Influence of secondary damage to menisci and articular cartilage on return to sports after anterior cruciate ligament reconstruction
- 58 Downloads
The influence of secondary damage to joint structures (menisci and articular cartilage) on return to sports activities following anterior cruciate ligament (ACL) reconstruction was investigated. Two hundred and sixty athletes who had undergone ACL reconstruction with the Leeds-Keio artificial ligament and had achieved satisfactory joint stability and range of motion were involved in this study. The follow-up period was 7–50 months (mean, 23.4 months). There was a clear correlation between the severity of damage to the joint structures (the menisci and articular cartilage) and the level of return to sports. The most common reason for not being able to return to the original level of sports activity was “pain”. Thus, it was concluded that irreversible secondary damage to joint structures was an important factor hindering return to sports after ACL reconstruction. This study showed that the incidence of meniscal injury and cartilage damage increased with the passage of time after ACL injury, and that, once meniscal injury develops, the incidence of cartilage damage increases. Since sports activity is a factor that accelerates or promotes processes that give rise to this meniscal injury and cartilage damage, it was concluded that it is vital to perform ACL reconstruction before irreversible secondary damage to joint structures occurs in athletes with ACL injuries who hope to continue their sports activities.
Key wordsACL injury meniscus articular cartilage sports activity artificial ligament
Unable to display preview. Download preview PDF.
- 3.Fujikawa K. Clinical study on anterior cruciate ligament reconstruction with the scaffold type artificial ligament (Leeds-Keio) (in Japanese) J Jpn Orthop Assoc 1989;63:774–88.Google Scholar
- 5.Kawakubo M, Fujikawa K, Takeda T, et al. The radiological study on osteoarthrosis of the knee with chronic ACL tear (in Japanese) Rinsho Seikeigeka. (Clin Orthop Surg) 1989;24:1281–89.Google Scholar
- 6.Kawakubo M, Fujikawa K, Takeda T, et al. Sports return after anterior cruciate ligament reconstruction. Influence of articular cartilage and meniscal conditions (in Japanese) Rinsho Sports Igaku (J Clin Sports Med) 1991;8:687–93.Google Scholar
- 9.Matsubayashi K, Fujikawa K, Takeda T, et al. Changes in knee joint components by sporting after anterior cruciate ligament injuries. With special reference to the meniscal injuries and cartilage degeneration (in Japanese). Nippon Seikeigeka Sports Igakukaisi (Jpn J Orthop Sports Med) 1990;9:209–12.Google Scholar
- 10.Matsumoto H, Fujikawa K, Takeda T, et al. Return to sporting activities after anterior cruciate ligament reconstruction with Leeds-Keio artificial ligament (in Japanese). Nippon Seikeigeka Sports Igakukaisi (Jpn J Orthop Sports Med) 1993;12:109–12.Google Scholar
- 11.Noyes FR, Bassett RW, Grood ES, et al. Arthroscopy in acute traumatic hemarthrosis of the knee. Incidence of anterior cruciate ligament tears and other injuries. J Bone Joint Surg Am 1980; 62A:687–95.Google Scholar
- 13.Takeda T, Fujikawa K, Matsumoto H, et al. Factors hindering sports return after anterior cruciate ligament reconstruction (in Japanese). Rinsho Sports Igaku (J Clin Sports Med) 1993;10:565–70.Google Scholar