The results of total knee arthroplasty (TKA) following anterior cruciate ligament (ACL) reconstruction are still under-investigated. The purpose of this research is to investigate the differences between TKA after ACL reconstruction and TKA for primary osteoarthritis through a review and meta-analysis of the literature.
Case–control and cohort studies reporting outcomes of TKA following ACL reconstruction were considered eligible for inclusion. The primary endpoint was to systematically review and meta-analyze the reported complications of TKA following ACL reconstruction. The outcomes have been compared with a group of patients who underwent TKA for primary knee osteoarthritis (OA) with any previous ACL surgery. Secondary endpoints were to assess and compare technical difficulties and results including the operative time, the use of revision components, the request for intraoperative release or additional procedures, the revision rate, and the clinical outcomes.
Seven studies were included involving 1645 participants, 619 of whom underwent TKA in previous ACL reconstruction and 1026 TKA for primary OA with no previous ACL reconstruction. Meta-analysis showed that TKA in previous ACL reconstruction had a significantly higher complication rate (OR = 2.15, P < 0.001), longer operative times (mean differences (MD): 11.19 min; P < 0.001) and increased use of revision components (OR = 2.16; P < 0.001) when compared to the control group without differences of infection, and revision rate.
TKA in a previous ACL reconstruction has a significantly higher complication rate, longer operative times, and a higher need for revision components and intraoperative soft tissue releases in comparison to TKA for primary OA without previous ACL reconstruction.
missed games per year than any other muscle injury, including hip adductor, hamstrings and gastrocnemius injuries.
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The most commonly injured muscle of the quadriceps complex is the rectus femoris.
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Injuries to this muscle range in
primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 . J Bone Joint Surg [Am] 2007 ; 89-A : 780 - 785 .
. Patients’ expectations of knee surgery
0.98), a positive predictive value of 0.7. (95% CI 0.35 to 0.93) and a negative predictive value of 0.96 (95% CI 0.65 to 1.0).
Arthroscopic biopsy in periprosthetic hip infection has shown a sensitivity of 87.5% and a specificity of 100
involving 1461 advanced OA participants who were awaiting hip or knee replacement surgery showed that exercise can effectively relieve pain and improve joint function before surgery and improve activity after surgery ( 82 ). Given this impressive effect
of studies looking at the use of PRP in degenerative osteoarthritis of the hip or knee. Most patients reported improvement in pain and functional outcome scores at six months with no studies reporting worsening scores. However, none reported any long
Renato AndradeClínica Do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Porto, Portugal Porto Biomechanics Laboratory (LABIOMEP), Faculty of Sports, University of Porto, Porto, Portugal
João Espregueira-MendesClínica Do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Porto, Portugal Dom Henrique Research Centre, Porto, Portugal ICVS/3Bs, PT Government Associate Laboratory, Braga/Guimarães, Portugal School of Medicine, Minho University, Braga, Portugal
articular cartilage injury in arthroscopic hip and knee videos and the potential for cartilage cell death when simulated in a bovine model . Arthroscopy 2020 ; 36 : 2114 – 2121
Duncan B Lowe WR Bailey L . Utilizing hip abduction strength to body-weight ratios in return to sport decision-making after ACL reconstruction . International Journal of Sports Physical Therapy 2021 16 1295 – 1301 . ( https://doi.org/10.26603/001c