Skip to main content
. 2013 Jan 24;346:f232. doi: 10.1136/bmj.f232

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.