Anterior Knee Pain After ACL Reconstruction: How to Avoid It

  • Vicente Sanchis-Alfonso
  • Erik Montesinos-Berry
  • Alfredo Subías-López
  • Joan Carles Monllau
Chapter

Abstract

Anterior knee pain (AKP) is a frequent complaint and well-documented problem after anterior cruciate ligament (ACL) reconstruction [1, 10, 11, 14, 17, 19, 20, 22–24, 27, 28, 30, 33, 41, 42, 47, 48, 50, 52–58, 61]. AKP is a diagnosis based on symptoms and clinical signs. The severity of pain ranges from a mild nuisance to severe pain that prevents one from performing daily living activities. Thus, depending on pain severity, it could be considered as a complication or a normal postoperative outcome. The presence of AKP can interfere with patient’s satisfaction after ACL reconstruction. In fact, AKP is an outcome predictor after ACL reconstruction. Thus, Bartlett et al. [4] have observed that the grade of patient satisfaction after ACL reconstruction correlates more strongly with the absence of pain than with any other variable assessed. Also, Heijne et al. [20] have shown that a low degree of AKP is the most important predictor for a good clinical outcome 12 months after ACL reconstruction. Therefore, prevention of AKP after ACL reconstruction would be a crucial key for surgery success.

Keywords

Migration Torque Drilling Tendinitis Stripper 

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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Vicente Sanchis-Alfonso
    • 1
    • 2
  • Erik Montesinos-Berry
    • 3
  • Alfredo Subías-López
    • 4
  • Joan Carles Monllau
    • 5
    • 6
  1. 1.Department of Orthopaedic SurgeryHospital Arnau de VilanovaValenciaSpain
  2. 2.Knee Surgery and Arthroscopy UnitHospital 9 de OctubreValenciaSpain
  3. 3.Department of Orthopaedic SurgeryHospital de ManisesManises, ValenciaSpain
  4. 4.Department of Orthopaedic SurgeryHospital Clínico UniversitarioValenciaSpain
  5. 5.Department of Orthopedic Surgery and TraumatologyHospital de la Sta Creu i Sant PauBarcelonaSpain
  6. 6.ICATMEHospital Universitari DexeusBarcelonaSpain

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