonance imaging, radiography, KT-1000 arthrometer and the pivot shift test. RESULTS: Out of the 60 patients, 30 (50%) showed an intact ACL graft and 30 (50%) a ruptured or absent ACL graft. Patients with ruptured ACL grafts had more medial tibiofemoral compartment OA than those with an intact ACL graft (p = 0.0003). OA was asymmetric in patients with ruptured ACL grafts with more OA in the medial than in the lateral tibiofemoral compartment (p = 0.013) and the patellofemoral compartment (p = 0.002). The distribution of OA between compartments was similar in patients with an intact ACL graft. KT-1000 values of anterior knee laxity were higher in patients with ruptured compared to those with intact ACL grafts (p = 0.012). Side-to-side comparisons of anterior knee laxity showed higher KT-1000 values in patients with ruptured ACL graft (p = 0.0003) and similar results in those with intact graft (p = 0.09). The pivot shift grade was higher in the group with a ruptured ACL graft (p < 0.0001). CONCLUSIONS: Median 31 (range 28–33) years after ACL reconstruction, 50% of the patients showed an intact ACL graft and no side-to-side difference regarding anterior knee laxity. Patients with ruptured ACL grafts had more OA of the medial tibiofemoral compartment than those with intact ACL grafts. LEVEL OF EVIDENCE: Retrospective cohort study, Level III. |
format | Online Article Text |
id | pubmed-7347674 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-73476742020-07-13 Higher frequency of osteoarthritis in patients with ACL graft rupture than in those with intact ACL grafts 30 years after reconstruction Söderman, Tomas Wretling, Marie-Louise Hänni, Mari Mikkelsen, Christina Johnson, Robert J. Werner, Suzanne Sundin, Anders Shalabi, Adel Knee Surg Sports Traumatol Arthrosc Knee PURPOSE: The aim was to assess the results of anterior cruciate ligament (ACL) reconstruction regarding graft failure, knee laxity, and osteoarthritis (OA) from a longterm perspective. It was hypothesized that intact ACL graft reduces the risk for increased OA development. METHODS: The cohort comprised 60 patients with a median follow-up 31 (range 28–33) years after ACL reconstruction. They were evaluated with magnetic resonance imaging, radiography, KT-1000 arthrometer and the pivot shift test. RESULTS: Out of the 60 patients, 30 (50%) showed an intact ACL graft and 30 (50%) a ruptured or absent ACL graft. Patients with ruptured ACL grafts had more medial tibiofemoral compartment OA than those with an intact ACL graft (p = 0.0003). OA was asymmetric in patients with ruptured ACL grafts with more OA in the medial than in the lateral tibiofemoral compartment (p = 0.013) and the patellofemoral compartment (p = 0.002). The distribution of OA between compartments was similar in patients with an intact ACL graft. KT-1000 values of anterior knee laxity were higher in patients with ruptured compared to those with intact ACL grafts (p = 0.012). Side-to-side comparisons of anterior knee laxity showed higher KT-1000 values in patients with ruptured ACL graft (p = 0.0003) and similar results in those with intact graft (p = 0.09). The pivot shift grade was higher in the group with a ruptured ACL graft (p < 0.0001). CONCLUSIONS: Median 31 (range 28–33) years after ACL reconstruction, 50% of the patients showed an intact ACL graft and no side-to-side difference regarding anterior knee laxity. Patients with ruptured ACL grafts had more OA of the medial tibiofemoral compartment than those with intact ACL grafts. LEVEL OF EVIDENCE: Retrospective cohort study, Level III. Springer Berlin Heidelberg 2019-10-29 2020 /pmc/articles/PMC7347674/ /pubmed/31664487 http://dx.doi.org/10.1007/s00167-019-05726-6 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Knee Söderman, Tomas Wretling, Marie-Louise Hänni, Mari Mikkelsen, Christina Johnson, Robert J. Werner, Suzanne Sundin, Anders Shalabi, Adel Higher frequency of osteoarthritis in patients with ACL graft rupture than in those with intact ACL grafts 30 years after reconstruction |
title | Higher frequency of osteoarthritis in patients with ACL graft rupture than in those with intact ACL grafts 30 years after reconstruction |
title_full | Higher frequency of osteoarthritis in patients with ACL graft rupture than in those with intact ACL grafts 30 years after reconstruction |
title_fullStr | Higher frequency of osteoarthritis in patients with ACL graft rupture than in those with intact ACL grafts 30 years after reconstruction |
title_full_unstemmed | Higher frequency of osteoarthritis in patients with ACL graft rupture than in those with intact ACL grafts 30 years after reconstruction |
title_short | Higher frequency of osteoarthritis in patients with ACL graft rupture than in those with intact ACL grafts 30 years after reconstruction |
title_sort | higher frequency of osteoarthritis in patients with acl graft rupture than in those with intact acl grafts 30 years after reconstruction |
topic | Knee |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7347674/ https://www.ncbi.nlm.nih.gov/pubmed/31664487 http://dx.doi.org/10.1007/s00167-019-05726-6 |
work_keys_str_mv | AT sodermantomas higherfrequencyofosteoarthritisinpatientswithaclgraftrupturethaninthosewithintactaclgrafts30yearsafterreconstruction AT wretlingmarielouise higherfrequencyofosteoarthritisinpatientswithaclgraftrupturethaninthosewithintactaclgrafts30yearsafterreconstruction AT hannimari higherfrequencyofosteoarthritisinpatientswithaclgraftrupturethaninthosewithintactaclgrafts30yearsafterreconstruction AT mikkelsenchristina higherfrequencyofosteoarthritisinpatientswithaclgraftrupturethaninthosewithintactaclgrafts30yearsafterreconstruction AT johnsonrobertj higherfrequencyofosteoarthritisinpatientswithaclgraftrupturethaninthosewithintactaclgrafts30yearsafterreconstruction AT wernersuzanne higherfrequencyofosteoarthritisinpatientswithaclgraftrupturethaninthosewithintactaclgrafts30yearsafterreconstruction AT sundinanders higherfrequencyofosteoarthritisinpatientswithaclgraftrupturethaninthosewithintactaclgrafts30yearsafterreconstruction AT shalabiadel higherfrequencyofosteoarthritisinpatientswithaclgraftrupturethaninthosewithintactaclgrafts30yearsafterreconstruction |