Effects of Meniscal and Articular Surface Status on Knee Stability, Function, and Symptoms after Anterior Cruciate Ligament Reconstruction

Wu, Wente; Hackett, Thomas R.; Richmond, John C.

doi:10.1177/03635465020300061501

Cited by 168 publications

(162 citation statements)

References 27 publications

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“…This difference between our findings and those of Wu et al 31 and of Shelbourne and Gray 32 may reflect the shorter average duration of followup in our study, the use of different validated outcome measures, or the control of multiple confounding variables. However, the planned longer-term follow-up of this cohort may reveal different results with regard to intra-articular injuries.…”

Section: Discussioncontrasting

confidence: 99%

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Clinical Outcome at a Minimum of Five Years After Reconstruction of the Anterior Cruciate Ligament

Spindler¹,

WARREN²,

CALLISON³

et al. 2005

The Journal of Bone and Joint Surgery-American Volume

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Section: Discussioncontrasting

confidence: 99%

“…The most relevant review, by Wu et al 31 , was a prospective ten-year follow-up study of sixty-three (of 103) reconstructions with patellar tendon autograft. The IKDC, Tegner, and Lysholm scales as well as instrumented laxity measurements and single-leg hop tests were used for evaluation.…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcome at a Minimum of Five Years After Reconstruction of the Anterior Cruciate Ligament

Spindler¹,

WARREN²,

CALLISON³

et al. 2005

The Journal of Bone and Joint Surgery-American Volume

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“…Restoration of long-term knee-joint stability and function remain the basic principles of any treatment strategy to avoid serious sequelae such as meniscus and cartilage damage and, in particular, progression of degenerative changes. [3,6,29]. The need for arthrometric graft positioning adapted to the individual factors of the knee has been proven in several studies and remains a cardinal assumption for achieving stability and free range of motion (ROM) of the operated knee joint [10,19].…”

Section: Introductionmentioning

confidence: 99%

“…Reports with follow-up periods over ten years or more remain rare [5,20,23]. Further limitations are the delay between primary injury and definitive operative treatment or major associated intra-articular injuries, particularly meniscal and cartilage lesions at reconstruction [3,15,29]. The primary objective of this study was to evaluate long-term functional and clinical outcomes and the incidence of potential OA based on a large study cohort after isolated ACL rupture and operative restoration.…”

Section: Introductionmentioning

confidence: 99%

Knee function and prevalence of osteoarthritis after isolated anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft: long-term follow-up

Struewer

Frangen

Ishaque

et al. 2011

International Orthopaedics (SICOT)

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Purpose The aim of this investigation was to study patientreported long-term clinical outcome, instrumental stablitity and prevalence of radiological osteoarthritis (OA) a minimum of ten years after isolated anterior cruciate ligament (ACL) reconstruction. Methods An average of 13.5 years after ACL reconstruction with bone-patellar tendon-bone (BTB) autograft, 73 patients were evaluated. Inclusion criteria consisted of an isolated ACL rupture and reconstruction with BPTB graft with no associated intra-articular lesions, in particular, cartilage alterations or meniscal lesions. Clinical assessment was performed using the International Knee Documentation Committee (IKDC) and Tegner and Lysholm scores. Instrumental anterior laxity testing was carried out with the KT-1000™ arthrometer. Degree of degenerative changes and prevalence of OA were determined using the Kellgren-Lawrence scale. Results Mean follow-up was 13.5 years. Mean age was 43.8 years. About 75% of patients were graded A or B according to the IKDC score. The Lysholm score was 90.2± 4.8. Radiological assessment reported degenerative changes of grade II OA in 54.2% of patients. Prevalence of grades III or IV OA was found in 20%. The incidence of OA was significantly correlated with stability and function at long-term follow-up. Conclusion Arthroscopic ACL reconstruction using BPTB autograft resulted in a high degree of patient satisfaction and good clinical results on long-term follow-up. A higher degree of OA developed in 20% of patients and was significantly correlated with increased anterior laxity at long-term follow-up.

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“…1 However, only 50% of all individuals who sustain an ACL injury will develop PTOA. 6 Thus, other factors may be more important in joint degeneration, including meniscal status [29][30][31][32][33] and articular cartilage damage sustained at the time of injury. 3 Future investigations are necessary to determine the precise contributors to PTOA development.…”

Section: Discussionmentioning

confidence: 99%

Knee Frontal-Plane Biomechanics in Adults With or Without Bone Marrow Edema-Like Lesions After Anterior Cruciate Ligament Injury

Thomas

Palmieri-Smith

2017

Journal of Athletic Training

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Context: Lateral subchondral bone bruises (BBs) occur frequently with anterior cruciate ligament (ACL) injuries. These BBs are associated with pain during weight bearing, leading individuals to increase medial tibiofemoral loading to alleviate pain laterally. Increased medial tibiofemoral loading may precipitate the development or progression of posttraumatic osteoarthritis; however, no in vivo biomechanical data exist to confirm that lateral BBs increase medial tibiofemoral loading as measured by the external knee-adduction moment (KAM).Objective: To determine whether lateral BBs after ACL injury increase the external KAM during walking.Design: Descriptive laboratory study. Intervention(s): We recorded peak KAM during 3 walking trials (1.1 6 0.6 m/s) in which participants walked over a force platform located in the field of view of a motion-capture system.Main Outcome Measure(s): Peak KAM was calculated during the first half of stance using standard inverse-dynamics analysis, averaged across trials, and examined via 1-way analysis of variance. Knee pain and function were determined from the International Knee Documentation Committee Subjective Knee Evaluation Form and compared among groups via the Kruskal-Wallis test.Results: Peak KAM did not differ among groups (ACL injury ¼ 0.14 6 0.07 NmÁkg À1 Ám À1 , ACL þ BB ¼ 0.21 6 0.08 NmÁkg À1 Ám À1 , control ¼ 0.20 6 0.08 NmÁkg À1 Ám À1 ; F 2,35 ¼ 3.243, P ¼ .052). Knee-pain frequency and severity were greater in the ACL-injury (frequency ¼ 2.55 6 1.81, severity ¼ 3.36 6 1.75; both P , .001) and ACL þ BB (frequency ¼ 3.58 6 2.81, severity ¼ 4.08 6 3.20; both P , .001) groups than in the control group (frequency ¼ 0.00 6 0.00, severity ¼ 0.00 6 0.00). Knee function was greater in the control group (100.00 6 0.00) than in the ACL-injury (59.35 6 17.31; P , .001) and ACL þ BB (46.46 6 25.85; P , .001) groups.Conclusions: The ACL þ BB groups did not walk with a greater external KAM than the ACL-injury or control groups. Thus, lateral tibiofemoral BB did not influence knee frontal-plane loading after ACL injury.

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Effects of Meniscal and Articular Surface Status on Knee Stability, Function, and Symptoms after Anterior Cruciate Ligament Reconstruction

Abstract: The menisci should be repaired if at all possible, especially in the setting of anterior cruciate ligament reconstruction, for optimal functional outcome and patient satisfaction.

Cited by 168 publications

References 27 publications

Clinical Outcome at a Minimum of Five Years After Reconstruction of the Anterior Cruciate Ligament

Clinical Outcome at a Minimum of Five Years After Reconstruction of the Anterior Cruciate Ligament

Knee function and prevalence of osteoarthritis after isolated anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft: long-term follow-up

Knee Frontal-Plane Biomechanics in Adults With or Without Bone Marrow Edema-Like Lesions After Anterior Cruciate Ligament Injury

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