Abstract
We studied 58 knees that underwent anterior cruciate ligament (ACL) reconstruction using a patella tendon autograft. The mean age at reconstruction was 30.4 (18–58) years, and the average follow-up was 11.2 (8.6–13.8) years. The presence of osteoarthritis was assessed radiographically using Kellgren and Lawrence’s classification. Osteoarthritis was detected in the medial compartment in 25 cases and in the lateral compartment in 14 cases. Significant independent predictors of osteoarthritis were: accompanying meniscal injury [odds ratio (OR) 9.19), p<0.001], an interval of more than 6 months from injury to reconstruction (OR 4.77, p=0.021), and age more than 25 years at reconstruction (OR 3.37, p=0.034). However, no statistically significant correlation was found between the development of osteoarthritis and clinical outcome or radiological stability.
Résumé
Nous avons étudié 58 genoux qui ont subi reconstruction du ligament croisé antérieur par une autogreffe du tendon rotulien. L’âge moyen à la reconstruction était de 30,4 (18–58) ans, et le suivi moyen était de 11,2 (8.6–13.8) ans. La présence d’arthrose a été controlée radiographiquement en utilisant la classification de Kellgren et Lawrence. L’arthrose a été détectée dans le compartiment médial dans 25 cas, et dans le compartiment latéral dans 14 cas. Les éléments indépendants prédictifs de l’arthrose étaient: la lésion méniscale associée, un intervalle de plus de 6 mois entre le traumatisme et la reconstruction, et l’âge supérieur à 25 ans à la reconstruction. Cependant, aucune corrélation statistiquement significative n’a été trouvée entre le développement de l’arthrose et le résultat clinique ou la stabilité radiologique.
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Seon, J.K., Song, E.K. & Park, S.J. Osteoarthritis after anterior cruciate ligament reconstruction using a patellar tendon autograft. International Orthopaedics (SICO 30, 94–98 (2006). https://doi.org/10.1007/s00264-005-0036-0
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DOI: https://doi.org/10.1007/s00264-005-0036-0