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Total Knee Arthroplasty Outcomes Following Anterior Cruciate Ligament Reconstruction

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Total Knee Arthroplasty Outcomes Following Anterior Cruciate Ligament Reconstruction

Brian Rao, BS, UNITED STATES Alex C. Dibartola, MD, MPH, UNITED STATES Eric Milliron, BS, UNITED STATES Parker Cavendish, BS, UNITED STATES James C. Kirven, BS, UNITED STATES Spencer E. Talentino, MD, UNITED STATES Charles Qin, MD, UNITED STATES Ryan H. Barnes, MD, UNITED STATES Robert A. Duerr, MD, UNITED STATES Christopher C. Kaeding, MD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES David C. Flanigan, MD, UNITED STATES

The Ohio State University, Columbus, OH, UNITED STATES

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Knee

Anatomic Structure

Ligaments

Diagnosis / Condition

Tears

Treatment / Technique

Arthroplasty Repair / Reconstruction

Ligaments

ACL

Summary: Functional outcomes scores of KSKS and KSFS following TKA were not significantly different between the ACLR and control groups and TKA proves to be safe and effective in patients with previous ACLR with no statistically significant greater risk of wound complications, revisions, infections, or reoperation for any reason.

Introduction

As the incidence of knee injuries increases in the United States, the number of anterior cruciate ligament reconstructions and revisions (ACLR) also increases. History of ACLR greatly increases the risk of knee osteoarthritis and eventual total knee arthroplasty (TKA). Current literature on TKA following ACLR is scarce and mostly limited in number of patients and to single institutions. The purpose of this review is to compare the outcomes of TKAs following previous ACLR versus no previous ACLR, and to determine if previous ACLR has any effect.

Methods

This study was a systematic review involving retrospective studies. Research databases PubMed, Cochrane, EMBASE, and CINAHL were searched and articles involving outcome data for patients with TKA following an ipsilateral ACL reconstruction or revision were included. Outcomes data was compared amongst the two groups of patients and statistical analysis was performed utilizing Review Manager 5.4 (p-value of 0.05).

Results

Seven retrospective case-control studies with a total of 622 patients (253 males, 181 females, 188 unspecified) with a history of previous ACLR before TKA and 1026 matched controls were included in this review. Chi2 tests revealed no differences in intervention effects across any of the studies for wound complications, revisions, infections, reoperation for any reason, Knee Society Knee Scores (KSKS), or Knee Society Function Scores (KSFS) (p = 0.25, 0.57, 0.50, 0.26, 0.35, 0.08, respectively). Z-tests for the same outcomes revealed no significant differences between the ACLR and no ACLR groups (p = 0.08, 0.62, 0.15, 0.12, 0.33, 0.97, respectively). Mean operative time of TKA was 97.34 minutes in patients with previous ACLR and 89.15 minutes in patients with no previous ACLR (p = <0.0001).

Conclusion

Functional outcomes scores of KSKS and KSFS following TKA were not significantly different between the ACLR and control groups. However, there was a greater mean operative time in patients with previous ACLR. Despite this longer operative time, TKA proves to be safe and effective in patients with previous ACLR with no statistically significant greater risk of wound complications, revisions, infections, or reoperation for any reason. More research should be conducted with matched controls using a broader range of functional scores to compare between studies.

