Prevalence of patellofemoral joint osteoarthritis after anterior cruciate ligament injury and associated risk factors: A systematic review
| Autor: | Sai-Chuen Fu, Wenhan Huang, Shu-Hang Yung, Tim-Yun Ong |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty lcsh:Diseases of the musculoskeletal system OA Osteoarthritis BPTB Bone-Patellar Tendon-Bone ORs odd ratios Anterior cruciate ligament Population MOAKS MRI Osteoarthritis Knee Score Patellofemoral joint Review Article Osteoarthritis OARSI Osteoarthritis Research Society International 03 medical and health sciences 0302 clinical medicine Prevalence Medicine Orthopedics and Sports Medicine Anterior cruciate ligament injury education IKDC International Knee Documentation Committee 030203 arthritis & rheumatology Patellofemoral joint osteoarthritis education.field_of_study CMS Coleman methodology score business.industry HS Hamstring musculoskeletal system medicine.disease ACL injury CI Confidence Interval ACL Anterior Cruciate Ligament 030104 developmental biology medicine.anatomical_structure Risk factors KL Kellgren and Lawrence PFJ Patellofemoral Joint Physical therapy ACLR Anterior Cruciate Ligament Reconstruction Classification methods Patella TFJ Tibiofemoral Joint lcsh:RC925-935 business Body mass index JSN Joint Space Narrowing |
| Zdroj: | Journal of Orthopaedic Translation Journal of Orthopaedic Translation, Vol 22, Iss, Pp 14-25 (2020) |
| ISSN: | 2214-031X |
| DOI: | 10.1016/j.jot.2019.07.004 |
| Popis: | Background The prevalence of patellofemoral joint (PFJ) osteoarthritis (OA) after anterior cruciate ligament (ACL) injury was inconsistently reported in the literature. This review summarises the reported prevalence of PFJ OA and risk factors of PFJ OA after ACL injury. Methods PubMed, Embase, WoS, and MEDLINE (OVID) were searched up to 1 March 2019. A modified version of the Coleman methodology score was used to assess the methodological quality of the included studies. Prevalence of PFJ OA was pooled depended on different interventions in ACL injured populations. Results Thirty-eight studies were included. Five different radiographic classification methods were used: the Kellgren and Lawrence Grade 2, IKDC Grade B, Fairbank Grade 1, joint space narrowing of Grade 2 based on OARSI, and Ahlback Grade 1. One included study used MRI Osteoarthritis Knee Score to evaluate PFJ degenerative changes. The overall prevalence of PFJ OA after ACL injury in included studies varied between 4.5% and 80%. The large variation of PFJ OA prevalence is mainly because of different follow-up period and surgical techniques. The pooled data showed that bone-patellar tendon-bone graft, single-bundle ACL reconstruction (ACLR), and delayed ACLR are likely associated with PFJ degenerative changes after ACL injury. ACLR, delayed ACLR, body mass index (BMI), meniscectomy, patellofemoral chondral lesions, age at surgery, and TFJ OA were identified in the literature inducing PFJ OA after ACL injury. Conclusions Large variations of PFJ OA after ACL injury are associated with different follow-up period and surgical techniques. ACL reconstructed population with bone-patellar tendon-bone graft, single-bundle reconstruction, and delayed operation time has a high prevalence of PFJ OA. The translational potential of this article This review focuses more on the effect of surgical technique factors on the degenerative changes on PFJ. The results reveal that BPTB, single-bundle reconstruction, and delayed ACLR are more likely associated with PFJ degenerative changes after ACL injury. These findings imply that awareness of PFJ problems after surgical intervention will remind of surgeons taking PFJ into consideration in operations, which is likely to reduce the incidences of anterior knee pain, patellar maltracking, and over-constrained patella in the early stage after surgery. |
| Databáze: | OpenAIRE |
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