Postoperative complications in patients undergoing Anterior Cruciate Ligament (ACL) Reconstruction
Complicações pós-operatórias em pacientes submetidos à Reconstrução do Ligamento Cruzado Anterior (LCA)
Resumo
Objective: To discuss the influence of anterior cruciate ligament reconstruction (ACLR) on the prevalence of postoperative osteoarthritis (OA). Methods: Literature review of articles published in the last 10 years in English available in the PubMed and Capes Portal databases. As Boolean operators descriptors “AND”: “Postoperative Complications” AND “Anterior Cruciate Ligament Reconstruction” AND “Osteoarthritis”. Results: Patients were analyzed in an interval of up to 20 years after the ACLR, comparing the risk and association factors that corroborate for the development of OA, such as: ages, physical conditions, injury time, postoperative period. In addition, meniscectomy, which is the total or partial removal of the meniscus, is the most determining factor in the increase of OA cases. Conclusion: It is observed that the performance of the ACLR together with the risk factors and additional injuries influence the increase in the prevalence of osteoarthritis.
Downloads
Referências
ADHITYA, I. P. G. S. et al. The Risk Factors and Preventive Strategies of Poor Knee Functions and Osteoarthritis after Anterior Cruciate Ligament Reconstruction: A Narrative Review. Physical Therapy Research, v. 26, n. 3, p. 78–88, 2023.
BEARD, D. J. et al. Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial. The Lancet, v. 400, n. 10352, p. 605–615, 20 ago. 2022.
BODKIN, S. G. et al. Post-traumatic osteoarthritis diagnosed within 5 years following ACL reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy, v. 28, n. 3, p. 790–796, 1 mar. 2020.
CINQUE, M. E. et al. High Rates of Osteoarthritis Develop After Anterior Cruciate Ligament Surgery: An Analysis of 4108 Patients. American Journal of Sports Medicine, v. 46, n. 8, p. 2011–2019, 1 jul. 2018.
CLAES, S. et al. Is osteoarthritis an inevitable consequence of anterior cruciate ligament reconstruction? A meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy, set. 2013.
CUZZOLIN, M. et al. Anterior Cruciate Ligament Reconstruction versus Nonoperative Treatment: Better Function and Less Secondary Meniscectomies But No Difference in Knee Osteoarthritis—A Meta-Analysis. Cartilage, v. 13, n. 1, p. 1658S-1670S, 1 dez. 2021.
HARKEY, M. S. et al. Osteoarthritis-related biomarkers following anterior cruciate ligament injury and reconstruction: A systematic review. Osteoarthritis and CartilageW.B. Saunders Ltd, , 1 jan. 2015.
KEAYS, S. L. et al. Factors Involved in the Development of Osteoarthritis after Anterior Cruciate Ligament Surgery. American Journal of Sports Medicine, v. 38, n. 3, p. 455–463, 1 mar. 2010.
LIE, M. M. et al. What’s the rate of knee osteoarthritis 10 years after anterior cruciate ligament injury? An updated systematic review. British Journal of Sports Medicine, v. 53, n. 18, p. 1162–1167, 1 set. 2019.
LUC, B.; GRIBBLE, P. A.; PIETROSIMONE, B. G. Osteoarthritis prevalence following anterior cruciate ligament reconstruction: A systematic review and numbers-needed-to-treat analysis. Journal of Athletic Training, v. 49, n. 6, p. 806–819, 1 nov. 2014.
L-Y W. Injury and reconstruction of the anterior cruciate ligament and knee osteoarthritisOsteoArthritis Research Society. [s.l: s.n.].
PATTERSON, B. E. et al. Worsening Knee Osteoarthritis Features on Magnetic Resonance Imaging 1 to 5 Years After Anterior Cruciate Ligament Reconstruction. American Journal of Sports Medicine, v. 46, n. 12, p. 2873–2883, 1 out. 2018.
RISBERG, M. A. et al. Changes in Knee Osteoarthritis, Symptoms, and Function after Anterior Cruciate Ligament Reconstruction. American Journal of Sports Medicine, v. 44, n. 5, p. 1215–1224, 1 maio 2016.
SHELBOURNE, K. D.; BENNER, R. W.; GRAY, T. Results of Anterior Cruciate Ligament Reconstruction with Patellar Tendon Autografts: Objective Factors Associated with the Development of Osteoarthritis at 20 to 33 Years after Surgery. American Journal of Sports Medicine, v. 45, n. 12, p. 2730–2738, 1 out. 2017.
WELLSANDT, E.; AXE, M. J.; SNYDER-MACKLER, L. Poor Performance on Single-Legged Hop Tests Associated With Development of Posttraumatic Knee Osteoarthritis After Anterior Cruciate Ligament Injury. Orthopaedic Journal of Sports Medicine, v. 6, n. 11, 1 nov. 2018.