Tibial slope correction combined with second revision ACLR grants good clinical outcomes and prevents graft rupture at 7-15-year follow-up.
Anouk RozintheFloris van RooijGuillaume DemeyMo SaffariniDavid DejourPublished in: Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA (2021)
At 7-15 years following second revision ACLR with TDO, patients maintained or improved clinical scores compared to the previous follow-up at 2-8 years, without retears or reoperations. Although eight of the nine knees had meniscectomies or meniscal sutures, osteoarthritis progressed in only one of the six knees that had signs of arthritis at the previous follow-up. These results confirm that TDO can protect the ACL graft from retear, with minimal progression of osteoarthritis and/or risks of meniscal tears, suggesting that correction of excessive tibial slope should be considered when performing ACLR, whether a revision or primary procedure.
Keyphrases
- total knee arthroplasty
- anterior cruciate ligament
- rheumatoid arthritis
- end stage renal disease
- total hip arthroplasty
- anterior cruciate ligament reconstruction
- ejection fraction
- newly diagnosed
- chronic kidney disease
- knee osteoarthritis
- peritoneal dialysis
- rotator cuff
- prognostic factors
- minimally invasive
- weight gain
- weight loss
- patient reported