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ACL Reconstruction: Chondroprotective Effects, Risks of Reinjury

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ACL Injuries in the Female Athlete

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Abstract

This chapter discusses long-term data from ACL reconstruction studies, the factors that are most likely related to increased risk of developing arthritis, and causes of failure of surgery. While data from most ACL reconstruction studies show favorable results in terms of improved knee stability and function, the outcome in terms of prevalence of osteoarthritis in long-term studies is highly variable. Factors that may cause eventual knee arthritis include meniscectomy, abnormal knee kinematics, severe bone bruising, damage to other knee ligament structures, alteration in the biochemical environment, chondral fractures or lesions, excessive uncorrected varus or valgus lower limb malalignment, obesity, familial predisposition, and long-term participation in high impact sports activities. The problem exists that ACL reconstruction does not fully restore normal knee kinematics, despite advanced surgical procedures and rehabilitation. The published rates of either reinjuring an ACL-reconstructed knee or sustaining an ACL rupture on the contralateral knee upon return to activities after surgery vary widely from 3 to 40 %.

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  1. Cincinnati Sportsmedicine and Orthopaedic Center, 10663 Montgomery Road, Cincinnati, Ohio, 45242, USA

    Frank R. Noyes M.D.

  2. Cincinnati Sportsmedicine Research and Education Foundation, 10663 Montgomery Road, Cincinnati, Ohio, 45242, USA

    Frank R. Noyes M.D. & Sue D. Barber-Westin B.S.

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  1. Cincinnati Sportsmedicine Research and E, Montgomery Road 10663, Cincinnati, 45242, Ohio, USA

    Frank R. Noyes

  2. Cincinnati Sportsmedicine Research and E, Montgomery Road 10663, Cincinnati, 45242, Ohio, USA

    Sue Barber-Westin

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Noyes, F.R., Barber-Westin, S.D. (2012). ACL Reconstruction: Chondroprotective Effects, Risks of Reinjury. In: Noyes, F., Barber-Westin, S. (eds) ACL Injuries in the Female Athlete. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32592-2_3

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