| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
* Division of Orthopaedics, Department of Surgery, Tampere University Hospital and Medical School, University of Tampere, Tampere, Finland
Department of Radiology, Tampere University Hospital, Tampere, Finland
Accident and Trauma Research Center and Tampere Research Center of Sports Medicine, the Urho Kaleva Kekkonen Institute, Tampere, Finland
Address correspondence and reprint requests to Timo Järvelä, MD, Division of Orthopaedics, Department of Surgery, Tampere University Hospital, PO Box 2000, FIN 33521 Tampere, Finland
To evaluate the development of postoperative patellofemoral osteoarthritis, we performed a retrospective clinical and radiographic study of 100 patients who had undergone anterior cruciate ligament reconstruction with a bone-patellar tendon-bone autograft an average of 7 years before the follow-up. Radiographic evaluation showed no patellofemoral osteoarthritis in 53 patients (group I), mild osteoarthritis in 34 patients (group II), moderate osteoarthritis in 12 patients, and severe osteoarthritis in 1 patient (group III, moderate and severe changes). The average shortening of the patellar tendon was 2.4 mm in group I, 3.9 mm in group II, and 6.8 mm in group III. The placement of the femoral or tibial tunnel of the graft, as measured from lateral radiographs, did not correlate significantly with the degree of patellofemoral osteoarthritis. Patients who developed patellofemoral osteoarthritis experienced worse final outcomes, were more often dissatisfied with the condition of the operated knee, experienced more frequent pain and swelling in the knee joint, and had poorer range of motion and poorer quadriceps muscle strength than did patients without patellofemoral osteoarthritis. Only three patients had an unstable knee, and degenerative changes in the tibiofemoral joint were uncommon.
This article has been cited by other articles:
|
|
 |
|
  F. H. Fu, W. Shen, J. S. Starman, N. Okeke, and J. J. Irrgang Primary Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction: A Preliminary 2-Year Prospective Study Am. J. Sports Med., July 1, 2008; 36(7): 1263 - 1274. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-P. H. Rue, N. Ghodadra, and B. R. Bach Jr Femoral Tunnel Placement in Single-Bundle Anterior Cruciate Ligament Reconstruction: A Cadaveric Study Relating Transtibial Lateralized Femoral Tunnel Position to the Anteromedial and Posterolateral Bundle Femoral Origins of the Anterior Cruciate Ligament Am. J. Sports Med., January 1, 2008; 36(1): 73 - 79. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. O. Drogset, T. Grontvedt, O. R. Robak, A. Molster, A. T. Viset, and L. Engebretsen A Sixteen-Year Follow-up of Three Operative Techniques for the Treatment of Acute Ruptures of the Anterior Cruciate Ligament J. Bone Joint Surg. Am., May 1, 2006; 88(5): 944 - 952. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. J. Salmon, V. J. Russell, K. Refshauge, D. Kader, C. Connolly, J. Linklater, and L. A. Pinczewski Long-term Outcome of Endoscopic Anterior Cruciate Ligament Reconstruction With Patellar Tendon Autograft: Minimum 13-Year Review Am. J. Sports Med., May 1, 2006; 34(5): 721 - 732. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J Biau, C. Tournoux, S. Katsahian, P. J Schranz, and R. S Nizard Bone-patellar tendon-bone autografts versus hamstring autografts for reconstruction of anterior cruciate ligament: meta-analysis BMJ, April 29, 2006; 332(7548): 995 - 1001. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. I. Vasara, J. S. Jurvelin, L. Peterson, and I. Kiviranta Arthroscopic Cartilage Indentation and Cartilage Lesions of Anterior Cruciate Ligament-Deficient Knees Am. J. Sports Med., March 1, 2005; 33(3): 408 - 414. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Jarvela, T. Paakkala, P. Kannus, J. Toivanen, and M. Jarvinen Ultrasonographic and Power Doppler Evaluation of the Patellar Tendon Ten Years After Harvesting Its Central Third for Reconstruction of the Anterior Cruciate Ligament: Comparison of Patients Without or With Anterior Knee Pain Am. J. Sports Med., January 1, 2004; 32(1): 39 - 46. [Abstract] [Full Text]
|
|
|
|
|
|
L. A. Pinczewski, D. J. Deehan, L. J. Salmon, V. J. Russell, and A. Clingeleffer A Five-Year Comparison of Patellar Tendon Versus Four-Strand Hamstring Tendon Autograft for Arthroscopic Reconstruction of the Anterior Cruciate Ligament Am. J. Sports Med., July 1, 2002; 30(4): 523 - 536. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. P. Fulkerson Diagnosis and Treatment of Patients with Patellofemoral Pain Am. J. Sports Med., May 1, 2002; 30(3): 447 - 456. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
