The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Positive pivot shift after ACL reconstruction predicts later osteoarthrosis63 patients followed 5–9 years after surgery
Open accessAbstract
BACKGROUND: Rupture of the anterior cruciate ligament (ACL) may cause osteoarthrosis (OA) and functional impairment. We wanted to find out whether the degree of knee stability obtained after ACL reconstruction correlates with radiographic and clinical outcome. PATIENTS AND METHODS: We examined 63 patients 2 and 5-9 years after anterior cruciate ligament (ACL) reconstruction. Knee stability was assessed 2 years after surgery by recording AP laxity using radiostereometric technique (RSA) and by performing the pivot shift test. Degeneration of the knee joint was evaluated with bone scintigraphy, and radiographically. Functional outcome was assessed with Lysholm score, Tegner activity scale and with the one-leg hop test. RESULTS: Radiographic signs of osteoarthrosis at the most recent follow-up (5-9 years) did not correlate with knee stability. Patients with positive pivot shift test 2 years after surgery showed increased scintigraphic activity of the subchondral bone at the most recent follow-up, and inferior subjective functional outcome 2 years after surgery. Knees having had meniscus resections had more often OA. Radiographical signs of OA were associated with higher scintigraphic uptake in the operated knee relative to the contralateral knee. INTERPRETATION: The ability to obliterate the pivoting by ACL reconstruction appears to be more important than normalizing the AP laxity in order to prevent later OA.
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Cites
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KNEE JOINT CHANGES AFTER MENISCECTOMY
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Anterior Cruciate Ligament Reconstruction and the Long Term Incidence of Gonarthrosis
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A performance test to monitor rehabilitation and evaluate anterior cruciate ligament injuries
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The Use of Scintigraphy to Detect Increased Osseous Metabolic Activity about the Knee
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Cited by
Lynch, A. D., Logerstedt, D. S., Grindem, H., Eitzen, I., Hicks, G. E., Axe, M. J., Engebretsen, L., Risberg, M. A., & Snyder-Mackler, L. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2013-092299 · Cited by 348
Zantop, T., Wellmann, M., Fu, F. H., & Petersen, W. (2008) · The American Journal of Sports Medicine · doi:10.1177/0363546507308361 · Cited by 344
Amis, A. A. (2012) · Knee Surgery, Sports Traumatology, Arthroscopy · doi:10.1007/s00167-011-1864-7 · Cited by 143
Metadata
- Authors
- Jonsson, H., Riklund-Åhlström, K., & Lind, J.
- Venue
- Acta Orthopaedica Scandinavica
- Published
- 2004-01
- Volume
- 75
- Issue
- 5
- Pages
- 594-599
- ISSN
- 0001-6470 (ISSN-L)
- OpenAlex
- W2086270871
- Cited by
- 294
- References
- 15
- FWCI
- 5.15
- Type
- journal article
- Language
- en
- Open access
- gold
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- Jonsson, H., Riklund-Åhlström, K., & Lind, J. (2004). Positive pivot shift after ACL reconstruction predicts later osteoarthrosis63 patients followed 5–9 years after surgery. Acta Orthopaedica Scandinavica. https://doi.org/10.1080/00016470410001484
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