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Mattia Alessio-Mazzola IRCCS Ospedale San Raffaele, Unità Clinica di Ortopedia e Traumatologia, Via Olgettina, Milan, Italy

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Giacomo Placella Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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Luigi Zagra Hip Department, IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

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Orlando Leone Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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Natasha Di Fabio Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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Desiree Moharamzadeh IRCCS Ospedale San Raffaele, Unità Clinica di Ortopedia e Traumatologia, Via Olgettina, Milan, Italy

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Vincenzo Salini Università Vita-Salute San Raffaele, Via Olgettina, Milan, Italy

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Purpose

  • 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.

Methods

  • 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.

Results

  • 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.

Conclusions

  • 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.

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Fahima A. Begum Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Babar Kayani Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Justin S. Chang Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Rosamond J. Tansey Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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Fares S. Haddad Department of Trauma and Orthopaedic Surgery, University College Hospital, UK.

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missed games per year than any other muscle injury, including hip adductor, hamstrings and gastrocnemius injuries. 2 , 3 The most commonly injured muscle of the quadriceps complex is the rectus femoris. 3 , 4 Injuries to this muscle range in

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Louis Dagneaux Lapeyronie University Hospital of Montpellier, France

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Julien Bourlez Lapeyronie University Hospital of Montpellier, France

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Benjamin Degeorge Lapeyronie University Hospital of Montpellier, France

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François Canovas Lapeyronie University Hospital of Montpellier, France

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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 . 3 Mancuso CA Sculco TP Wickiewicz TL . Patients’ expectations of knee surgery

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Carlos A. Encinas-Ullán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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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). 30 Arthroscopic biopsy in periprosthetic hip infection has shown a sensitivity of 87.5% and a specificity of 100

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Xiaofeng Deng Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

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Haoran Xu Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

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Xiaoxia Hao Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

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Jiawei Liu Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

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Xingru Shang Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

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Tao Xu Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

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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

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Mohammad Shahid St Michael’s Hospital, 30 Bond Street, Toronto, M5B1W8, Canada
Walsall Manor Hospital, Moat Road, Walsall, WS2 9PS, UK

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Rik Kundra St Michael’s Hospital, 30 Bond Street, Toronto, M5B1W8, Canada
Walsall Manor Hospital, Moat Road, Walsall, WS2 9PS, UK

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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

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Vicente Carlos da Silva Campos Hospital Curry Cabral, Lisboa, Portugal

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Francisco Guerra Pinto Hospital Ortopédico de Sant’Ana, Hospital Cruz Vermelha Portuguesa, Universidad de Barcelona, Nova Medical School, Lisboa, Portugal

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Diogo Constantino Hospital Curry Cabral, Lisboa, Portugal

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Renato Andrade Clínica 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

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João Espregueira-Mendes Clínica 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

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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 . 10. Harris JD Brand JC Rossi MJ Leland

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Tianping Zhou Department of Joint Surgery and Sports Medicine, Shanghai Changhai Hospital of Navy Medical University, Shanghai, P.R.China

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Yihong Xu Department of Joint Surgery and Sports Medicine, Shanghai Changhai Hospital of Navy Medical University, Shanghai, P.R.China

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Aiai Zhang Department of Burn Surgery, Shanghai Changhai Hospital of Navy Medical University, Shanghai, P.R.China

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Lan Zhou School of Kinesiology, Shanghai University of Sport, Shanghai, China

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Qing Zhang Department of Joint Surgery and Sports Medicine, Shanghai Changhai Hospital of Navy Medical University, Shanghai, P.R.China

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Zhou Ji Department of Joint Surgery and Sports Medicine, Shanghai Changhai Hospital of Navy Medical University, Shanghai, P.R.China

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Weidong Xu Department of Joint Surgery and Sports Medicine, Shanghai Changhai Hospital of Navy Medical University, Shanghai, P.R.China

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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

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