Risk factors for progression of articular cartilage damage after anatomical anterior cruciate ligament reconstruction
| Autor: | Mitsuo Ochi, Masataka Deie, Atsuo Nakamae, Masakazu Ishikawa, Tomoyuki Nakasa, Yoshikazu Ikuta, Nobuo Adachi |
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| Rok vydání: | 2018 |
| Předmět: |
Cartilage
Articular Male Anterior cruciate ligament reconstruction Anterior cruciate ligament medicine.medical_treatment Osteoarthritis Meniscus (anatomy) Menisci Tibial Arthroscopy 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Humans Medicine Orthopedics and Sports Medicine Orthodontics 030222 orthopedics Anterior Cruciate Ligament Reconstruction business.industry Cartilage 030229 sport sciences Osteoarthritis Knee Articular cartilage damage medicine.disease Tibial Meniscus Injuries Meniscal repair Treatment Outcome medicine.anatomical_structure Disease Progression Female Surgery business |
| Zdroj: | The Bone & Joint Journal. :285-293 |
| ISSN: | 2049-4408 2049-4394 |
| Popis: | AimsTo investigate the risk factors for progression of articular cartilage damage after anatomical anterior cruciate ligament (ACL) reconstruction.Patients and MethodsA total of 174 patients who underwent second-look arthroscopic evaluation after anatomical ACL reconstruction were enrolled in this study. The graded condition of the articular cartilage at the time of ACL reconstruction was compared with that at second-look arthroscopy. Age, gender, body mass index (BMI), ACL reconstruction technique, meniscal conditions, and other variables were assessed by regression analysis as risk factors for progression of damage to the articular cartilage.ResultsIn the medial compartment, multivariable logistic regression analysis indicated that partial medial meniscectomy (odds ratio (OR) 6.82, 95% confidence interval (CI) 2.11 to 22.04, p = 0.001), pivot-shift test grade at the final follow-up (OR 3.53, CI 1.39 to 8.96, p = 0.008), BMI (OR 1.15, CI 1.03 to 1.28, p = 0.015) and medial meniscal repair (OR 3.19, CI 1.24 to 8.21, p = 0.016) were significant risk factors for progression of cartilage damage. In the lateral compartment, partial lateral meniscectomy (OR 10.94, CI 4.14 to 28.92, p < 0.001) and side-to-side differences in anterior knee laxity at follow-up (OR 0.63, p = 0.001) were significant risk factors.ConclusionPartial meniscectomy was found to be strongly associated with the progression of articular cartilage damage despite r anatomical ACL reconstruction. Cite this article: Bone Joint J 2018;100-B:285–93. |
| Databáze: | OpenAIRE |
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