title: Total knee arthroplasty for secondary osteoarthritis following ACL reconstruction: a matched-pair comparative study of intra-operative and early post-operative complications.
abstract: Injury to the anterior cruciate ligament (ACL) is associated with increased risk of osteoarthritis and subsequent need for total knee arthroplasty (TKA). The impact of prior ACL reconstruction on TKA has been rarely studied. Twenty-two patients undergoing TKA, with a mean of 26 years following ACL reconstruction, were compared to a matched control group. Tibial exposure was more difficult in the study group, requiring tibial tubercle osteotomy in three cases (14%). Manipulation under anesthesia was required in five patients in the study group (23%) and none in the control group (p=0.048). No differences in final range of motion, outcomes scores, or alignment were noted 2 to 3 year post-operative. Total knee arthroplasty following ACL reconstruction is effective. Difficulties in obtaining tibial exposure and post-operative stiffness requiring manipulation under anesthesia are common.
authors.affiliation: Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande rue de la Croix-Rousse, 69004 Lyon, France. robert.magnussen@gmail.com
authors.forename: Robert A
authors.initials: RA
authors.lastname: Magnussen
authors.forename: Guillaume
authors.initials: G
authors.lastname: Demey
authors.forename: Sébastien
authors.initials: S
authors.lastname: Lustig
authors.forename: Elvire
authors.initials: E
authors.lastname: Servien
authors.forename: Philippe
authors.initials: P
authors.lastname: Neyret
mesh_terms: D000368:Aged; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries; D019645:Arthroplasty, Replacement, Knee; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000601:surgery; D007718:Knee Injuries / Q000150:complications; D008297:Male; D016555:Matched-Pair Analysis; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D013997:Time Factors