1. A slight degree of osteoarthritis appears to be present after anterior cruciate ligament reconstruction compared with contralateral healthy knees at a minimum of 20 years: A systematic review of the literature
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Riccardo D'Ambrosi, Alessandro Carrozzo, Amit Meena, Katia Corona, Amit Kumar Yadav, Alessandro Annibaldi, Srinivas B. S. Kambhampati, Elisabeth Abermann, and Christian Fink
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Ahlbäck ,anterior cruciate ligament ,failure rate ,IKDC ,Kellgren–Lawrence ,kneeosteoarthritisradiographic ,Orthopedic surgery ,RD701-811 - Abstract
Abstract Purpose The aim of the present systematic review was to quantitatively synthesize the best literature evidence regarding osteoarthritis developing after anterior cruciate ligament reconstruction (ACLR), including only studies with a follow‐up duration of at least 20 years. Material and Methods A systematic review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines on four electronic databases (PubMed, Scopus, EMBASE and Cochrane Library). The outcome measures extracted from the studies were failure rate, subsequent knee surgery on the same knee, radiographic development of osteoarthritis measured with Kellgren–Lawrence, International Knee Documentation Committee (IKDC) radiographic score and Ahlbäck classification. The health of both the ACLR knee and the contralateral knee was compared. Results A total of 1552 patients were included in the study, of which 1290 (83.11%) were operated on using a patellar tendon graft, 190 (12.24%) with hamstrings, 27 (1.73%) with an iliotibial band and 45 (2.89%) with patellar tendon plus a ligament augmentation device (LAD). The mean age at the time of surgery was 25.18 ± 1.91 years, and the mean follow‐up time was 23.34 ± 2.56 years. Analysing IDKC Score at final follow‐up, ACLR Group showed a higher degree of OA compared with contralateral healthy knee (p
- Published
- 2024
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