What question did this study set out to answer?

To assess long-term radiographic osteoarthritic changes 7 years after arthroscopic anterior cruciate ligament (ACL) reconstruction and clarify optimal surgical timing.

January 1, 1999Clinical Orthopaedics and Related Research

Long Term Osteoarthritic Changes in Anterior Cruciate Ligament Reconstructed Knees

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To assess long-term radiographic osteoarthritic changes 7 years after arthroscopic anterior cruciate ligament (ACL) reconstruction and clarify optimal surgical timing.
Followed 72 active patients with ACL ruptures or instability undergoing arthroscopic bone-patellar tendon-bone reconstruction, recording baseline meniscal and joint status.
Conducted 7-year radiographic assessments (anteroposterior, lateral, skyline, and 30-degree weightbearing views) in 53 patients, graded by three independent surgeons using IKDC criteria.
Chronic ACL deficiency resulted in early osteoarthritic changes prior to reconstruction, even in knees with intact menisci.
Patients who underwent meniscectomy exhibited substantially more severe degenerative osteoarthritic changes at follow-up.
Acute ACL reconstruction paired with meniscal preservation resulted in the lowest incidence of long-term joint degeneration.

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Implication

Cohort study reveals early osteoarthritic changes after delayed surgery in ACL-deficient knees, highlighting benefits of early reconstruction and meniscal preservation.

Cite This Study

Jomha et al. (1999) studied this question.

synapsesocial.com/papers/6a7d4ccb5abb11132737ceb6 https://doi.org/10.1097/00003086-199901000-00023

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Implication

Cohort study reveals early osteoarthritic changes after delayed surgery in ACL-deficient knees, highlighting benefits of early reconstruction and meniscal preservation.

Long Term Osteoarthritic Changes in Anterior Cruciate Ligament Reconstructed Knees

Key Points

Discussion

Implication

Cite This Study

Long Term Osteoarthritic Changes in Anterior Cruciate Ligament Reconstructed Knees

Key Points

Discussion

Implication

Cite This Study

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