Anterior knee pain following anterior cruciate ligament reconstruction does not increase the risk of patellofemoral osteoarthritis at 15- and 20-year follow-ups

详细信息    查看全文

• 作者：A.G. Culvenor^&dagger ; ; ^&Dagger ; ; ^{adam.culvenor@pmu.ac.at} ; B.E. Ø ; iestad^§ ; ; ^{Britt-Elin.Oiestad@hioa.no} ; I. Holm^‖ ; ^¶ ; ; ^{inger.holm@medisin.uio.no} ; R.B. Gunderson^# ; ^{rgunders@ous-hf.no} ; K.M. Crossley^&Dagger ; ; ^{k.crossley@latrobe.edu.au} ; M.A. Risberg^&dagger ; &dagger ; ; ^‖ ; ^{m.a.risberg@nih.no}
• 关键词：Anterior cruciate ligament ; Anterior knee pain ; Patellofemoral joint ; Osteoarthritis
• 刊名：Osteoarthritis and Cartilage
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：25
• 期：1
• 页码：30-33
• 全文大小：189 K
• 卷排序：25

文摘

To prospectively evaluate the relationship between the presence or persistence of anterior knee pain (AKP) during the first 2-years following anterior cruciate ligament reconstruction (ACLR) and patellofemoral osteoarthritis (PFOA) at 15- and 20-years.DesignThis study was ancillary to a long-term prospective cohort study of 221 participants following bone-patellar-tendon-bone ACLR. AKP was assessed at 1- and 2-years post-ACLR using part of the Cincinnati knee score with an additional pain location question (persistence defined as presence at both follow-ups). Radiographic PFOA (definite patellofemoral osteophyte) and symptomatic PFOA (patellofemoral osteophyte, with knee pain during past 4 weeks) was assessed at 15- and 20-years follow-up. We used generalized linear models with Poisson regression to assess the relationship between AKP and PFOA.ResultsOf the 181 participants (82%) who were assessed at 15-years post-ACLR (age 39 ± 9 years; 42% female), 36 (24%) and 33 (22%) had AKP at 1- and 2-years, respectively, while 14 (8%) reported persistent AKP. Radiographic and symptomatic PFOA was observed at 15-years in 130 (72%) and 70 (39%) participants, respectively, and at 20-years in 115 (80%) and 60 (42%) participants, respectively. Neither the presence nor persistence of AKP at 1- and/or 2-years post-ACLR was associated with significantly higher risk of radiographic or symptomatic PFOA at 15- or 20-years (risk ratios <2.1).ConclusionsAlthough AKP and PFOA were prevalent, AKP does not appear to be associated with long-term PFOA following ACLR.