Risk Factors and Predictors of Significant Chondral Surface Change From Primary to Revision Anterior Cruciate Ligament Reconstruction: A MOON and MARS Cohort Study.

Autor:	Magnussen RA; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Borchers JR; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Pedroza AD; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Huston LJ; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Haas AK; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Spindler KP; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Wright RW; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Kaeding CC; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Allen CR; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Anderson AF; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Cooper DE; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., DeBerardino TM; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Dunn WR; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Lantz BA; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Mann B; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Stuart MJ; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Albright JP; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Amendola A; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Andrish JT; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Annunziata CC; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Arciero RA; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Bach BR Jr; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Baker CL 3rd; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Bartolozzi AR; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Baumgarten KM; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Bechler JR; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Berg JH; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Bernas GA; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Brockmeier SF; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Brophy RH; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Bush-Joseph CA; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Butler JB 5th; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Campbell JD; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Carey JL; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Carpenter JE; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Cole BJ; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Cooper JM; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Cox CL; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Creighton RA; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Dahm DL; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., David TS; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Flanigan DC; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Frederick RW; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Ganley TJ; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Garofoli EA; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Gatt CJ Jr; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Gecha SR; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Giffin JR; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Hame SL; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Hannafin JA; 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Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Klootwyk TE; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Levy BA; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Ma CB; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Maiers GP 2nd; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Marx RG; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Matava MJ; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Mathien GM; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., McAllister DR; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., McCarty EC; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., McCormack RG; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Miller BS; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Nissen CW; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., O'Neill DF; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Owens BD; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Parker RD; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Purnell ML; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Ramappa AJ; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Rauh MA; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Rettig AC; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Sekiya JK; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Shea KG; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Sherman OH; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Slauterbeck JR; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Smith MV; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Spang JT; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Svoboda SJ; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Taft TN; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Tenuta JJ; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Tingstad EM; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Vidal AF; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Viskontas DG; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., White RA; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Williams JS Jr; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Wolcott ML; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., Wolf BR; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA., York JJ; Investigation performed at The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Jazyk:	angličtina
Zdroj:	The American journal of sports medicine [Am J Sports Med] 2018 Mar; Vol. 46 (3), pp. 557-564. Date of Electronic Publication: 2017 Dec 15.
DOI:	10.1177/0363546517741484
Abstrakt:	Background: Articular cartilage health is an important issue following anterior cruciate ligament (ACL) injury and primary ACL reconstruction. Factors present at the time of primary ACL reconstruction may influence the subsequent progression of articular cartilage damage. Hypothesis: Larger meniscus resection at primary ACL reconstruction, increased patient age, and increased body mass index (BMI) are associated with increased odds of worsened articular cartilage damage at the time of revision ACL reconstruction. Study Design: Case-control study; Level of evidence, 3. Methods: Subjects who had primary and revision data in the databases of the Multicenter Orthopaedics Outcomes Network (MOON) and Multicenter ACL Revision Study (MARS) were included. Reviewed data included chondral surface status at the time of primary and revision surgery, meniscus status at the time of primary reconstruction, primary reconstruction graft type, time from primary to revision ACL surgery, as well as demographics and Marx activity score at the time of revision. Significant progression of articular cartilage damage was defined in each compartment according to progression on the modified Outerbridge scale (increase ≥1 grade) or >25% enlargement in any area of damage. Logistic regression identified predictors of significant chondral surface change in each compartment from primary to revision surgery. Results: A total of 134 patients were included, with a median age of 19.5 years at revision surgery. Progression of articular cartilage damage was noted in 34 patients (25.4%) in the lateral compartment, 32 (23.9%) in the medial compartment, and 31 (23.1%) in the patellofemoral compartment. For the lateral compartment, patients who had >33% of the lateral meniscus excised at primary reconstruction had 16.9-times greater odds of progression of articular cartilage injury than those with an intact lateral meniscus ( P < .001). For the medial compartment, patients who had <33% of the medial meniscus excised at the time of the primary reconstruction had 4.8-times greater odds of progression of articular cartilage injury than those with an intact medial meniscus ( P = .02). Odds of significant chondral surface change increased by 5% in the lateral compartment and 6% in the medial compartment for each increased year of age ( P ≤ .02). For the patellofemoral compartment, the use of allograft in primary reconstruction was associated with a 15-fold increased odds of progression of articular cartilage damage relative to a patellar tendon autograft ( P < .001). Each 1-unit increase in BMI at the time of revision surgery was associated with a 10% increase in the odds of progression of articular cartilage damage ( P = .046) in the patellofemoral compartment. Conclusion: Excision of the medial and lateral meniscus at primary ACL reconstruction increases the odds of articular cartilage damage in the corresponding compartment at the time of revision ACL reconstruction. Increased age is a risk factor for deterioration of articular cartilage in both tibiofemoral compartments, while increased BMI and the use of allograft for primary ACL reconstruction are associated with an increased risk of progression in the patellofemoral compartment.
Databáze:	MEDLINE
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