Skip to main content
Journal cover image

Meniscus treatment and age associated with narrower radiographic joint space width 2-3 years after ACL reconstruction: data from the MOON onsite cohort.

Publication ,  Journal Article
Jones, MH; Spindler, KP; Fleming, BC; Duryea, J; Obuchowski, NA; Scaramuzza, EA; Oksendahl, HL; Winalski, CS; Duong, CL; Huston, LJ; Parker, RD ...
Published in: Osteoarthritis and cartilage
April 2015

To identify risk factors for radiographic signs of post-traumatic osteoarthritis (OA) 2-3 years after anterior cruciate ligament (ACL) reconstruction through multivariable analysis of minimum joint space width (mJSW) differences in a specially designed nested cohort.A nested cohort within the Multicenter Orthopaedic Outcomes Network (MOON) cohort included 262 patients (148 females, average age 20) injured in sport who underwent ACL reconstruction in a previously uninjured knee, were 35 or younger, and did not have ACL revision or contralateral knee surgery. mJSW on semi-flexed radiographs was measured in the medial compartment using a validated computerized method. A multivariable generalized linear model was constructed to assess mJSW difference between the ACL reconstructed and contralateral control knees while adjusting for potential confounding factors.Unexpectedly, we found the mean mJSW was 0.35 mm wider in ACL reconstructed than in control knees (5.06 mm (95% CI 4.96-5.15 mm) vs 4.71 mm (95% CI 4.62-4.80 mm), P < 0.001). However, ACL reconstructed knees with meniscectomy had narrower mJSW compared to contralateral normal knees by 0.64 mm (95% C.I. 0.38-0.90 mm) (P < 0.001). Age (P < 0.001) and meniscus repair (P = 0.001) were also significantly associated with mJSW difference.Semi-flexed radiographs can detect differences in mJSW between ACL reconstructed and contralateral normal knees 2-3 years following ACL reconstruction, and the unexpected wider mJSW in ACL reconstructed knees may represent the earliest manifestation of post-traumatic osteoarthritis and warrants further study.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Osteoarthritis and cartilage

DOI

EISSN

1522-9653

ISSN

1063-4584

Publication Date

April 2015

Volume

23

Issue

4

Start / End Page

581 / 588

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Risk Factors
  • Radiography
  • Osteoarthritis, Knee
  • Menisci, Tibial
  • Male
  • Longitudinal Studies
  • Linear Models
  • Knee Joint
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Jones, M. H., Spindler, K. P., Fleming, B. C., Duryea, J., Obuchowski, N. A., Scaramuzza, E. A., … Reinke, E. K. (2015). Meniscus treatment and age associated with narrower radiographic joint space width 2-3 years after ACL reconstruction: data from the MOON onsite cohort. Osteoarthritis and Cartilage, 23(4), 581–588. https://doi.org/10.1016/j.joca.2014.12.018
Jones, M. H., K. P. Spindler, B. C. Fleming, J. Duryea, N. A. Obuchowski, E. A. Scaramuzza, H. L. Oksendahl, et al. “Meniscus treatment and age associated with narrower radiographic joint space width 2-3 years after ACL reconstruction: data from the MOON onsite cohort.Osteoarthritis and Cartilage 23, no. 4 (April 2015): 581–88. https://doi.org/10.1016/j.joca.2014.12.018.
Jones MH, Spindler KP, Fleming BC, Duryea J, Obuchowski NA, Scaramuzza EA, et al. Meniscus treatment and age associated with narrower radiographic joint space width 2-3 years after ACL reconstruction: data from the MOON onsite cohort. Osteoarthritis and cartilage. 2015 Apr;23(4):581–8.
Jones, M. H., et al. “Meniscus treatment and age associated with narrower radiographic joint space width 2-3 years after ACL reconstruction: data from the MOON onsite cohort.Osteoarthritis and Cartilage, vol. 23, no. 4, Apr. 2015, pp. 581–88. Epmc, doi:10.1016/j.joca.2014.12.018.
Jones MH, Spindler KP, Fleming BC, Duryea J, Obuchowski NA, Scaramuzza EA, Oksendahl HL, Winalski CS, Duong CL, Huston LJ, Parker RD, Kaeding CC, Andrish JT, Flanigan DC, Dunn WR, Reinke EK. Meniscus treatment and age associated with narrower radiographic joint space width 2-3 years after ACL reconstruction: data from the MOON onsite cohort. Osteoarthritis and cartilage. 2015 Apr;23(4):581–588.
Journal cover image

Published In

Osteoarthritis and cartilage

DOI

EISSN

1522-9653

ISSN

1063-4584

Publication Date

April 2015

Volume

23

Issue

4

Start / End Page

581 / 588

Related Subject Headings

  • Young Adult
  • Treatment Outcome
  • Risk Factors
  • Radiography
  • Osteoarthritis, Knee
  • Menisci, Tibial
  • Male
  • Longitudinal Studies
  • Linear Models
  • Knee Joint