The prevalence of patellofemoral osteoarthritis 12 years after anterior cruciate ligament reconstruction

Øiestad, Britt Elin; Holm, Inger; Engebretsen, Lars; Aune, Arne Kristian; Gunderson, Ragnhild; Risberg, May Arna

doi:10.1007/s00167-012-2161-9

Cited by 72 publications

(75 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…More specifically, PF arthritis presents constantly with AKP, and other authors have documented that patients with established PF arthritis that required surgical treatment had a history of significantly higher AKP than controls (22 % vs 6 %, p<0.001) [48]. The risk of long-term arthritis after ACL reconstruction has been questioned in the literature, and the possibility of PF arthritis following ACL reconstruction has been recently re-emphasized [49][50][51]. Järvelä et al documented mild to severe PF osteoarthritis in 88.6 % of their patients seven years after ACL reconstruction [49] and also correlated the increased incidence of AKP in this group but, unfortunately, without evaluating for the presence of trochlear dysplasia in these patients [6].…”

Section: Discussionmentioning

confidence: 99%

“…Järvelä et al documented mild to severe PF osteoarthritis in 88.6 % of their patients seven years after ACL reconstruction [49] and also correlated the increased incidence of AKP in this group but, unfortunately, without evaluating for the presence of trochlear dysplasia in these patients [6]. Oiestad et al documented 26 % of established PF arthritis 12 years after ACL reconstruction, again without checking for the pre-operative presence of similar radiological findings such as trochlear dysplasia [51]. Most recently, Culvenor et al reviewed the increased incidence of PF arthritis with ACL reconstruction and recommended prevention and treatment strategies with attention to rehabilitation protocols and quadriceps and hamstring muscles coordination in order to minimize this complication [50].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The incidence of trochlear dysplasia in anterior cruciate ligament tears

Ntagiopoulos¹,

Bonin²,

Sonnery‐Cottet

et al. 2014

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose The purpose of the present epidemiologic study is to record the radiographic presence of trochlear dysplasia and patella alta in patients who undergo anterior cruciate ligament (ACL) reconstruction as a potential underlying factor for postoperative anterior knee pain (AKP). Methods All consecutive cases of skeletally-mature ACLdeficient knees that would undergo ACL reconstruction in three different hospitals were prospectively included during a six-month period. Inclusion criteria were acute and subacute ACL injury with no previous ipsilateral knee operation. Patients with chronic ACL tears, prior-to-ACL-injury history of patellar instability or other PF disorders were excluded from the study. Results A total of 299 knees were included (mean age 32± ten years). Forty-four (14.7 %) knees had a positive 'crossing sign' in the lateral X-rays and 255 (85.3 %) had no sign of trochlear dysplasia (p<0.01). Among the cases with trochlear dysplasia, 41 (93 %) had type A trochlear dysplasia with the presence only of the 'crossing sign' and three (7 %) had type C trochlear dysplasia. Patellar height results included a mean Caton-Deschamps index of 1.0± 0.14 (0.5-1.4). Twenty (6.6 %) knees had an index of less than 0.8, and two (0.6 %) knees had an index less than 0.6. In contrast, 15 (5.0 %) knees had an abnormal value of more than 1.2, indicating patella alta. ConclusionsThe most important finding of the study is the increased prevalence of trochlear dysplasia and patella alta in patients with ACL injury, when compared to the incidence of trochlear dysplasia and patella alta in the general population in the literature. This finding could sound as an alert of a possible additional risk factor for post-operative anterior knee pain after ACL reconstruction.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The incidence of trochlear dysplasia in anterior cruciate ligament tears

Ntagiopoulos¹,

Bonin²,

Sonnery‐Cottet

et al. 2014

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Several reports have revealed that PF-OA progresses after an ACL tear. The reported prevalence of PF-OA progression after ACL tear is 13-28 % [9][10][11][12]. Even after ACL reconstruction, PF-OA progression has been reported in short to mid-term follow-up periods [10,11].…”

