Table 4.
Radiographic osteoarthritis of index knee at five years as graded by Osteoarthritis Research International atlas.18,19 Values are numbers (percentages) unless stated otherwise
| Five year follow-up | Full analysis set | As treated groups | ||||||
|---|---|---|---|---|---|---|---|---|
| Early ACL reconstruction (n=58) |
Delayed optional ACL reconstruction (n=55) |
P value | Early ACL reconstruction (n=58) |
Delayed ACL reconstruction (n=29) |
Rehabilitation alone (n=26) |
P value | ||
| Tibiofemoral compartment* | ||||||||
| Radiographic osteoarthritis† | 9 (16) | 4 (7) | 0.17 | 9 (16) | 1 (3) | 3 (12) | 0.25 | |
| Medial compartment‡: | 6 | 3 | 6 | 1 | 2 | |||
| JSN grade ≥2 | — | — | ||||||
| Osteophytes grade ≥2 | 6 | 2 | 6 | 1 | 1 | |||
| JSN ≥1 and osteophytes ≥1 | — | 1 | 1 | |||||
| Lateral compartment‡: | 6 | 1 | — | 1 | ||||
| JSN grade ≥2 | — | — | ||||||
| Osteophytes grade ≥2 | 5 | 1 | 5 | 1 | ||||
| JSN ≥1 and osteophytes ≥1 | 2 | — | 2 | |||||
| Patellofemoral compartment* | ||||||||
| Radiographic osteoarthritis†: | 14 (24) | 8 (15) | 0.20 | 14 (24) | 6 (21) | 2 (8) | 0.21 | |
| Osteophytes grade ≥2 | 14 | 8 | 14 | 6 | 2 | |||
ACL=anterior cruciate ligament; JSN=joint space narrowing.
Osteophyte and JSN grading was performed according to Osteoarthritis Research International atlas (0-3, best to worst).18, 19
*Four knees in rehabilitation and early ACL reconstruction group and two knees in rehabilitation plus delayed ACL reconstruction group (1 delayed ACL reconstruction and 1 rehabilitation alone) had both femorotibial and patellofemoral radiographic osteoarthritis.
†Radiographic osteoarthritis of tibiofemoral compartment was considered to be present if JSN grade ≥2, and/or sum of two marginal osteophyte grades from same compartment ≥2, and/or grade 1 JSN in combination with grade 1 osteophytes in same compartment; radiographic osteoarthritis of patellofemoral compartment was considered to be present if sum of two marginal osteophyte grades was ≥2.
‡Three knees in rehabilitation and early ACL reconstruction group had both medial and lateral compartment radiographic osteoarthritis.