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Prognostic factors for tibiofemoral and patellofemoral osteoarthritis 32–37 years after anterior cruciate ligament injury managed with early surgical repair or rehabilitation alone

Osteoarthritis and Cartilage Sep 24, 2021

Filbay S, Gauffin H, Andersson C, et al. - According to this exploratory study, hamstrings strength limb symmetry index (LSI) < 90% was a prognostic factor for patellofemoral joint (PFJ)-SOA [knee symptoms plus radiographic osteoarthritis (ROA)].

  • When compared with early anterior cruciate ligament (ACL)-repair, ACL treatment with rehabilitation alone was linked to an 80% reduction in the likelihood of PFJ-SOA.

  • One hundred twenty-seven patients were aged 58 ± 6 years; BMI 27 ± 4 kg/m 2; 28% female; 59% had TFJ-ROA, 48% had TFJ-SOA (including n = 9 knee-arthroplasties), 36% had PFJ-ROA, and 27% had PFJ-SOA.

  • The authors discovered that baseline meniscus surgery was a prognostic factor for TFJ-ROA (multivariable age-adjusted odds ratio: 3.0 (1.2, 7.8)). For PFJ-ROA (5.1 (1.4, 18.7)) and PFJ-SOA (4.9 (1.2, 19.7)), a single-leg-hop LSI < 90% was a prognostic factor.

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