Cruciate ligament reconstruction and risk of knee osteoarthritis: the association between cruciate ligament injury and post-traumatic osteoarthritis. a population based nationwide study in Sweden, 1987-2009.
PLoS One
; 9(8): e104681, 2014.
Article
en En
| MEDLINE
| ID: mdl-25148530
ABSTRACT
OBJECTIVE:
To study the association between Cruciate Ligament (CL) injury and development of post-traumatic osteoarthritis in the knee in patients treated operatively with CL reconstruction compared with patients treated non-operatively.DESIGN:
Population based cohort study; level of evidence II-2.SETTING:
Sweden, 1987-2009.PARTICIPANTS:
All patients aged between 15-60 years being diagnosed and registered with a CL injury in The National Swedish Patient Register between 1987 and 2009. MAIN OUTCOMEMEASURES:
Knee osteoarthritis.RESULTS:
A total of 64,614 patients diagnosed with CL injury during 1987 to 2009 in Sweden were included in the study. Seven percent of the patients were diagnosed with knee OA in specialized healthcare during the follow-up (mean 9 years). Stratified analysis by follow-up showed that while those with shorter follow-up had a non-significant difference in risk (0.99, 95%CI 0.90-1.09 for follow-up less than five years compared with the non-operated cohort), those with longer follow-up had an increased risk of knee OA after CL reconstruction (HRâ=â1.42, 95%CI 1.27-1.58 for follow-up more than ten years compared with non-operated cohort). The risk to develop OA was not affected by sex.CONCLUSION:
CL reconstructive surgery does not seem to have a protective effect on long term OA in either men or women.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Ligamento Cruzado Anterior
/
Ligamento Cruzado Posterior
/
Procedimientos de Cirugía Plástica
/
Osteoartritis de la Rodilla
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Límite:
Adolescent
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Adult
/
Humans
/
Middle aged
País como asunto:
Europa
Idioma:
En
Año:
2014
Tipo del documento:
Article