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Chinese Journal of Joint Surgery(Electronic Edition) ›› 2023, Vol. 17 ›› Issue (03): 415-423. doi: 10.3877/cma.j.issn.1674-134X.2023.03.018

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Research progress in secondary knee osteoarthritis after anterior cruciate ligament injury and reconstruction

Yu Zhao, Song Zhao, Jinzhong Zhao()   

  1. Department of Orthopedics, the Affiliated Suzhou Hospital of Medical School, Nanjing University, Suzhou 215163, China
    Department of Sports Medicine, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai 200233, China
  • Received:2022-02-12 Online:2023-06-01 Published:2023-07-24
  • Contact: Jinzhong Zhao

Abstract:

Anterior cruciate ligament(ACL) rupture is a common sports injury of the knee joint. The incidence rate of ACL injuries in basketball, football and other contact sports athletes is 0.15% to 3.7%, which has a great influence on the stability of the knee joint after injury. The treatment plan for anterior cruciate ligament injury is still controversial. The main treatment is surgical treatment and conservative treatment. Although reconstruction of ligament can partially restore the stability of the knee joint, but from the long-term follow-up results, ACL reconstruction surgery can’t effectively reduce the incidence rate of post-traumatic osteoarthritis (PTOA) of the knee. Through literature search, this paper aimed to explore the pathogenesis, conservative treatment and surgical treatment of knee PTOA, and the effects of different surgical methods (single bundle, double bundle and anterolateral structural reconstruction) on knee PTOA, in order to provide reference for clinicians on the treatment after ACL injury and reduce the incidence of osteoarthritis after ACL injury as much as possible.

Key words: Knee joint, Anterior cruciate ligament reconstruction, Wounds and injuries

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