Prior Anterior Cruciate Ligament Reconstruction Effects on Future Total Knee Arthroplasty

Chong, Alexander C.M.; Fisher, Brandon; MacFadden, Lisa N.; Piatt, Bruce E.

doi:10.1016/j.arth.2018.04.014

Cited by 18 publications

(40 citation statements)

References 38 publications

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“…22 Although there was no difference in blood loss between patients with and without prior ACL reconstruction, the authors found a statistically significant difference in mean operative time in patients who required tibia hardware removal (74 AE 23 minutes vs. control: 64 AE 21 minutes) and patients who required tibia and femur hardware removal (79 AE 24 minutes vs. control: 65 AE 19 minutes). 22 The authors findings allude to hardware removal being the main contributor to operative time, especially hardware removed from the tibia. Similar findings were demonstrated in the Watters et al study, where 50% of 122 patients required hardware removal and mean operative time was significantly longer in this group (88 minutes) compared with controls (73 minutes).…”

Section: Operative Timementioning

confidence: 82%

“…Operative time for TKA may be increased in patients with prior ACL reconstruction due to difficulty with exposure, technical difficulty with ligament balancing, or due to removal of prior implants, but this has not been associated with increased blood loss. 10,22 In a retrospective study, Chong et al analyzed 101 patients undergoing TKA after prior ACL reconstruction. 22 Although there was no difference in blood loss between patients with and without prior ACL reconstruction, the authors found a statistically significant difference in mean operative time in patients who required tibia hardware removal (74 AE 23 minutes vs. control: 64 AE 21 minutes) and patients who required tibia and femur hardware removal (79 AE 24 minutes vs. control: 65 AE 19 minutes).…”

Section: Operative Timementioning

confidence: 99%

“…10,22 In a retrospective study, Chong et al analyzed 101 patients undergoing TKA after prior ACL reconstruction. 22 Although there was no difference in blood loss between patients with and without prior ACL reconstruction, the authors found a statistically significant difference in mean operative time in patients who required tibia hardware removal (74 AE 23 minutes vs. control: 64 AE 21 minutes) and patients who required tibia and femur hardware removal (79 AE 24 minutes vs. control: 65 AE 19 minutes). 22 The authors findings allude to hardware removal being the main contributor to operative time, especially hardware removed from the tibia.…”

Section: Operative Timementioning

confidence: 99%

“…Other reports present conflicting data on the effect of prior surgery on infection rate after TKA with no significant difference in prosthetic infection rates between patients with and without prior ACL reconstruction. 11,22 Additionally, conflicting reports exist for whether any prior knee surgery (such as osteotomy or fracture fixation) influences infection after TKA. [23][24][25] It is important to consider confounders when analyzing infection after TKA.…”

Section: Complications/infectionmentioning

confidence: 99%

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Total Knee Arthroplasty after Anterior Cruciate Ligament Reconstruction

et al. 2020

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The incidence of anterior cruciate ligament (ACL) reconstruction is increasing in the United States, particularly in the older athlete. Patients who undergo ACL reconstruction are at higher risk for undergoing total knee arthroplasty (TKA) later in life. TKA in patients with prior ACL reconstruction has been associated with longer operative time due in-part to difficulty with exposure and retained hardware. Outcomes after TKA in patients with prior ACL reconstruction are not well defined, with some reports showing increased rate of complications and higher risk of reoperation compared with routine primary TKA, but these results are based on small and nonrandomized cohorts. Future research is needed to determine whether graft choice or fixation technique for ACL reconstruction influences outcomes after subsequent TKA. Furthermore, whether outcomes are affected by choice of TKA implant design for patients with prior ACL reconstruction warrants further study. This review analyzes the epidemiology, operative considerations, and outcomes of TKA following ACL reconstruction.

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Section: Operative Timementioning

confidence: 82%

Section: Operative Timementioning

confidence: 99%

Section: Operative Timementioning

confidence: 99%

Section: Complications/infectionmentioning

confidence: 99%

See 2 more Smart Citations

Total Knee Arthroplasty after Anterior Cruciate Ligament Reconstruction

et al. 2020

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“…Approximately 175,000 ACL reconstructions are performed annually [2, 3]. ACL-deficient knees lead to meniscal and chondral damages.…”

Section: Introductionmentioning

confidence: 99%

Distal Femoral Replacement Following an Intraoperative Periprosthetic Fracture in a Patient with Prior Bone Mulch ACL Reconstruction

Gemayel

Yousif

Padget

et al. 2019

Case Reports in Orthopedics

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Periprosthetic distal femur fractures can be treated nonoperatively, with open reduction and internal fixation or with more constrained prostheses. Distal femoral replacement is typically a last resort treatment option for comminuted periprosthetic or osteoporotic distal femoral fractures in patients with poor bone stock or resistant nonunions. We report the case of a 54-year-old female with a remote history of bone mulch ACL reconstruction who sustained an intraoperative comminuted bicondylar distal femur fracture during a primary total knee arthroplasty. This patient was treated with a distal femoral replacement and successfully returned to her preoperative function.

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A comparative analysis of the efficacy of anterior cruciate ligament reconstruction with autologous ligament grafting at different time points

Gao

et al. 2020

Clinical Laboratory Analysis

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Prior Anterior Cruciate Ligament Reconstruction Effects on Future Total Knee Arthroplasty

Cited by 18 publications

References 38 publications

Total Knee Arthroplasty after Anterior Cruciate Ligament Reconstruction

Total Knee Arthroplasty after Anterior Cruciate Ligament Reconstruction

Distal Femoral Replacement Following an Intraoperative Periprosthetic Fracture in a Patient with Prior Bone Mulch ACL Reconstruction

A comparative analysis of the efficacy of anterior cruciate ligament reconstruction with autologous ligament grafting at different time points

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