PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Risk factors for progression of articular cartilage damage after anatomical anterior cruciate ligament reconstruction.

Abstract Aims To investigate the risk factors for progression of articular cartilage damage after anatomical anterior cruciate ligament (ACL) reconstruction. Patients and Methods A 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. Results In 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. Conclusion Partial 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.
PMID
Related Publications

Articular cartilage status 2 years after arthroscopic ACL reconstruction in patients with or without concomitant meniscal surgery: evaluation with 3.0T MR imaging.

Meniscal and Articular Cartilage Predictors of Clinical Outcome After Revision Anterior Cruciate Ligament Reconstruction.

Correlation of meniscal and articular cartilage injuries in children and adolescents with timing of anterior cruciate ligament reconstruction.

Intra-articular findings in primary and revision anterior cruciate ligament reconstruction surgery: a comparison of the MOON and MARS study groups.

Prevalence of Associated Lesions in Anterior Cruciate Ligament Reconstruction: Correlation With Surgical Timing and With Patient Age, Sex, and Body Mass Index.

Authors

Mayor MeshTerms
Keywords

Anterior cruciate ligament

Cartilage

Knee

Meniscal repair

Meniscus

Osteoarthritis

Journal Title the bone & joint journal
Publication Year Start




PMID- 29589491
OWN - NLM
STAT- MEDLINE
DCOM- 20180402
LR  - 20180402
IS  - 2049-4408 (Electronic)
IS  - 2049-4394 (Linking)
VI  - 100-B
IP  - 3
DP  - 2018 Mar 1
TI  - Risk factors for progression of articular cartilage damage after anatomical
      anterior cruciate ligament reconstruction.
PG  - 285-293
LID - 10.1302/0301-620X.100B3.BJJ-2017-0837.R1 [doi]
AB  - Aims To investigate the risk factors for progression of articular cartilage
      damage after anatomical anterior cruciate ligament (ACL) reconstruction. Patients
      and Methods A 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. Results In 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 &lt; 0.001) and side-to-side differences in anterior knee
      laxity at follow-up (OR 0.63, p = 0.001) were significant risk factors.
      Conclusion Partial 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.
FAU - Nakamae, A
AU  - Nakamae A
AD  - Department of Orthopaedic Surgery, Division of Medicine, Biomedical Sciences
      Major, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3
      Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
FAU - Adachi, N
AU  - Adachi N
AD  - Department of Orthopaedic Surgery, Division of Medicine, Biomedical Sciences
      Major, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3
      Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
FAU - Deie, M
AU  - Deie M
AD  - Department of Orthopaedic Surgery, Aichi Medical University, 21 Karimata, Yazako,
      Nagakute City, Aichi 480-1195, Japan.
FAU - Ishikawa, M
AU  - Ishikawa M
AD  - Department of Orthopaedic Surgery, Division of Medicine, Biomedical Sciences
      Major, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3
      Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
FAU - Nakasa, T
AU  - Nakasa T
AD  - Department of Orthopaedic Surgery, Division of Medicine, Biomedical Sciences
      Major, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3
      Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
FAU - Ikuta, Y
AU  - Ikuta Y
AD  - Department of Orthopaedic Surgery, Division of Medicine, Biomedical Sciences
      Major, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3
      Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
FAU - Ochi, M
AU  - Ochi M
AD  - Hiroshima University, 1-3-2 Kagamiyama Higashi-Hiroshima 739-8511, Japan.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Bone Joint J
JT  - The bone &amp; joint journal
JID - 101599229
SB  - AIM
SB  - IM
MH  - Anterior Cruciate Ligament Reconstruction/*methods
MH  - Arthroscopy
MH  - Cartilage, Articular/*injuries
MH  - Disease Progression
MH  - Female
MH  - Humans
MH  - Male
MH  - Menisci, Tibial/surgery
MH  - Osteoarthritis, Knee/*surgery
MH  - Postoperative Complications/*etiology
MH  - Risk Factors
MH  - Tibial Meniscus Injuries/*etiology
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Anterior cruciate ligament
OT  - Cartilage
OT  - Knee
OT  - Meniscal repair
OT  - Meniscus
OT  - Osteoarthritis
EDAT- 2018/03/29 06:00
MHDA- 2018/04/03 06:00
CRDT- 2018/03/29 06:00
PHST- 2018/03/29 06:00 [entrez]
PHST- 2018/03/29 06:00 [pubmed]
PHST- 2018/04/03 06:00 [medline]
AID - 10.1302/0301-620X.100B3.BJJ-2017-0837.R1 [doi]
PST - ppublish
SO  - Bone Joint J. 2018 Mar 1;100-B(3):285-293. doi:
      10.1302/0301-620X.100B3.BJJ-2017-0837.R1.