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Differences in the Lateral Compartment Joint Space Width After Anterior Cruciate Ligament Reconstruction: Data From the MOON Onsite Cohort.

Publication ,  Journal Article
Jones, MH; MOON Knee Group, ; Spindler, KP; Andrish, JT; Cox, CL; Dunn, WR; Duryea, J; Duong, CL; Flanigan, DC; Fleming, BC; Huston, LJ ...
Published in: The American journal of sports medicine
March 2018

Anterior cruciate ligament (ACL) reconstruction can effectively return athletes to the playing field, but they are still at risk of developing posttraumatic osteoarthritis (PTOA). No studies have used multivariable analysis to evaluate the predictors of radiographic PTOA in the lateral compartment of the knee at short-term follow-up after ACL reconstruction.To determine the predictors of radiographic joint space narrowing in the lateral compartment 2 to 3 years after ACL reconstruction in a young, active cohort.Cohort study; Level of evidence, 2.A nested cohort of 358 patients from the Multicenter Orthopaedic Outcomes Network (MOON) prospective cohort who were aged ≤33 years, were injured playing a sport, and had never undergone surgery on the contralateral knee were followed up 2 years after ACL reconstruction with questionnaires and with weightbearing knee radiographs using the metatarsophalangeal (MTP) joint technique. The joint space width in the lateral compartment was measured using a semiautomatic computerized method, and multivariable predictive modeling was used to evaluate the relationship between meniscus treatment, cartilage injury, graft type, and joint space while adjusting for age, sex, body mass index, and Marx activity score.The mean lateral joint space width was 0.11 mm narrower on the ACL-reconstructed knee compared with the contralateral healthy knee (7.69 mm vs 7.80 mm, respectively; P < .01). Statistically significant predictors of a narrower joint space width on the ACL-reconstructed knee included lateral meniscectomy ( P < .001) and a Marx activity score less than 16 points ( P < .001).This study identifies lateral meniscectomy and a lower baseline Marx activity score to be predictors of radiographic joint space narrowing in the lateral compartment 2 to 3 years after ACL reconstruction in young, active patients without a prior knee injury.

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Published In

The American journal of sports medicine

DOI

EISSN

1552-3365

ISSN

0363-5465

Publication Date

March 2018

Volume

46

Issue

4

Start / End Page

876 / 882

Related Subject Headings

  • Young Adult
  • Sports
  • Risk Factors
  • Radiography
  • Prospective Studies
  • Osteoarthritis
  • Orthopedics
  • Meniscus
  • Meniscectomy
  • Male
 

Citation

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ICMJE
MLA
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Jones, M. H., MOON Knee Group, ., Spindler, K. P., Andrish, J. T., Cox, C. L., Dunn, W. R., … Reinke, E. K. (2018). Differences in the Lateral Compartment Joint Space Width After Anterior Cruciate Ligament Reconstruction: Data From the MOON Onsite Cohort. The American Journal of Sports Medicine, 46(4), 876–882. https://doi.org/10.1177/0363546517751139
Jones, Morgan H., Morgan H. MOON Knee Group, Kurt P. Spindler, Jack T. Andrish, Charles L. Cox, Warren R. Dunn, Jeff Duryea, et al. “Differences in the Lateral Compartment Joint Space Width After Anterior Cruciate Ligament Reconstruction: Data From the MOON Onsite Cohort.The American Journal of Sports Medicine 46, no. 4 (March 2018): 876–82. https://doi.org/10.1177/0363546517751139.
Jones MH, MOON Knee Group, Spindler KP, Andrish JT, Cox CL, Dunn WR, et al. Differences in the Lateral Compartment Joint Space Width After Anterior Cruciate Ligament Reconstruction: Data From the MOON Onsite Cohort. The American journal of sports medicine. 2018 Mar;46(4):876–82.
Jones, Morgan H., et al. “Differences in the Lateral Compartment Joint Space Width After Anterior Cruciate Ligament Reconstruction: Data From the MOON Onsite Cohort.The American Journal of Sports Medicine, vol. 46, no. 4, Mar. 2018, pp. 876–82. Epmc, doi:10.1177/0363546517751139.
Jones MH, MOON Knee Group, Spindler KP, Andrish JT, Cox CL, Dunn WR, Duryea J, Duong CL, Flanigan DC, Fleming BC, Huston LJ, Kaeding CC, Matava MJ, Obuchowski NA, Oksendahl HL, Parker RD, Scaramuzza EA, Smith MV, Winalski CS, Wright RW, Reinke EK. Differences in the Lateral Compartment Joint Space Width After Anterior Cruciate Ligament Reconstruction: Data From the MOON Onsite Cohort. The American journal of sports medicine. 2018 Mar;46(4):876–882.
Journal cover image

Published In

The American journal of sports medicine

DOI

EISSN

1552-3365

ISSN

0363-5465

Publication Date

March 2018

Volume

46

Issue

4

Start / End Page

876 / 882

Related Subject Headings

  • Young Adult
  • Sports
  • Risk Factors
  • Radiography
  • Prospective Studies
  • Osteoarthritis
  • Orthopedics
  • Meniscus
  • Meniscectomy
  • Male