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Delaying ACL reconstruction is associated with increased rates of medial meniscal tear.
- Source :
-
Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [Knee Surg Sports Traumatol Arthrosc] 2023 Oct; Vol. 31 (10), pp. 4458-4466. Date of Electronic Publication: 2023 Jul 24. - Publication Year :
- 2023
-
Abstract
- Purpose: The aim of this study was to evaluate the relationship between the time from injury to ACL reconstruction (ACLR) and the rate as well as repairability of meniscal tears. Secondary aims were to evaluate the relationship between meniscal injury and Tegner Activity Scale, age, BMI, and gender.<br />Methods: Between 2012 and 2022, 1,840 consecutive ACLRs were performed. A total of 1,317 ACLRs were included with a mean patient age of 31.2 years ± 10.5 [16-60]. Meniscal tear was assessed during arthroscopy using the ISAKOS classification. Time from injury to ACLR, Tegner Activity Scale, age, BMI and gender were analysed in uni- and then in multivariate analyses. Patients were divided into four groups according to the time from injury to surgery: < 3 months (427; 32%), 3-6 months (388; 29%), 6-12 months (248; 19%) and > 12 months (254; 19%).<br />Results: Delaying ACLR > 12 months significantly increased the rate of medial meniscal (MM) injury (OR 1.14; p < 0.001). No correlation was found between a 3- or 6-month time from injury to surgery and MM tear. Performing ACLR > 3, 6, or 12 months after injury did not significantly increase the rate of lateral meniscal (LM) injury. Increasing Tegner activity scale was significantly associated with a lower rate of MM injury (OR 0.90; p = 0.020). An age > 30 years (OR 1.07; p = 0.025) and male gender (OR 1.13; p < 0.0001) was also associated with an increased rate of MM injury. Age > 30 years decreased the rate of MM repair (OR 0.85; p < 0.001). Male gender increased the rate of LM tear (OR 1.10; p = 0.001).<br />Conclusion: Performing ACLR more than 12 months after injury was associated with increased rates of MM injury but not with lower rates of repairable lesions. An increased pre-injury Tegner activity score was associated with a decreased rate of MM tear. Age > 30 years was associated with an increased rate of MM tear with concomitant ACL injury and a decreased rate of repairability of MM tear. ACLR should be performed within 12 months from injury to prevent from the risk of MM injury.<br />Level of Evidence: Level III.<br /> (© 2023. The Author(s) under exclusive licence to European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA).)
- Subjects :
- Humans
Male
Adult
Retrospective Studies
Anterior Cruciate Ligament surgery
Menisci, Tibial surgery
Anterior Cruciate Ligament Reconstruction
Tibial Meniscus Injuries surgery
Tibial Meniscus Injuries complications
Knee Injuries epidemiology
Knee Injuries surgery
Knee Injuries complications
Anterior Cruciate Ligament Injuries epidemiology
Anterior Cruciate Ligament Injuries surgery
Anterior Cruciate Ligament Injuries complications
Subjects
Details
- Language :
- English
- ISSN :
- 1433-7347
- Volume :
- 31
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
- Publication Type :
- Academic Journal
- Accession number :
- 37486367
- Full Text :
- https://doi.org/10.1007/s00167-023-07516-7