Arthroscopy: The Journal of Arthroscopic & Related Surgery
Arthroscopic evaluation of the articular cartilage after anterior cruciate ligament reconstruction: A short-term prospective study of 105 patients
Section snippets
Methods
One hundred and fifty-nine patients underwent arthroscopicly assisted ACL reconstruction for a unilateral ACL injury between May 1995 and December 1997 at our institution. Patients included 77 men and 82 women, ranging in age from 14 to 44 years (mean, 25.8 years).
General condition
Two patients complained of patellofemoral crepitus and mild pain. Second-look arthroscopy showed fibrillation of the articular cartilage of the patella and femoral groove. One patient complained of medial pain. Second-look arthroscopy showed fibrillation of the articular cartilage of MTP. The other patients had no pain of the knee. No formation of neuromas was found. Average KT-1000 side-to-side difference was 2.3 ± 1.8 (range, 1.5 to 5). Six patients showed negative values. No patients needed
Discussion
Whether surgical repair and stabilization actually reduce the incidence of post-traumatic osteoarthritis of the knee remains controversial. Several studies have reported that many knees with reconstructed ACL showed osteoarthritis after ACL reconstruction.6, 7, 8, 9 These studies reported that residual anterior laxity showed no correlation to the incidence of osteoarthritis. Several studies revealed risk factors of radiographic degenerative osteoarthritis after ACL reconstruction. Kullmer et al.
References (19)
- et al.
Two-bundle reconstruction of the anterior cruciate ligament using semitendinosus tendon with endobuttonsoperative technique and preliminary results
Arthroscopy
(1999) - et al.
The natural history of the anterior cruciate ligament-deficient knee
Clin Sports Med
(1993) - et al.
Followup of the acute nonoperated isolated anterior cruciate ligament tear
Am J Sports Med
(1986) - et al.
Results of meniscectomy in the knee with anterior cruciate ligament deficiency
Clin Orthop
(1993) - et al.
Four to ten years followup of unreconstructed anterior cruciate ligament tears
Am J Sports Med
(1989) - et al.
Anterior cruciate ligament injuriesTo counsel or to operate?
J Bone Joint Surg Br
(1986) - et al.
Osteoarthritis of the knee after ACL reconstruction
Int Orthop
(1991) - et al.
Anterior cruciate ligament reconstruction and the longterm incidence of gonarthrosis
Sports Med
(1999) - et al.
Which factors influence the progression of degenerative osteoarthritis after ACL surgery?
Knee Surg Sports Traumatol Arthrosc
(1994)
Cited by (108)
Anterior Cruciate Ligament Reconstruction Improves Functional Scores and Quality of Life in Patients Older Than 50 Years of Age
2023, Arthroscopy, Sports Medicine, and RehabilitationSecond-look arthroscopy after double-bundle posterior cruciate ligament reconstruction: Effect of patient age
2021, Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and TechnologyPosttraumatic cartilage degradation progresses following anterior cruciate ligament reconstruction: A second-look arthroscopic evaluation
2019, Journal of Orthopaedic ScienceA comparison of patellofemoral cartilage morphology and deformation in anterior cruciate ligament deficient versus uninjured knees
2018, Journal of BiomechanicsCitation Excerpt :Patellofemoral joint (PFJ) pain and cartilage degeneration are commonly observed sequelae of anterior cruciate ligament (ACL) rupture (Asano et al., 2004; Culvenor et al., 2013; Lohmander et al., 2007; Neuman et al., 2009; Sachs et al., 1989).
Motion Analysis in Anterior Cruciate Ligament Deficient and Reconstructed Knees
2018, The Anterior Cruciate Ligament: Reconstruction and Basic Science: Second Edition