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Review
. 2024 Apr 4;11(2):e12017.
doi: 10.1002/jeo2.12017. eCollection 2024 Apr.

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

Riccardo D'Ambrosi  1   2 , Alessandro Carrozzo  3 , Amit Meena  4   5 , Katia Corona  6 , Amit Kumar Yadav  7 , Alessandro Annibaldi  3 , Srinivas B S Kambhampati  8 , Elisabeth Abermann  5 , Christian Fink  5   9
Affiliations
Review

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

Riccardo D'Ambrosi et al. J Exp Orthop. .

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 VSports手机版. .

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) V体育安卓版. 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 < 0. 01), but only 33. 2% (324/976) of the patients showed a moderate to severe degree (Grade C or D) of osteoarthritis, while for Kellgren-Lawrence, ACLR Group showed a higher degree of OA compared with contralateral healthy knee (p < 0 V体育ios版. 01), but only 28. 9% (196/678) of the patients showed a moderate to severe degree (Grade III or IV) of osteoarthritis. In total, 1552 patients were registered, 155 reruptures (9. 98%) and a total of 300 (19. 3%) new surgeries, of which 228 meniscectomy (14. 69%), 21 (1. 35%) knee arthroplasty and 17 (1. 09%) hardware removal were recorded. .

Conclusions: ACL reconstruction appears to result in mild osteoarthritis in the long term in most of the patients and only less than 33. 2% develop a moderate to severe degree of knee OA according to IKDC radiographic score. A slight degree of osteoarthritis appears to be present in ACLR knees compared with contralateral healthy knees. VSports最新版本.

Level of evidence: Level IV V体育平台登录. .

Keywords: Ahlbäck; IKDC; Kellgren–Lawrence; anterior cruciate ligament; failure rate; kneeosteoarthritisradiographic. VSports注册入口.

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"V体育2025版" Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
A flowchart of the literature screening performed in this study.
See this image and copyright information in PMC

References

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