Bone mineral density in the proximal tibia and calcaneus before and after arthroscopic reconstruction of the anterior cruciate ligament

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Bo ZerahnClaus Hovgaard

Abstract

To monitor changes in bone mineral density (BMD) of the proximal tibia and the calcaneus in patients with anterior cruciate ligament (ACL) rupture before and after arthroscopic reconstruction of the ligament, related to clinical data. A 2-year prospective cohort study with assessment of patient evaluation of knee performance, clinical scoring of surgical results, and measurement of BMD in the tibia and calcaneus. Eighteen patients with a unilateral ACL rupture underwent an autogenous bone-patellar tendon-bone graft ACL reconstruction. The patients were examined before surgery and after 4, 12, and 24 months. BMD was assessed bilaterally in the proximal tibia and calcaneus using dual-photon absorptiometry and converted to a Z-score by use of BMD values from a group of healthy controls. Clinical evaluation included determination of Lysholm score, quantitative Lachman test, pivot-shift test, and the patients' self-reported highest level of activity and knee performance in sports and daily activities. There were significant declines in Z-score of the proximal tibia of the operated leg during the first year after surgery, whereas there was no change in the calcaneus and contralateral leg. In the lateral tibia, the Z-score was signifi...Continue Reading

References

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Citations

Mar 13, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Brent M KellnJay Hertel
Nov 15, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Peter C RheeBruce A Levy
Jun 19, 2010·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Pauline Po Yee LuiChun Kwong Lo
Nov 12, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Sven StenerLars Ejerhed
Jul 23, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Bryan VopatPaul Fadale
Sep 3, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·John NylandDavid N M Caborn
Apr 7, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Rupert MellerStefan Hankemeier
May 8, 2009·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Chun-Yi WenKai-Ming Chan
Jul 24, 2013·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Pauline Po Yee LuiYau Chuk Cheuk
Nov 8, 2015·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Olle MånssonJüri Kartus
Aug 22, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Anna O ElmlundLars Ejerhed
Jul 28, 2013·Osteoarthritis and Cartilage·A BoudenotE Lespessailles
Aug 24, 2010·Journal of Orthopaedic Surgery and Research·Ppy LuiL Qin
Aug 3, 2016·Archives of Orthopaedic and Trauma Surgery·Ali BalciDinç Özaksoy
Jan 3, 2019·International Journal of Offender Therapy and Comparative Criminology·L Susan WilliamsWilliam A Chernoff
Apr 4, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Pauline Po Yee LuiYau Chuk Cheuk
Nov 5, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Tristan MaerzKevin C Baker

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