OSTEOARTHRITIS OF THE KNEE AFTER ACL RECONSTRUCTION

被引：111

作者：

FERRETTI, A

CONTEDUCA, F

DECARLI, A

FONTANA, M

MARIANI, PP

机构：

[1] Department of Orthopaedic Surgery, University of Rome, Rome, I-00185, La Sapienza

来源：

INTERNATIONAL ORTHOPAEDICS | 1991年 / 15卷 / 04期

关键词：

D O I：

10.1007/BF00186881

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

One hundred and fourteen knees with deficiency of the anterior cruciate ligament (ACL) which had undergone reconstruction of the ligament using semitendinosus and gracilis were reviewed at a mean of 61 months after operation. Radiological and clinical evaluation was undertaken. A significant correlation was found between the number of meniscectomies performed in acute cases and those undertaken on the chronic knee. There was also significant correlation between meniscectomy and the Fairbank grading of degenerative changes seen on the radiographs. There was no correlation between the clinical results, residual laxity and the development of osteoarthritis. In ACL deficient knees with irreparable meniscal tears, or in which meniscectomy had been undertaken, the development of osteoarthritis seemed independent of the degree of stability, but in such knees with no meniscal tear or meniscal repair, reconstruction appeared to save the menisci and preserve the joint.

引用

页码：367 / 371

页数：5

共 16 条

[1]

Allman F.L., Arthroscopy in the diagnosis and management of anterior cruciate ligament deficient knee, Clin Orthop, 172, pp. 52-56, (1983)

[2]

Andrews J.R., Sanders R.A., Morin B., Surgical treatment of anterolateral rotatory instability. A follow-up study, Am J Sports Med, 13, pp. 112-119, (1985)

[3]

Daniel D.M., Malcom L.L., Lovee G., Stone M.L., Sachs R., Burks R., Instrumented measurement of anterior laxity of the knee, J Bone Joint Surg, 67, pp. 720-726, (1985)

[4]

Fairbank T.J., Knee joint changes after meniscectomy, J Bone Joint Surg, 30, pp. 664-670, (1948)

[5]

Ferretti A., De Carli A., Conteduca F., Mariani P.P., Fontana M., Risultati della ricostruzione del legamento crociato anteriore con i tendini del semitendinoso e gracile nelle lassita' croniche del ginocchio, G Ital Ortop Traumatol, 15, pp. 441-451, (1989)

[6]

Funk F.J., Osteoarthritis of the knee following ligamentous injury, Clin Orthop Rel Res, 172, pp. 154-157, (1983)

[7]

Gillquist J., Knee stability: its effect on articular cartilage, Articular cartilage and knee joint function, pp. 267-272, (1990)

[8]

Lynch M.A., Henning C.E., Osteoarthritis in acl deficient knee, The crucial ligament, pp. 385-391, (1988)

[9]

Lynch M.A., Henning C.E., Glick K.R., Knee joint surface changes, Clin Orthop, 172, pp. 148-153, (1983)

[10]

McDaniels W.J., Dameron T.B., Untreated ruptures of the anterior cruciate ligament: a follow-up study, J Bone Joint Surg, 62, pp. 696-705, (1980)

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