Return to pivoting sport after ACL reconstruction: association with osteoarthritis and knee function at the 15-year follow-up

Øiestad, Britt Elin; Holm, Inger; Risberg, May Arna

doi:10.1136/bjsports-2017-097718

Cited by 44 publications

(46 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…At 5 years after ACL reconstruction, patients with radiographic knee osteoarthritis walk with lower knee flexion angles and moments but not with different knee adduction moments and medial compartment contact forces 36 . Further, returning to pivoting sport after ACL reconstruction has been shown to decrease the odds of developing symptomatic and radiographic knee osteoarthritis at 15 years 48 . Together, these previous studies suggest that higher levels of joint loading may not be harmful after ACL injury.…”

Section: Discussionmentioning

confidence: 93%

Operative and nonoperative management of anterior cruciate ligament injury: Differences in gait biomechanics at 5 years

Wellsandt

Khandha

Capin

et al. 2020

Journal Orthopaedic Research

View full text Add to dashboard Cite

Gait biomechanics after anterior cruciate ligament (ACL) injury are associated with functional outcomes and the development of posttraumatic knee osteoarthritis. However, biomechanical outcomes between patients treated nonoperatively compared with operatively are not well understood. The primary purpose of this study was to compare knee joint contact forces, angles, and moments during loading response of gait between individuals treated with operative compared with nonoperative management at 5 years after ACL injury. Forty athletes treated operatively and 17 athletes treated nonoperatively completed gait analysis at 5 years after ACL reconstruction or completion of nonoperative rehabilitation. Medial compartment joint contact forces were estimated using a previously validated, patient‐specific electromyography‐driven musculoskeletal model. Knee joint contact forces, angles, and moments were compared between the operative and nonoperative group using mixed model 2 × 2 analyses of variance. Peak medial compartment contact forces were larger in the involved limb of the nonoperative group (Op: 2.37 ± 0.47 BW, Non‐Op: 3.03 ± 0.53 BW; effect size: 1.36). Peak external knee adduction moment was also larger in the involved limb of the nonoperative group (Op: 0.25 ± 0.08 Nm/kg·m, Non‐Op: 0.32 ± 0.09 Nm/kg·m; effect size: 0.89). No differences in radiographic tibiofemoral osteoarthritis were present between the operative and nonoperative groups. Overall, participants treated nonoperatively walked with greater measures of medial compartment joint loading than those treated operatively, while sagittal plane group differences were not present. Statement of clinical relevance: The differences in medial knee joint loading at 5 years after operative and nonoperative management of ACL injury may have implications on the development of posttraumatic knee osteoarthritis.

show abstract

Section: Discussionmentioning

confidence: 93%

Operative and nonoperative management of anterior cruciate ligament injury: Differences in gait biomechanics at 5 years

Wellsandt

Khandha

Capin

et al. 2020

Journal Orthopaedic Research

View full text Add to dashboard Cite

show abstract

“…This, however, is disputed by more recent literature, wherein opposite findings indicate that those who are more physically active and who returned to pivoting sports had better knee function and less radiographic knee OA. 32 Streich et al 8 and Kessler et al 7 both excluded patients who received secondary ACL reconstruction. Kessler et al 7 excluded patients receiving both primary and secondary meniscectomies.…”

Section: Radiographic Knee Oamentioning

confidence: 99%

Does surgery reduce knee osteoarthritis, meniscal injury and subsequent complications compared with non-surgery after ACL rupture with at least 10 years follow-up? A systematic review and meta-analysis

et al. 2019

Self Cite

View full text Add to dashboard Cite

ObjectiveWe compared long-term follow-up from surgical versus non-surgical treatment of ACL rupture regarding radiographic knee osteoarthritis (OA), secondary surgery, laxity and patient-reported outcome measures (PROMs).DesignSystematic review and meta-analysis.Data sourcesEmbase, MEDLINE, CINAHL and the Cochrane Library databases.Eligibility criteria for selecting studiesStudies directly comparing the minimally invasive surgical (arthroscopy or miniarthrotomy) and non-surgical treatment of ACL rupture with at least 10 years of follow-up in adult patients were included.ResultsFive studies met the eligibility criteria. A meta-analysis revealed a higher risk of radiographic knee OA and a lower risk of secondary meniscal surgery for patients in the surgical group. The risk of graft rupture/secondary ACL revision and secondary ACL reconstruction was equal in the surgical and non-surgical groups. Knee laxity was lower among patients in the surgical group in four studies. No difference was found in the PROMs (ie, International Knee Documentation Committee, Tegner, Knee Injury and Osteoarthritis Outcome, and Lysholm scores).ConclusionThe risk of radiographic knee OA was higher, but the risk of secondary meniscal injury was lower 10 years after surgical treatment of ACL rupture. The risk of graft rupture/secondary ACL revision or secondary reconstruction was unrelated to treatment type. The degree of knee laxity was reduced after surgical treatment in comparison with non-surgical treatment, while PROMs were similar. However, due to the methodological challenges highlighted in this systematic review, these findings must be interpreted with caution.PROSPERO registration numberCRD42019119468

show abstract

“…In this regard, injuries are associated with negative consequences, such as a reduction of team success [12], an increment of costs related to treatments [13], and the risk of suffering new injuries [14]. In addition, injuries might also have long-term health consequences influencing handball players' quality of life and career [15]. Therefore, reducing the injury incidence can have a key positive impact for both players' and teams' performance.…”

Section: Introductionmentioning

confidence: 99%

Injury Profile of Male and Female Senior and Youth Handball Players: A Systematic Review

Raya-González

Clemente

Beato

et al. 2020

IJERPH

View full text Add to dashboard Cite

Handball is a team sport in which players are exposed to high physical conditioning requirements and several contacts and collisions, so they must face various musculoskeletal injuries throughout their career. The aim of this study was to summarize the characteristics of handball injuries both in training and in competition contexts, differentiating by gender and age. A systematic review was conducted and a total of 15 studies (33 cohorts) met the inclusion criteria. Higher injury incidence was reported during matches compared to training sessions in all groups (i.e., male and female senior and youth players), with male senior players presenting the greatest values. Lower extremities were more frequently injured, being contusions and sprains the most common type of injuries. Females reported more serious injuries than males, who presented a higher percentage of acute injuries caused by direct contact, while in female players these injuries were not caused by direct contact actions. Wings and backs presented the highest injury incidence; additionally, players registered higher match incidence during international championships compared to national leagues. Due to the differences in the injury profile of handball players, specific preventive strategies should be implemented for each group to optimize the injury prevention process.

show abstract

Return to pivoting sport after ACL reconstruction: association with osteoarthritis and knee function at the 15-year follow-up

Cited by 44 publications

References 42 publications

Operative and nonoperative management of anterior cruciate ligament injury: Differences in gait biomechanics at 5 years

Operative and nonoperative management of anterior cruciate ligament injury: Differences in gait biomechanics at 5 years

Does surgery reduce knee osteoarthritis, meniscal injury and subsequent complications compared with non-surgery after ACL rupture with at least 10 years follow-up? A systematic review and meta-analysis

Injury Profile of Male and Female Senior and Youth Handball Players: A Systematic Review

Contact Info

Product

Resources

About