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Intra- And Inter-Operator Reliability Assessment Of A Novel Extramedullary Accelerometer-Based Smart Cutting-Guide For Total Knee Arthroplasty: An In-Vivo Study ePoster Presentation Stefano Zaffagnini, MD, Prof., ITALY Domenico Alesi, MD, ITALY Arcangelo Russo, MD, ITALY Mirco Lo Presti, MD, ITALY Iacopo Sassoli, MD, ITALY Matteo La Verde, MD, ITALY Giulio Maria Marcheggiani Muccioli, MD, PhD, Associate Professor, ITALY
Golfers Have Greater Preoperative and Equal Postoperative Function When Undergoing Total Knee Arthroplasty Compared to Non-Golfers ePoster Presentation Patrick G Robinson, MBChB, MRCS, MS, MBA, UNITED KINGDOM Robert Kay, MBChB, UNITED KINGDOM Deborah Macdonald, BA(Hons), UNITED KINGDOM Andrew Murray, MBChB, FFSEM, UNITED KINGDOM Nick David Clement, MBBS, MD, PhD, FRCS(Orth), UNITED KINGDOM
Association Between The Femoral And Tibial Component Positions and Intraoperative Knee Kinematics In Posterior-Stabilized Total Knee Arthroplasty ePoster Presentation Mitsuru Hanada, MD, PhD, JAPAN Yukihiro Matsuyama, MD, PhD, Prof., JAPAN
Effect of Direct Adductor Canal Block Performed by a Surgeon in a Patient Who Underwent Simultaneous Bilateral TKA ePoster Presentation Man-Soo Kim, MD, PhD, KOREA, REPUBLIC OF Dongho Kwak, MD, KOREA, REPUBLIC OF Sungcheol Yang, MD, KOREA, REPUBLIC OF Hyukjin Jang, MD, KOREA, REPUBLIC OF Ryu Kyoung Cho, MD, KOREA, REPUBLIC OF Yong In, MD, PhD, KOREA, REPUBLIC OF
Antibiotic-Loaded Bone Cement with Colistin at Erythromycin Do Not Decrease Chronic TKA Pji at a Long-Term ePoster Presentation Daniel Pérez-Prieto, MD, SPAIN Albert Fontanellas, MD, SPAIN Pedro Hinarejos, MD, PhD, SPAIN Juan Francisco Sanchez-Soler, MD, PhD, SPAIN Raúl Torres-Claramunt, PhD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN
Clinical Comparison and Survival Rate Between Unicompartmental Knee Arthroplasty and High Tibial Osteotomy With An External Fixator For Varus Knee In Patients Younger Than 60 Years at Mid-Term Follow-Up ePoster Presentation Amit Kumar Yadav, M.S (Orth),DNB(Orth),MNAMS, UNITED KINGDOM Riccardo D'Ambrosi, MD, ITALY Mangal Parihar, MS Ortho, INDIA
Central Sensitization is Associated with Persistent Postoperative Pain and Inferior Patient-Reported Outcomes in Patients Undergoing Unicompartmental Knee Arthroplasty ePoster Presentation Yong In, MD, PhD, KOREA, REPUBLIC OF Dongho Kwak, MD, KOREA, REPUBLIC OF Sungcheol Yang, MD, KOREA, REPUBLIC OF Hyukjin Jang, MD, KOREA, REPUBLIC OF Ryu Kyoung Cho, MD, KOREA, REPUBLIC OF Man-Soo Kim, MD, PhD, KOREA, REPUBLIC OF
Short Term Outcome of Tibial Defect Reconstruction In Primary Total Knee Arthroplasty: A Retrospective Study ePoster Presentation Sanjib Kumar Behera, MS (Orth), DNB (Rehab), DPMR, INDIA Madhumita Pradhan, BDS, MPH, MHA , INDIA Vikram Choudhary, MD, UNITED STATES
Modular Knee Arthrodesis as Definitive Treatment for Periprosthetic Infection, Bone Loss, and Failure of the Extensor Mechanism after Total Knee Arthroplasty ePoster Presentation Gloria Shoshana Coden, MD, UNITED STATES Maksym Bartashevskyy, BA, UNITED STATES Zachary Berliner, MD, UNITED STATES Ruijia Niu, MPH, UNITED STATES James V. Bono, MD, UNITED STATES Ayesha Abdeen, MD, UNITED STATES Eric L. Smith, MD, UNITED STATES
Does 1000 Mg Ferric Carboxylate Maltose Have an Additional Benefit on the Haemoglobin Recovery Post Total Knee Arthroplasty? - A Comparison with 500 Mg of Ferric Carboxymaltose ePoster Presentation Adit Rajesh Maniar, MBBS, MS Orthopaedics, DNB Orthopaedics, INDIA Ashwini Khokhar, MS, INDIA Akshay Nayak, M.B.B.S, M.S , INDIA Naveen Chandar, MBBS, INDIA Abhinav Mishra, MS, DNB, INDIA Rajesh Maniar, INDIA
The Statistical Fragility of Tourniquet Use In Total Knee Arthroplasty: A Systematic Review ePoster Presentation Kyle William Lawrence, BS, UNITED STATES John K Cordero, MD, UNITED STATES Ashley Brown, BS, UNITED STATES Xinning Li, MD, UNITED STATES Brett Hayden, MD, UNITED STATES Robert L Parisien, MD, UNITED STATES

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Total Knee Arthroplasty Outcomes Following Anterior Cruciate Ligament Reconstruction

Total Knee Arthroplasty Outcomes Following Anterior Cruciate Ligament Reconstruction

Introduction

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Total Knee Arthroplasty Outcomes Following Anterior Cruciate Ligament Reconstruction

Total Knee Arthroplasty Outcomes Following Anterior Cruciate Ligament Reconstruction

Introduction

Methods

Results

Conclusion

More 2023 ISAKOS Congress Content