Skip to main content

Advertisement

SpringerLink
Log in

Comparison of survival rates between total knee arthroplasty after a previous anterior cruciate ligament reconstruction and primary total knee arthroplasty via propensity score matching

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Although the survival rate of total knee arthroplasty (TKA) in patients treated with anterior cruciate ligament reconstruction (ACLR) is not as favorable as that in patients treated with primary TKA without ligament reconstruction, the exact survival rates and complications associated with these procedures are still controversial. Therefore, the purpose of the current study was to compare the revision rates of TKA in patients with knee osteoarthritis (OA) with a previous ACLR and those of patients with primary TKA with no history of knee surgery by using propensity score matching analysis.

Materials and methods

A list of patients who underwent TKA from January 1, 2008 to May 31, 2019 was obtained from the Korean National Health Insurance database. Among these, 460 patients underwent TKA in a knee with a previous ACLR and 569,766 patients who underwent primary TKA due to degenerative OA. We performed propensity scoring matching to compare the revision rates including septic revision due to prosthetic joint infection after TKA and perioperative complication rates within 90 days after revision TKA between the two groups.

Results

Matched patients were assigned to one of the two groups (group A: 2,201 patients who underwent TKA due to primary OA, group B: 448 patients who underwent TKA in a knee with a previous ACLR) based on the propensity score. The total number of revisions per 1000 person-years was significantly higher in group B than in group A (10.16 vs 4.66, respectively). Group B showed a higher risk of revision than group A at 10 years post-TKA (hazard ratio: 2.49, 95% confidence interval: 1.30–4.77). However, group B showed a similar risk of septic revision as group A (p = 0.44). Perioperative complications within 90 days after TKA showed no significant differences between the groups.

Conclusions

Surgeons should be aware of the relatively higher revision rate of TKA in patients who had previously undergone an ACLR compared to that in patients who underwent primary TKA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Availability of data and materials

Korean National Health Insurance Claims Data are available on reasonable request. Study protocol, statistical code: available from the author JKS (e-mail, seonbell@jnu.ac.kr). Dataset: de-identified datasets generated and analysed during the present study will be made available by request from the Health Insurance & Assessment Service of Korea at https://opendata.hira.or.kr/. After user approaval by the Health Insurance Review and Assessment Service, a remote analysis system (https://ras.hira.or.kr) can be used by receiving a virtualized ID.

References

  1. Sood M, Kulshrestha V, Sachdeva J, Ghai A, Sud A, Singh S (2020) Poor functional outcome in patients with voluntary knee instability after anterior cruciate ligament reconstruction. Clin Orthop Surg 12(3):312–317. https://doi.org/10.4055/cios19143

    Article  PubMed  PubMed Central  Google Scholar 

  2. Kim SH, Han SJ, Park YB, Kim DH, Lee HJ, Pujol N (2021) A systematic review comparing the results of early vs delayed ligament surgeries in single anterior cruciate ligament and multiligament knee injuries. Knee Surg Relat Res 33(1):1. https://doi.org/10.1186/s43019-020-00086-9

    Article  PubMed  PubMed Central  Google Scholar 

  3. Barenius B, Ponzer S, Shalabi A, Bujak R, Norlén L, Eriksson K (2014) Increased risk of osteoarthritis after anterior cruciate ligament reconstruction: a 14-year follow-up study of a randomized controlled trial. Am J Sports Med 42(5):1049–1057. https://doi.org/10.1177/0363546514526139

    Article  PubMed  Google Scholar 

  4. Lohmander LS, Ostenberg A, Englund M, Roos H (2004) High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injury. Arthritis Rheum 50(10):3145–3152. https://doi.org/10.1002/art.20589

    Article  CAS  PubMed  Google Scholar 

  5. Brown TD, Johnston RC, Saltzman CL, Marsh JL, Buckwalter JA (2006) Posttraumatic osteoarthritis: a first estimate of incidence, prevalence, and burden of disease. J Orthop Trauma 20(10):739–744. https://doi.org/10.1097/01.bot.0000246468.80635.ef

    Article  PubMed  Google Scholar 

  6. Thomas AC, Hubbard-Turner T, Wikstrom EA, Palmieri-Smith RM (2017) Epidemiology of posttraumatic osteoarthritis. J Athl Train 52(6):491–496. https://doi.org/10.4085/1062-6050-51.5.08

    Article  PubMed  PubMed Central  Google Scholar 

  7. Zhang Y, McCammon J, Martin RK, Prior HJ, Leiter J, MacDonald PB (2020) Epidemiological trends of anterior cruciate ligament reconstruction in a Canadian province. Clin J Sport Med 30(6):e207–e213. https://doi.org/10.1097/JSM.0000000000000676

