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Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

01.09.2013 | Knee

Association between varus alignment and post-traumatic osteoarthritis after anterior cruciate ligament injury

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 9/2013

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Abstract

Purpose

To investigate the association between varus alignment and post-traumatic osteoarthritis (OA) after an anterior cruciate ligament (ACL) injury.

Methods

One hundred subjects with an acute complete ACL tear were followed for 15 years. Anterior–posterior radiographs of the tibiofemoral joint were obtained with a knee flexion of 20°, and the patellofemoral joint was examined with skyline view at 50° knee flexion. Joint space narrowing and osteophytes were graded in the tibiofemoral and patellofemoral joints in the injured (ACL) and uninjured knee according to the radiographic atlas of the Osteoarthritis Research Society International. The alignment of the uninjured, contralateral knee was measured at follow-up, using full-limb radiographs of leg with the knee in full extension. Alignment was expressed as the hip-knee-ankle (HKA) angle. Alignment was defined as valgus (HKA ≤178°), neutral (179°–181°) or varus (≥182°).

Results

Data from 68 subjects were included in the analysis. Varus alignment of the uninjured knee at follow-up appeared to be associated with OA of the injured knee 15 years after an ACL injury (odds ratio (95 % confidence interval) 3.9 (1.0–15.8, p = 0.052)).

Conclusions

Varus alignment of the uninjured knee at follow-up may be associated with OA of the injured knee 15 years after an ACL injury.

Level of evidence

II.

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Titel: Association between varus alignment and post-traumatic osteoarthritis after anterior cruciate ligament injury
Publikationsdatum: 01.09.2013
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 9/2013
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-013-2550-8

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