Risk Factors for Manipulation Under Anesthesia and/or Lysis of Adhesions Following Anterior Cruciate Ligament Reconstruction

Huleatt, Joel; Gottschalk, Michael B.; Fraser, Kelsey; Boden, Allison L.; Dalwadi, Poonam; Xerogeanes, John W.; Hammond, Kyle E.

doi:10.1016/j.arthro.2018.10.035

Arthroscopy: The Journal of Arthroscopic & Related Surgery

2018

DOI: 10.1016/j.arthro.2018.10.035

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Risk Factors for Manipulation Under Anesthesia and/or Lysis of Adhesions Following Anterior Cruciate Ligament Reconstruction

Joel Huleatt¹,

Michael B. Gottschalk²,

Kelsey Fraser³

et al.

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Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction

Wang

Zhong

et al. 2020

J Orthop Surg Res

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Background Joint stiffness is a common complication after anterior cruciate ligament (ACL) reconstruction, which seriously affects the efficacy of the operation and patient satisfaction. After ACL reconstruction, the identification of joint stiffness’ risk factors can help its prevention. This meta-analysis was conducted to evaluate joint stiffness’ risk factors and incidence after ACL reconstruction and provide guidance on its prevention. Methods PubMed, Embase, and Cochrane Library were searched to obtain relevant studies. The odds ratios (ORs) with 95% confidence intervals (CIs) for all potential risk factors were analyzed using fixed or random-effects meta-analysis in RevMan 5.2. Results In total, there were 37 studies and 113,740 patients that were included in this study. After ACL reconstruction, joint stiffness’ incidence negatively correlated with the studies publication time (R = −0.62, P = 0.0094). After ACL reconstruction, the joint stiffness overall pooled incidence was 3% (95% CI, 3-4%). Gender (OR, 0.51; 95% CI, 0.38-0.68; P < 0.00001) was identified as a risk factor. Potential risk factors, such as trauma to surgery time interval, graft type, and concomitant surgery with meniscus injury, have no significant correlation with joint stiffness after ACL reconstruction. Conclusion This study indicated that joint stiffness’ incidence after ACL reconstruction is 3% and that gender is a risk factor for joint stiffness after ACL reconstruction.

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Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction

Wang

Zhong

et al. 2020

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

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Risk Factors for Manipulation Under Anesthesia and/or Lysis of Adhesions Following Anterior Cruciate Ligament Reconstruction

Cited by 1 publication

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Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction

Incidence and risk factors of joint stiffness after Anterior Cruciate Ligament reconstruction

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