    Article  PubMed  Google Scholar 

  8. Leroux T, Ogilvie-Harris D, Dwyer T, Chahal J, Gandhi R, Mahomed N, Wasserstein D (2014) The risk of knee arthroplasty following cruciate ligament reconstruction: a population-based matched cohort study. J Bone Jt Surg Am 96(1):2–10. https://doi.org/10.2106/JBJS.M.00393

    Article  Google Scholar 

  9. Brophy RH, Gray BL, Nunley RM, Barrack RL, Clohisy JC (2014) Total knee arthroplasty after previous knee surgery: expected interval and the effect on patient age. J Bone Jt Surg Am 96(10):801–805. https://doi.org/10.2106/JBJS.M.00105

    Article  Google Scholar 

  10. Best MJ, Amin RM, Raad M, Kreulen RT, Musharbash F, Valaik D, Wilckens JH (2020) Total knee arthroplasty after anterior cruciate ligament reconstruction. J Knee Surg. https://doi.org/10.1055/s-0040-1721423

    Article  PubMed  Google Scholar 

  11. Wang LZ, Liu AH, Wen DJ, Zhou YT (2020) Effects of prior anterior cruciate ligament reconstruction on clinical outcomes associated with total knee arthroplasty: a protocol of retrospective analysis. Medicine (Baltimore) 99(25):e20767. https://doi.org/10.1097/MD.0000000000020767

    Article  PubMed  Google Scholar 

  12. Chaudhry ZS, Salem HS, Purtill JJ, Hammoud S (2019) Does prior anterior cruciate ligament reconstruction affect outcomes of subsequent total knee arthroplasty? A systematic review. Orthop J Sports Med 7(7):2325967119857551. https://doi.org/10.1177/2325967119857551

    Article  PubMed  PubMed Central  Google Scholar 

  13. Lim JB, Loh B, Chong HC, Tan AH (2016) History of previous knee surgery does not affect the clinical outcomes of primary total knee arthroplasty in an Asian population. Ann Transl Med 4(16):303. https://doi.org/10.21037/atm.2016.08.15

    Article  PubMed  PubMed Central  Google Scholar 

  14. Chong ACM, Fisher BT, MacFadden LN, Piatt BE (2018) Prior anterior cruciate ligament reconstruction effects on future total knee arthroplasty. J Arthroplasty 33(9):2821–2826. https://doi.org/10.1016/j.arth.2018.04.014

    Article  PubMed  Google Scholar 

  15. Watters TS, Zhen Y, Martin JR, Levy DL, Jennings JM, Dennis DA (2017) Total knee arthroplasty after anterior cruciate ligament reconstruction: not just a routine primary arthroplasty. J Bone Jt Surg Am 99(3):185–189. https://doi.org/10.2106/JBJS.16.00524

    Article  Google Scholar 

  16. Anil U, Kingery M, Markus D, Feng J, Wolfson T, Schwarzkopf R, Strauss E (2020) Prior anterior cruciate ligament reconstruction does not increase surgical time for patients undergoing total knee arthroplasty. Bull Hosp Jt Dis 78(3):173–179

    Google Scholar 

  17. James EW, Blevins JL, Gausden EB, Turcan S, Denova TA, Satalich JR, Ranawat AS, Warren RF, Ranawat AS (2019) Increased utilization of constraint in total knee arthroplasty following anterior cruciate ligament and multiligament knee reconstruction. Bone Jt J 101-B(7):77–83. https://doi.org/10.1302/0301-620X.101B7.BJJ-2018-1492.R1

    Article  CAS  Google Scholar 

  18. Lizaur-Utrilla A, Martinez-Mendez D, Gonzalez-Parreño S, Marco-Gomez L, Miralles Muñoz FA, Lopez-Prats FA (2018) Total knee arthroplasty in patients with prior anterior cruciate ligament reconstruction. J Arthroplasty 33(7):2141–2145. https://doi.org/10.1016/j.arth.2018.02.054

    Article  PubMed  Google Scholar 

  19. Hoxie SC, Dobbs RE, Dahm DL, Trousdale RT (2008) Total knee arthroplasty after anterior cruciate ligament reconstruction. J Arthroplasty 23(7):1005–1008. https://doi.org/10.1016/j.arth.2007.08.017

