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Factors Influencing the Progression of Patellofemoral Articular Cartilage Damage After Anterior Cruciate Ligament Reconstruction
BACKGROUND: Although anterior cruciate ligament reconstruction (ACLR) can restore the stability and function of the knee joint, patellofemoral joint cartilage damage still progresses. Currently, the clinically important factors that lead to the progression of patellofemoral articular cartilage damag...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9289919/ https://www.ncbi.nlm.nih.gov/pubmed/35859648 http://dx.doi.org/10.1177/23259671221108362 |
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author | Huang, Hui Li, Zhengzhao Luo, Shishi Zheng, Jiaxuan Zhou, Gang Wang, Guangji |
author_facet | Huang, Hui Li, Zhengzhao Luo, Shishi Zheng, Jiaxuan Zhou, Gang Wang, Guangji |
author_sort | Huang, Hui |
collection | PubMed |
description | BACKGROUND: Although anterior cruciate ligament reconstruction (ACLR) can restore the stability and function of the knee joint, patellofemoral joint cartilage damage still progresses. Currently, the clinically important factors that lead to the progression of patellofemoral articular cartilage damage are not fully understood. PURPOSE: To investigate the factors that affect the progression of patellofemoral articular cartilage damage after ACLR. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Among 160 patients who underwent ACLR between January 2015 and December 2019, the authors evaluated 129 patients for at least 1 year after surgery. Within 1 week before ACLR and at the last follow-up, patients underwent subjective functional assessment and magnetic resonance imaging evaluations of articular cartilage damage (modified Outerbridge assessment). At the last follow-up, the side-to-side difference on KT-2000 arthrometer and bilateral quadriceps muscle strength were measured. Univariate and multivariate logistic regression analyses were performed. RESULTS: The mean follow-up was 24.69 ± 10.74 months. Progression of patellar cartilage damage from preoperatively to final follow-up was seen in 45 patients (P < .001). Logistic regression analysis revealed that the follow-up period (P = .047; odds radio (OR) = 0.953) (improvement of patellar cartilage damage with longer follow-up), partial lateral meniscal resection (P = .004; OR = 6.929), partial medial meniscal resection (P = .004; OR = 6.032), and quadriceps muscle strength <80% of the contralateral side (P = .001; OR = 4.745) were risk factors for the progression of patellar cartilage damage. CONCLUSION: Cartilage damage at the patellofemoral joint, especially the patellar cartilage, still progresses after ACLR. At a mean follow-up of 24.69 months after ACLR, partial meniscal resection and quadriceps femoris muscle strength were found to be the main risk factors for the progression of patellofemoral articular cartilage damage after ACLR. |
format | Online Article Text |
id | pubmed-9289919 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-92899192022-07-19 Factors Influencing the Progression of Patellofemoral Articular Cartilage Damage After Anterior Cruciate Ligament Reconstruction Huang, Hui Li, Zhengzhao Luo, Shishi Zheng, Jiaxuan Zhou, Gang Wang, Guangji Orthop J Sports Med Article BACKGROUND: Although anterior cruciate ligament reconstruction (ACLR) can restore the stability and function of the knee joint, patellofemoral joint cartilage damage still progresses. Currently, the clinically important factors that lead to the progression of patellofemoral articular cartilage damage are not fully understood. PURPOSE: To investigate the factors that affect the progression of patellofemoral articular cartilage damage after ACLR. STUDY DESIGN: Cohort study; Level of evidence, 2. METHODS: Among 160 patients who underwent ACLR between January 2015 and December 2019, the authors evaluated 129 patients for at least 1 year after surgery. Within 1 week before ACLR and at the last follow-up, patients underwent subjective functional assessment and magnetic resonance imaging evaluations of articular cartilage damage (modified Outerbridge assessment). At the last follow-up, the side-to-side difference on KT-2000 arthrometer and bilateral quadriceps muscle strength were measured. Univariate and multivariate logistic regression analyses were performed. RESULTS: The mean follow-up was 24.69 ± 10.74 months. Progression of patellar cartilage damage from preoperatively to final follow-up was seen in 45 patients (P < .001). Logistic regression analysis revealed that the follow-up period (P = .047; odds radio (OR) = 0.953) (improvement of patellar cartilage damage with longer follow-up), partial lateral meniscal resection (P = .004; OR = 6.929), partial medial meniscal resection (P = .004; OR = 6.032), and quadriceps muscle strength <80% of the contralateral side (P = .001; OR = 4.745) were risk factors for the progression of patellar cartilage damage. CONCLUSION: Cartilage damage at the patellofemoral joint, especially the patellar cartilage, still progresses after ACLR. At a mean follow-up of 24.69 months after ACLR, partial meniscal resection and quadriceps femoris muscle strength were found to be the main risk factors for the progression of patellofemoral articular cartilage damage after ACLR. SAGE Publications 2022-07-14 /pmc/articles/PMC9289919/ /pubmed/35859648 http://dx.doi.org/10.1177/23259671221108362 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Article Huang, Hui Li, Zhengzhao Luo, Shishi Zheng, Jiaxuan Zhou, Gang Wang, Guangji Factors Influencing the Progression of Patellofemoral Articular Cartilage Damage After Anterior Cruciate Ligament Reconstruction |
title | Factors Influencing the Progression of Patellofemoral Articular
Cartilage Damage After Anterior Cruciate Ligament Reconstruction |
title_full | Factors Influencing the Progression of Patellofemoral Articular
Cartilage Damage After Anterior Cruciate Ligament Reconstruction |
title_fullStr | Factors Influencing the Progression of Patellofemoral Articular
Cartilage Damage After Anterior Cruciate Ligament Reconstruction |
title_full_unstemmed | Factors Influencing the Progression of Patellofemoral Articular
Cartilage Damage After Anterior Cruciate Ligament Reconstruction |
title_short | Factors Influencing the Progression of Patellofemoral Articular
Cartilage Damage After Anterior Cruciate Ligament Reconstruction |
title_sort | factors influencing the progression of patellofemoral articular
cartilage damage after anterior cruciate ligament reconstruction |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9289919/ https://www.ncbi.nlm.nih.gov/pubmed/35859648 http://dx.doi.org/10.1177/23259671221108362 |
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