Magnussen Robert A, Demey Guillaume, Lustig Sébastien, Servien Elvire, Neyret Philippe
Department of Orthopaedic Surgery, Hôpital de la Croix-Rousse, Centre Albert Trillat, 103 Grande rue de la Croix-Rousse, 69004 Lyon, France.
Knee. 2012 Aug;19(4):275-8. doi: 10.1016/j.knee.2011.05.001. Epub 2011 Jun 1.
Injury to the anterior cruciate ligament (ACL) is associated with increased risk of osteoarthritis and subsequent need for total knee arthroplasty (TKA). The impact of prior ACL reconstruction on TKA has been rarely studied. Twenty-two patients undergoing TKA, with a mean of 26 years following ACL reconstruction, were compared to a matched control group. Tibial exposure was more difficult in the study group, requiring tibial tubercle osteotomy in three cases (14%). Manipulation under anesthesia was required in five patients in the study group (23%) and none in the control group (p=0.048). No differences in final range of motion, outcomes scores, or alignment were noted 2 to 3 year post-operative. Total knee arthroplasty following ACL reconstruction is effective. Difficulties in obtaining tibial exposure and post-operative stiffness requiring manipulation under anesthesia are common.
前交叉韧带（ACL）损伤与骨关节炎风险增加以及随后进行全膝关节置换术（TKA）的必要性相关。既往ACL重建对TKA的影响鲜有研究。将22例接受TKA的患者（平均在ACL重建后26年）与匹配的对照组进行比较。研究组的胫骨暴露更困难，3例（14%）需要进行胫骨结节截骨术。研究组有5例患者（23%）需要在麻醉下进行手法操作，而对照组无此情况（p=0.048）。术后2至3年，在最终活动范围、结果评分或对线方面未发现差异。ACL重建后进行全膝关节置换术是有效的。获得胫骨暴露困难以及术后僵硬需要在麻醉下进行手法操作的情况很常见。
