Anterior cruciate ligament reconstruction with 4-strand hamstring autograft and accelerated rehabilitation: a 10-year prospective study on clinical results, knee osteoarthritis and its predictors

Purpose Analysis of long-term clinical and radiological outcomes after anterior cruciate ligament (ACL) reconstruction with special attention to knee osteoarthritis and its predictors. Methods A prospective, consecutive case series of 100 patients. Arthroscopic transtibial ACL reconstruction was per...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2013-09, Vol.21 (9), p.1977-1988
Main Authors: Janssen, Rob P. A., du Mée, Arthur W. F., van Valkenburg, Juliette, Sala, Harm A. G. M., Tseng, Carroll M.
Format: Article
Language:English
Subjects:
Adult
Analysis
Anterior Cruciate Ligament Injuries
Anterior Cruciate Ligament Reconstruction - methods
Anterior Cruciate Ligament Reconstruction - rehabilitation
Arthritis
Arthroscopy
Autografts
Female
Humans
Joint and ligament injuries
Knee
Knee Injuries - complications
Knee Injuries - rehabilitation
Knee Injuries - surgery
Male
Medicine
Medicine & Public Health
Orthopedics
Osteoarthritis
Osteoarthritis, Knee - epidemiology
Osteoarthritis, Knee - etiology
Osteoarthritis, Knee - prevention & control
Patient satisfaction
Prospective Studies
Rehabilitation
Tendons - transplantation
Treatment Outcome
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Summary:Purpose Analysis of long-term clinical and radiological outcomes after anterior cruciate ligament (ACL) reconstruction with special attention to knee osteoarthritis and its predictors. Methods A prospective, consecutive case series of 100 patients. Arthroscopic transtibial ACL reconstruction was performed using 4-strand hamstring tendon autografts with a standardized accelerated rehabilitation protocol. Analysis was performed preoperatively and 10 years postoperatively. Clinical examination included Lysholm and Tegner scores, IKDC, KT-1000 testing (MEDmetric Co., San Diego, CA, USA) and leg circumference measurements. Radiological evaluation included AP weight bearing, lateral knee, Rosenberg and sky view X-rays. Radiological classifications were according to Ahlbäck and Kellgren & Lawrence. Statistical analysis included univariate and multivariate logistic regressions. Results Clinical outcome A significant improvement ( p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-012-2234-9