Section: Introductionmentioning

confidence: 99%

“…The reported prevalence of PF-OA progression after ACL tear is 13-28 % [9][10][11][12]. Even after ACL reconstruction, PF-OA progression has been reported in short to mid-term follow-up periods [10,11]. However, many reports of PF-OA after ACL tear or reconstruction include follow-up data of less than 20 years [10][11][12][13][14][15][16][17][18], and the evaluation of PF-OA in elderly subjects without ACL function has not been well investigated.…”

Section: Introductionmentioning

confidence: 99%

“…Even after ACL reconstruction, PF-OA progression has been reported in short to mid-term follow-up periods [10,11]. However, many reports of PF-OA after ACL tear or reconstruction include follow-up data of less than 20 years [10][11][12][13][14][15][16][17][18], and the evaluation of PF-OA in elderly subjects without ACL function has not been well investigated. Moreover, although tibio-femoral OA changes have been well described in previous reports [19][20][21][22], reports on the morphology of PF-OA are rare [5,6,23].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Anterior cruciate ligament deterioration correlates with patella osteoarthritis

Iriuchishima¹,

Ryu

Aizawa

et al. 2013

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose The correlation between anterior cruciate ligament (ACL) condition and patella osteoarthritic (OA) changes has not been well reported. The aim of this study was to reveal the correlation between ACL deterioration and the morphology of OA changes in the patella. The hypothesis was that significant correlation between ACL deterioration and patella OA morphology would be revealed in this study. Methods Two hundred ninety-one cadaveric knees from 151 cadavers were included in this study with a median age of 83 years (54-98). Knees were opened with a sub-vastus approach and the ACL condition was classified as intact or deteriorated. Patella OA lesions were classified using Han's method: type 1, no or minimal lesion; type 2, medial facet lesion without involvement of the ridge; type 3, lateral facet lesion without involvement of the ridge; type 4, lesion involving the ridge only; type 5, medial facet lesion with involvement of the ridge; type 6, lateral facet lesion with involvement of the ridge; and type 7, global lesion. OA depth evaluation was performed following Outerbridge's classification. Statistical analysis of the collected data was performed using generalized estimating equations (GEE). Results The ACL was intact in 277 knees and deteriorated in 14 knees. Patella OA lesions were observed as follows: type 1, 29 %; type 2, 15 %; type 3, 2 %; type 4, 12 %; type 5, 18 %; type 6, 2 %; and type 7, 22 %. Outerbridge's classification of over grade 2 OA depth was observed in 73.5 % of subjects. When patella OA was divided into types 1-4 and types 5-7, ACL deterioration was correlated with the occurrence of type 5-7 patella OA [OR 6.44, 95%CI 2.27-18.25, p =0.000]. When patella OA was divided into types 1-6 and type 7, ACL deterioration was correlated with the occurrence of type 7 patella OA [OR 6.02, p =0.000]. When patella OA depth was divided into grades 1-3 and grade 4, ACL deterioration was highly correlated with the occurrence of grade 4 patella OA [OR 9.31, p =0.025]. Conclusion ACL deterioration is a strong risk factor of wider and deeper OA changes in the patella. For clinical relevance, subjects with ACL tear should be aware of the progression of patella OA.

show abstract

Advantages and Potential Consequences of Return to Sport After ACL Reconstruction: Quality of Life, Reinjury Rates, and Knee Osteoarthritis

Noyes

Barber-Westin²

2019

Return to Sport After ACL Reconstruction and Other Knee Operations

View full text Add to dashboard Cite

The prevalence of patellofemoral osteoarthritis 12 years after anterior cruciate ligament reconstruction

Cited by 72 publications

References 49 publications

The incidence of trochlear dysplasia in anterior cruciate ligament tears

The incidence of trochlear dysplasia in anterior cruciate ligament tears

Anterior cruciate ligament deterioration correlates with patella osteoarthritis

Advantages and Potential Consequences of Return to Sport After ACL Reconstruction: Quality of Life, Reinjury Rates, and Knee Osteoarthritis

Contact Info

Product

Resources

About