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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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Patellofemoral Arthroplasty In Community Programs: Case Series of 425 Patients ePoster Presentation Alexander P. Sah, MD, UNITED STATES
Comparison of Outcomes between Fungal and Non-fungal Periprosthetic Joint Infections in Total Knee Arthroplasty: A Propensity Score-Matched Analysis ePoster Presentation Hong Yeol Yang, MD, PhD, KOREA, REPUBLIC OF Jong-Keun Seon, MD, PhD, Prof, KOREA, REPUBLIC OF
Implant Size and Outcome Differences of Knees in Same Patient for Simultaneous vs Staged Bilateral TKA ePoster Presentation Alexander P. Sah, MD, UNITED STATES
Effect of Restricted Kinematic Alignment Total Knee Arthroplasty on Coronal Plane Alignment Of The Ankle Joint ePoster Presentation Bartosz Michał Maciąg, MD, POLAND Marcin Łapiński, MD, POLAND Tomasz Mrozek, MD, POLAND Adrian Góralczyk, MD, POLAND Maciej Swiercz, MD, POLAND Grzegorz Maciąg, POLAND Krystian Żarnovsky, POLAND Olga Adamska, POLAND Artur Stolarczyk, MD, PhD, POLAND
Long-Term Results of Per-Operative Knee Arthroscopy in Confirming Suitability for Unicompartmental Arthroplasty ePoster Presentation James Gill, MB BChir, BSc, FRCS, UNITED KINGDOM McMeniman J Peter, AUSTRALIA Timothy John Mcmeniman, MBBS(Med)/MBBS, FRACS FA(Orth)A, AUSTRALIA Daniel Johnson Brimm, BSc, MD, AUSTRALIA Peter T. Myers, AM, MBBS, FRACS, FAOrthA, AUSTRALIA
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
Bicruciate Substituting Total Knee Arthroplasty Improved Anteroposterior Displacement in Mid-Flexion Range ePoster Presentation Keinosuke Ryu, Prof., JAPAN Takanori Iriuchisima, MD, JAPAN
Use of Tibial Stem for Patients with Morbid Obesity in Total Knee Arthroplasty ePoster Presentation José Eduardo Flores Naranjo, MD, MEXICO Adrian Aziz Cortes De La Fuente, MD, MEXICO Octavio Martinez Montiel, MD, MEXICO Fernando Martinez Zuñiga, MD, MEXICO
Diagnosis of Central Sensitization and Its Effects on Postoperative Outcomes Following Total Knee Arthroplasty: A Systematic Review and Meta-Analysis 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
Quality of Life Following Primary Total Knee Arthroplasty: Factors Predicting Satisfaction in Low-Income Population ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Ahmed Zendeoui, MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
Efficacy of Functional Alignment Technique In Robotic-Arm Assisted Total Knee Arthroplasty ePoster Presentation Masashi Tamaki, MD, PhD, JAPAN Yuki Yamauchi, MD,PhD, JAPAN Seishiro Higa, MD, JAPAN Tomoyuki Shimakawa, MD, JAPAN Yuki Isobe, MD, JAPAN Teruya Ishibashi, MD,PhD, JAPAN Shoji Konda, PhD, JAPAN Tetsuya Tomita, M.D.,Ph.D , JAPAN

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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