Medial Osteoarthritis in an ACL-Deficient Knee: A Critical Analysis Review
- PMID: 33735156
- DOI: 10.2106/JBJS.RVW.20.00132
Medial Osteoarthritis in an ACL-Deficient Knee: A Critical Analysis Review
Abstract
»: In anterior cruciate ligament (ACL)-deficient knees, treatment of medial compartment osteoarthritis (OA) that is refractory to nonoperative modalities is a controversial subject.
»: Currently available treatment options include unicompartmental knee arthroplasty (UKA) with or without ACL reconstruction (ACLR), high tibial osteotomy (HTO) with or without ACLR, and total knee arthroplasty (TKA).
»: Each treatment option has its own risks and benefits, and the evidence that is reviewed in this article suggests that patient characteristics guide treatment selection.
»: Future high-quality prospective studies that directly compare all 3 of the modalities are necessary to determine the best treatment option for different patient populations.
Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated.
Conflict of interest statement
Disclosures: The authors indicated that no external funding was received for any aspect of this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A673).
References
-
- Louboutin H, Debarge R, Richou J, Selmi TA, Donell ST, Neyret P, Dubrana F. Osteoarthritis in patients with anterior cruciate ligament rupture: a review of risk factors. Knee. 2009 Aug;16(4):239-44. Epub 2008 Dec 20.
-
- Neuman P, Englund M, Kostogiannis I, Fridén T, Roos H, Dahlberg LE. Prevalence of tibiofemoral osteoarthritis 15 years after nonoperative treatment of anterior cruciate ligament injury: a prospective cohort study. Am J Sports Med. 2008 Sep;36(9):1717-25. Epub 2008 May 15.
-
- Papalia R, Del Buono A, Osti L, Denaro V, Maffulli N. Meniscectomy as a risk factor for knee osteoarthritis: a systematic review. Br Med Bull. 2011;99:89-106. Epub 2011 Jan 19.
-
- Potter HG, Jain SK, Ma Y, Black BR, Fung S, Lyman S. Cartilage injury after acute, isolated anterior cruciate ligament tear: immediate and longitudinal effect with clinical/MRI follow-up. Am J Sports Med. 2012 Feb;40(2):276-85. Epub 2011 Sep 27.
-
- Mullaji AB, Marawar SV, Luthra M. Tibial articular cartilage wear in varus osteoarthritic knees: correlation with anterior cruciate ligament integrity and severity of deformity. J Arthroplasty. 2008 Jan;23(1):128-35. Epub 2007 Oct 17.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical