Abstract
The knee radiographys of 77 patients were examined by two physicians not involved in the operation a mean of 41.2 months after implantation of a synthetic ligament (Trevira hochfest). They evaluated the increase of degenerative osteoarthritis on a five-grade scale (0–4) by Jonasch and Mohing as modified by Holz, and using the IKDC score. Fifty patients with acute rupture had the synthetic ligament implanted for protection of anterior cruciate repair. Twenty-seven patients had a salvage procedure with the alloplastic ligament functioning as a prosthesis. Both examiners found a statistically significant increase of degenerative arthritis. Patients with acute anterior cruciate tears had a lower degree of osteoarthritis on the day of surgery compared to the patients with chronic insufficiency, but the postoperative increase was identical in both groups. Statistical analysis revealed correlations between osteoarthric changes and several factors such as concomitant meniscus or posterior cruciate injury and demonstrated no correlation to the grade of postoperative stability or injuries to the medial or lateral collateral ligaments or capsule.
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References
Anon (1992) The knee ligament standard evaluation form. Arthroskopie 5/4:11
Condeduca F, Ferretti A, Mariani PP, Puddu G, Perugia L (1991) Chondromalacia and chronic anterior instabilities of the knee. Am J Sport Med 19: 0119–123
Daniel DM (1992) Who benefits from ACL surgery? Oral presentation on the American Academy of Orthopaedic Surgeons instructional course “Anterior cruciate ligament”, Washington, 21–25 Feb 1992
Dupont JV, Scellier C (1986) Les lesions intraarticulaires et leur evolutivité au cours des ruptures anciennes du ligament croise anterieur. Rev Chir Orthop (Fr) 72 [Suppl 2]: 112–114
Egund N, Fridén T (1988) Lesion of the anterior cruciate ligament and sagittal disalignment of the knee in weight bearing. Acta Radiol 29: 559–563
Ferretti A, Condeduca F, De Carli A, Fontana M, Mariani PP (1991) Osteoarthritis of the knee after ACL reconstruction. Int Orthop 15: 367–371
Hackenbroich MH Jr, Wirth CJ (1979) Gonarthrose nach persistierender Kniestabilität. Z Orthop 117: 753–761
Holz U, Welte G, Märklin H-M, Weller S (1985) Ergebnisse nach operativer Versorgung von Tibiakopffrakturen. Unfallchirurg 88: 519–527
Indelicato PA, Bittar ES (1985) A perspective of lesions assiciated with ACL insufficiency of the knee. Clin Orthop Rel Res 198: 77–80
Jakobsen K (1977) Osteoarthrosis following insufficiency in the cruciate ligaments in man. Acta Orthop Scand 48: 520–526
Jonasch E (1964) Das Kniegelenk. De Gruyter, Berlin
Kannus P, Järvinnen M (1987) Conservatively treated tears of the anterior cruciate ligament. J Bone Joint Surg 69-A: 1007–1012
Lynch MA, Henning CE (1988) Osteoarthritis in ACL deficient knee. In: Feagin JA (ed) The crucial ligament. Churchill Livingstone, New York, pp 385–391
Lysholm J, Gillquist J (1982) Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale. Am J Sports Med 10: 150–154
McDaniel WJ, Dameron TB (1980) Untreated ruptures of the anterior cruciate ligament. J Bone Joint Surg 62-A: 696–705
McDaniel WJ, Dameron TB (1983) The untreated anterior cruciate ligament rupture. Clin Orthop Rel Res 172: 158–163
Menke W, Schneider T, Schmitz B, Michiels I (1990) Nachuntersuchungsergebnisse bei unbehandelter vorderer Kreuzbandruptur. Sportverl Sportschad 4: 169–174
Mohing W (1966) Die Arthrosis deformans des Kniegelenks. Springer, Berlin Heidelberg New York
Müller W, Biedert R, Hefti F, Jakob RP, Munzinger U, Stäubli HU (1988) OAK knee evaluation. Clin Orthop Rel Res 232: 37–50
Neyret P, Donnel ST, Dejour H (1993) Results of partial meniscectomy related to the state of the anterior cruciate ligament. J Bone Joint Surg 75-B: 36–40
Satku K, Kumar VP, Ngoi SS (1986) Anterior cruciate ligament injuries. J Bone Joint Surg 68-B: 458–461
Sherman MF, Warren RF, Marshall JL, Savatsky GJ (1988) A clinical and radiographical analysis of 127 anterior cruciate insufficient kness. Clin Orthop Rel Res 227: 229–237
Sherman MF, Lieber L, Bonamono JR, Podesta L, Reiter I (1991) The long-term follow-up of primary anterior cruciate ligament repair. Am J Sporst Med 19: 243–255
Sommerlath K, Gillquist J (1990) The long-term course of various meniscal treatment in anterior cruciate ligament deficient knees. Clin Orthop Rel Res 283: 207–214
Sommerlath K, Lysholm J, Gillquist J (1991) The long-term course after treatment of acute anterior cruciate ligament ruptures. Am J Sports Med 19: 156–162
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Küllmer, K., Letsch, R. & Turowski, B. Which factors influence the progression of degenerative osteoarthritis after ACL surgery?. Knee Surg, Sports traumatol, Arthroscopy 2, 80–84 (1994). https://doi.org/10.1007/BF01476477
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DOI: https://doi.org/10.1007/BF01476477