What's the rate of knee osteoarthritis 10 years after anterior cruciate ligament injury? An updated systematic review
Top Cited Papers
- 31 August 2019
- journal article
- review article
- Published by BMJ in British Journal of Sports Medicine
- Vol. 53 (18), 1162-1167
- https://doi.org/10.1136/bjsports-2018-099751
Abstract
Background This updated systematic review reports data from 2009 on the prevalence, and risk factors, for knee osteoarthritis (OA) more than 10 years after anterior cruciate ligament (ACL) tear. Methods We systematically searched five databases (PubMed, EMBASE, AMED, Cinahl and SPORTDiscus) for prospective and retrospective studies published after 1 August 2008. Studies were included if they investigated participants with ACL tear (isolated or in combination with medial collateral ligament and/or meniscal injuries) and reported symptomatic and/or radiographic OA at a minimum of 10 years postinjury. We used a modified version of the Downs and Black checklist for methodological quality assessment and narrative synthesis to report results. The study protocol was registered in PROSPERO. Results Forty-one studies were included. Low methodological quality was revealed in over half of the studies. At inclusion, age ranged from 23 to 38 years, and at follow-up from 31 to 51 years. Sample sizes ranged from 18 to 780 participants. The reported radiographic OA prevalence varied between 0% and 100% >10 years after injury, regardless of follow-up time. The studies with low and high methodological quality reported a prevalence of radiographic OA between 0%-100% and 1%-80%, respectively. One study reported symptomatic knee OA for the tibiofemoral (TF) joint (35%), and one study reported symptomatic knee OA for the patellofemoral (PF) joint (15%). Meniscectomy was the only consistent risk factor determined from the data synthesis. Conclusion Radiographic knee OA varied between 0% and 100% in line with our previous systematic review from 2009. Symptomatic and radiographic knee OA was differentiated in two studies only, with a reported symptomatic OA prevalence of 35% for the TF joint and 15% for PF joint. Future cohort studies need to include measurement of symptomatic knee OA in this patient group.Keywords
This publication has 102 references indexed in Scilit:
- Femoral press-fit fixation in ACL reconstruction using bone-patellar tendon-bone autograft: results at 15 years follow-upBMC Musculoskeletal Disorders, 2012
- Clinical Results and Risk Factors for Reinjury 15 Years After Anterior Cruciate Ligament ReconstructionThe American Journal of Sports Medicine, 2011
- Knee function and prevalence of osteoarthritis after isolated anterior cruciate ligament reconstruction using bone-patellar tendon-bone graft: long-term follow-upInternational Orthopaedics, 2011
- Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of playBritish Journal of Sports Medicine, 2011
- Long-term results of anterior cruciate ligament reconstruction: a comparison with non-operative treatment with a follow-up of 17–20 yearsInternational Orthopaedics, 2011
- Reconstructive versus non-reconstructive treatment of anterior cruciate ligament insufficiency. A retrospective matched-pair long-term follow-upInternational Orthopaedics, 2010
- The Symptoms of Osteoarthritis and the Genesis of PainRheumatic Disease Clinics of North America, 2008
- High prevalence of knee osteoarthritis, pain, and functional limitations in female soccer players twelve years after anterior cruciate ligament injuryArthritis & Rheumatism, 2004
- Risk factors for sports injuries — a methodological approachBritish Journal of Sports Medicine, 2003
- Development of criteria for the classification and reporting of osteoarthritis: Classification of osteoarthritis of the kneeArthritis & Rheumatism, 1986