    Article  PubMed  Google Scholar 

  20. Austin PC, Fine JP (2019) Propensity-score matching with competing risks in survival analysis. Stat Med 38(5):751–777. https://doi.org/10.1002/sim.8008

    Article  PubMed  Google Scholar 

  21. Kim JA, Yoon S, Kim LY, Kim DS (2017) Towards actualizing the value potential of Korea Health Insurance Review and Assessment (HIRA) data as a resource for health research: strengths, limitations, applications, and strategies for optimal use of HIRA data. J Korean Med Sci 32(5):718–728. https://doi.org/10.3346/jkms.2017.32.5.718

    Article  PubMed  PubMed Central  Google Scholar 

  22. Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40(5):373–383. https://doi.org/10.1016/0021-9681(87)90171-8

    Article  CAS  PubMed  Google Scholar 

  23. Werner BC, Burrus MT, Novicoff WM, Browne JA (2015) Total knee arthroplasty within six months after knee arthroscopy is associated with increased postoperative complications. J Arthroplasty 30(8):1313–1316. https://doi.org/10.1016/j.arth.2015.02.023

    Article  PubMed  Google Scholar 

  24. Gu A, Malahias MA, Cohen JS, Richardson SS, Stake S, Blevins JL, Sculco PK (2020) Prior knee arthroscopy is associated with increased risk of revision after total knee arthroplasty. J Arthroplasty 35(1):100–104. https://doi.org/10.1016/j.arth.2019.08.043

    Article  PubMed  Google Scholar 

  25. Magnussen RA, Demey G, Lustig S, Servien E, Neyret P (2012) Total knee arthroplasty for secondary osteoarthritis following ACL reconstruction: a matched-pair comparative study of intra-operative and early post-operative complications. Knee 19(4):275–278. https://doi.org/10.1016/j.knee.2011.05.001

    Article  PubMed  Google Scholar 

  26. Pitta M, Esposito CI, Li Z, Lee YY, Wright TM, Padgett DE (2018) Failure after modern total knee arthroplasty: a prospective study of 18,065 knees. J Arthroplasty 33(2):407–414. https://doi.org/10.1016/j.arth.2017.09.041

    Article  PubMed  Google Scholar 

  27. Evangelopoulos DS, Ahmad SS, Krismer AM, Albers CE, Hoppe S, Kleer B, Kohl S, Ateschrang A (2019) Periprosthetic infection: major cause of early failure of primary and revision total knee arthroplasty. J Knee Surg 32(10):941–946. https://doi.org/10.1055/s-0038-1672203

    Article  PubMed  Google Scholar 

  28. Kim TW, Kang SB, Chang CB, Moon SY, Lee YK, Koo KH (2021) Current trends and projected burden of primary and revision total knee arthroplasty in Korea between 2010 and 2030. J Arthroplasty 36(1):93–101. https://doi.org/10.1016/j.arth.2020.06.064

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We appreciate the Ministry of Health and Welfare and the Health Insurance Review & Assessment Service of Korea for sharing invaluable national health insurance claims data. The interpretation and conclusions contained in this study are those of the authors alone. Support was received from Chonnam National University Hwasun hospital.

Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Chonnam National University Medical School and Hwasun Hospital, 322 Seoyang-Ro, Hwasun-Eup, Hwasun-Gun, Jeollanam-Do, Republic of Korea

    Jae-Young Moon, Chang-Hyun Lee, Sun-Ho Lee & Jong-Keun Seon

  2. College of Natural Science, School of Statistics, University of Seoul, Seoul, Republic of Korea

    Hae-Rim Kim

Authors
  1. Jae-Young Moon
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hae-Rim Kim
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Chang-Hyun Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sun-Ho Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jong-Keun Seon
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

JYM, HRK, CHL, SHL, and JKS were responsible for study design. SHL and HRK take responsibility for the integrity of the data and the accuracy of the data analysis. JYM, HRK, CHL, SHL, and JKS were responsible for data interpretation. JYM and JKS prepared and edited the manuscript.

Corresponding authors

Correspondence to Sun-Ho Lee or Jong-Keun Seon.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

Institutional Review Board (IRB) of Chonnam National University Hwasun Hospital approved this study.

Informed consent

For this type of study, formal consent is not required.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Moon, JY., Kim, HR., Lee, CH. et al. Comparison of survival rates between total knee arthroplasty after a previous anterior cruciate ligament reconstruction and primary total knee arthroplasty via propensity score matching. Arch Orthop Trauma Surg 143, 4721–4729 (2023). https://doi.org/10.1007/s00402-023-04773-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-023-04773-6

Keywords

Search

Navigation