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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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Novel Technique For Surgeon-Placed Nerve Block And Continuous Nerve Block In Total Knee Arthroplasty. A Cadaveric Study ePoster Presentation Daniel E Matthews, MD, FAAOS, UNITED STATES
Impact of Femur Correction on the Mechanical Alignment of the Total Knee Prosthesis ePoster Presentation Israel Alejandro González Rizo, MD, MEXICO Fidel G Dobarganes, Prof, MEXICO Jorge Negrete Corona, MD, MEXICO Alberto Guevara-Alvarez, MD, MEXICO Franco Garcini Munguia, MD, MEXICO
"The Other Partial Knee"- Milling System Technique for Patellofemoral Arthroplasty in 250 Patients ePoster Presentation Alexander P. Sah, MD, UNITED STATES
Accuracy of the Component Alignment and Sizing in Total Knee Arthroplasty: Preoperative Templating and Postoperative Evaluation Using CT-Based 3D Pre-Operative Planning Software ePoster Presentation Takayuki Koya, MD, PhD, UNITED STATES Atsushi Sato, MD, PhD, JAPAN Jun Oike, MD,PhD, JAPAN Masataka Ota, MD, JAPAN Kanako Izukashi, MD, JAPAN Takayuki Okumo, MD, PhD, JAPAN Saki Yagura, MD, JAPAN Naoki Okuma, MD, JAPAN Fumiyoshi Kawashima, MD, JAPAN Hiroshi Takagi, MD, PhD, JAPAN Koji Kanzaki, Prof., 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
Is Surgeon Assessed Bone Quality During Total Knee Arthroplasty a Valid Tool To Diagnose Osteoporosis ? ePoster Presentation Adit Maniar, MBBS, MS Orthopaedics, DNB Orthopaedics, CANADA Arpit Vasantbhai Bavaskar, MBBS, D.Orth., INDIA Vishal Raina, MS, INDIA Akshay Nayak, M.B.B.S, M.S , INDIA Ashwini Khokhar, MS, INDIA Rajesh Maniar, INDIA
Patella in Total Knee Replacement: Patellar Resurfacing has Better Outcomes than Lateral Facetectomy at One Year Follow-Up ePoster Presentation Tomas Alfredo Esteves, MD, ARGENTINA Matias Novillo, MD, ARGENTINA Tomas Nicolino, MD, ARGENTINA Matias Costa-Paz, MD, PhD., ARGENTINA Lisandro Carbó, MD, ARGENTINA Julian Costantini, MD, ARGENTINA
Phenotypic Differences In Coronal Alignment In Robot-Assisted Total Knee Arthroplasty Do Not Affect Patient-Reported Outcome Measurements In A Three-Dimensional Computed Tomography Analysis: A Single-Center Cohort Study ePoster Presentation Takao Kaneko, MD, PhD,, JAPAN Ayakane Yamamoto, MD, JAPAN Kazutaka Takada, MD, JAPAN Shu Yoshizawa, MD, JAPAN Hiroyasu Ikegami, MD, PhD, Prof., JAPAN
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, MBBS, FRACS, FAOrthA, AUSTRALIA
Bilateral Simultaneous Unicompartimental Knee Arthroplasty. Midterm Results in 86 Arthroplasties with an Average Follow-Up Of 6.2 Years ePoster Presentation Stefano Gaggiotti, MD, ARGENTINA Gabriel Gaggiotti, MD, ARGENTINA Santino Gaggiotti, MD, ARGENTINA Julio Cesar Ringa
Tibia Placement Difference Between The Supine And Prone Position After Total Knee Arthroplasty: The Comparison Of The BCS and PS-TKA ePoster Presentation Takanori Iriuchishima, MD, PhD, JAPAN Keinosuke Ryu, MD, PhD, JAPAN Eiji Cho, MD, JAPAN
A Prospective Randomised Study to Compare the Clinical and Radiological Outcomes of Functionally Aligned versus Mechanically Aligned Total Knee Arthroplasty with Robotic Arm Assistance ePoster Presentation Jai Thilak, MS, MCh, FRCS, INDIA Amal Antony Paul, MBBS, INDIA
Knee Arthroscopy Prior to UKA Does Not Cause Infection ePoster Presentation Kevin D. Plancher, MD, MPH, UNITED STATES Karen Briggs, MPH, UNITED STATES Stephanie C. Petterson, MPT, PhD, UNITED STATES
Detection Loosening of Total Knee Arthroplasty Implant from Plain Radiograph Using Machine Learning Algorithm 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

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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