Total knee arthroplasty after anterior cruciate ligament reconstruction: a narrative review.

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Abstract

Conflict of interest statement: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://aoj.amegroups.com/article/view/10.21037/aoj-23-62/coif). The series “Modular Implants for Revision Arthroplasty in Orthopedics” was commissioned by the editorial office without any funding or sponsorship. G.S. served as the unpaid Guest Editor for the series and serves as an unpaid editorial board member of Annals of Joint from October 2022 to September 2024. G.M. served as the unpaid Guest Editor of the series. The authors have no other conflicts of interest to declare. 17. J Am Coll Radiol. 2017 Nov;14(11S):S421-S448. doi: 10.1016/j.jacr.2017.08.036. ACR Appropriateness Criteria(®) Imaging After Total Knee Arthroplasty. Expert Panel on Musculoskeletal Imaging:; Hochman MG(1), Melenevsky YV(2), Metter DF(3), Roberts CC(4), Bencardino JT(5), Cassidy RC(6), Fox MG(7), Kransdorf MJ(7), Mintz DN(8), Shah NA(9), Small KM(9), Smith SE(9), Tynus KM(10), Weissman BN(11). Author information: (1)Principal Author, Beth Israel Deaconess Medical Center, Boston, Massachusetts. Electronic address: mhochman@bidmc.harvard.edu. (2)Research Author, Medical College of Georgia at Augusta University, Augusta, Georgia. (3)Co-author, University of Texas Health Science Center at San Antonio, San Antonio, Texas. (4)Panel Chair, Mayo Clinic, Phoenix, Arizona. (5)Panel Vice-Chair, New York University School of Medicine, New York, New York. (6)UK Healthcare Spine and Total Joint Service, Lexington, Kentucky; American Academy of Orthopaedic Surgeons. (7)Mayo Clinic Arizona, Phoenix, Arizona. (8)Hospital for Special Surgery, New York, New York. (9)Brigham & Women's Hospital, Boston, Massachusetts. (10)Northwestern Memorial Hospital, Chicago, Illinois; American College of Physicians. (11)Specialty Chair, Brigham & Women's Hospital, Boston, Massachusetts. Total knee arthroplasty (TKA) is the most commonly performed joint replacement procedure in the United States and annual demand for primary TKA is expected to grow by 673% by 2030. The first part provides an overview of imaging modalities (radiographs, CT, MRI, ultrasound, and various nuclear medicine studies) and discusses their usefulness in the imaging evaluation of TKA. The second part focuses on evidence-based imaging and imaging-guided intervention algorithms for the workup of TKA and its complications, including routine follow-up, component wear, periprosthetic infection, aseptic loosening, granulomas/osteolysis, conventional and rotational instability, periprosthetic fracture, patellar complications, and a variety of periprosthetic soft tissue abnormalities. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved. DOI: 10.1016/j.jacr.2017.08.036