J Knee Surg 2022; 35(08): 844-848
DOI: 10.1055/s-0040-1721423
Original Article

Total Knee Arthroplasty after Anterior Cruciate Ligament Reconstruction

1   Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Raj M. Amin
1   Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Micheal Raad
1   Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
,
R. Timothy Kreulen
1   Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Farah Musharbash
1   Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
,
Daniel Valaik
1   Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
,
John H. Wilckens
1   Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, Maryland
› Author Affiliations
Funding None.

Abstract

The incidence of anterior cruciate ligament (ACL) reconstruction is increasing in the United States, particularly in the older athlete. Patients who undergo ACL reconstruction are at higher risk for undergoing total knee arthroplasty (TKA) later in life. TKA in patients with prior ACL reconstruction has been associated with longer operative time due in-part to difficulty with exposure and retained hardware. Outcomes after TKA in patients with prior ACL reconstruction are not well defined, with some reports showing increased rate of complications and higher risk of reoperation compared with routine primary TKA, but these results are based on small and nonrandomized cohorts. Future research is needed to determine whether graft choice or fixation technique for ACL reconstruction influences outcomes after subsequent TKA. Furthermore, whether outcomes are affected by choice of TKA implant design for patients with prior ACL reconstruction warrants further study. This review analyzes the epidemiology, operative considerations, and outcomes of TKA following ACL reconstruction.



Publication History

Received: 06 April 2020

Accepted: 05 October 2020

Article published online:
26 November 2020

© 2020. Thieme. All rights reserved.

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