Knee Osteoarthritis Treatment and Symptoms | ACL Reconstruction Surgery Recovery| Minneapolis, MN

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Dr. LaPrade discusses knee osteoarthritis following ACL tears. One of the goals of performing an ACL reconstruction is to minimize the risk of developing knee osteoarthritis later in life. ACL reconstruction techniques have developed as technologies have advanced. In the 1980's, it was an open/two incision ACL technique. In 1991, the endoscopic/transtibial technique came out. From 2007 to present, most physicians have transferred over to the independent femoral/tibial tunnel reaming technique.

What were ACL reconstruction techniques changed? Research showed that previous ACL reconstruction techniques were nonanatomic, the central graft did not control rotation, and there was an increased rate of developing knee osteoarthritis and meniscus tears.

ACL reconstructions are the 6th most common orthopedic surgery by oral boards. More than 300,000 ACL reconstructions are performed each year in the United States. Many of these reconstructions are done in young patients, this has lead to an increase in post traumatic osteoarthritis.

Risks of post traumatic knee osteoarthritis can be caused by a meniscectomy, articular cartilage injuries and failed ACL reconstructions with residual instability. 5-15% of ACL reconstructions fail. In a meta-analysis of 4108 patients, the study showed that in 5 years, 11.3% of patients developed post traumatic knee osteoarthritis. At 10 years, 20.6% of patients had post traumatic osteoarthritis and at 20 years, 51.6% of patients had post traumatic osteoarthritis.

The research also showed that there is an increase in developing knee osteoarthritis the longer a patient waits to have ACL reconstruction. The literature supports to have an ACL reconstruction earlier rather than later. Knee osteoarthritis after ACL tears in older patients also increases the risk compared to younger patients. Patients who also had additional injuries with the ACL tear also had an increased risk of developing knee osteoarthritis after ACL surgery. Bone bruises that occur when an ACL tear occurs can also increase the risk of developing knee osteoarthritis.

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Dr. LaPrade, MD, PhD has specialized skills and expertise in diagnosing and treating complicated knee injuries. He has treated athletes at all levels, including Olympic, professional and intercollegiate athletes, and has returned numerous athletes back to full participation after surgeries. Recognized globally for his outstanding and efficient surgical skills and dedication to sports medicine, he has received many research awards, including the OREF Clinic Research Award considered by many a Nobel Prize in orthopedics. Dr. LaPrade is one of the most published investigators in his field, and many of the surgeries that he has developed are now performed worldwide and recognized as the “gold standard” for the treatment of complex knee injuries.