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Intraoperative and Postoperative Outcomes of Patients Undergoing Total Knee Arthroplasty With Prior Anterior Cruciate Ligament Reconstruction: A Matched Cohort Analysis.
- Source :
-
Arthroplasty today [Arthroplast Today] 2024 Jun 27; Vol. 27, pp. 101330. Date of Electronic Publication: 2024 Jun 27 (Print Publication: 2024). - Publication Year :
- 2024
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Abstract
- Background: Previous anterior cruciate ligament (ACL) injury is a risk factor for the development of knee osteoarthritis. Despite advances in ACL reconstruction (ACLR) techniques, many patients with history of ACLR develop end-stage osteoarthritis necessitating total knee arthroplasty (TKA). The purpose of this study was to investigate the impact of prior ACLR on intraoperative and postoperative outcomes of TKA.<br />Methods: This was a single-centre matched cohort study of all patients with prior ACLR undergoing primary TKA from January 2000 to May 2022. Patients were matched 1:1 to patients undergoing TKA with no prior ACL injury based on age, sex, and body mass index. Outcomes investigated included TKA procedure duration, soft-tissue releases, implant design, and complications requiring reoperation.<br />Results: Forty-two ACLR patients were identified and matched to controls. Mean follow-up was 6.8 years and 5.0 years in the ACLR and control cohorts, respectively ( P  = .115). ACLR patients demonstrated longer procedure durations (122.8 minutes vs 87.0 minutes, P < .001) and more frequently required soft-tissue releases (40.5% vs 14.3%, P  = .007), stemmed implants (23.8% vs 4.8%, P  = .013), and patellar resurfacing (59.5% vs 26.2%, P  = .002). There were no significant differences in postoperative clinical or surgical outcomes between groups. Ten-year implant survivorship was 92% and 95% in the ACLR and control cohorts, respectively ( P  = .777).<br />Conclusions: TKA is an effective procedure for the management of end-stage osteoarthritis with prior ACLR. The care team should be prepared for longer operative times and the utilization of advanced techniques to achieve satisfactory soft-tissue balance and implant stability.<br /> (© 2024 The Authors.)
Details
- Language :
- English
- ISSN :
- 2352-3441
- Volume :
- 27
- Database :
- MEDLINE
- Journal :
- Arthroplasty today
- Publication Type :
- Academic Journal
- Accession number :
- 39071823
- Full Text :
- https://doi.org/10.1016/j.artd.2024.101330