Delaying ACL reconstruction is associated with increased rates of medial meniscal tear

被引：17

作者：

Erard, Julien ^{[1
]}

Cance, Nicolas ^{[1
]}

Shatrov, Jobe ^{[1
,2
]}

Fournier, Gaspard ^{[1
]}

Gunst, Stanislas ^{[1
]}

Ciolli, Gianluca ^{[1
,3
]}

Porcelli, Pasquale ^{[1
,4
]}

Lustig, Sebastien ^{[1
,5
]}

Servien, Elvire ^{[1
,6
]}

机构：

[1] Lyon Univ Hosp, Croix Rousse Hosp, FIFA Med Ctr Excellence, Orthopaed Surg & Sports Med Dept, 103 Grande Rue La Croix Rousse, F-69004 Lyon, France

[2] Univ Notre Dame Australia, Hornsby & Ku Ring Hosp, Sydney Orthopaed Res Inst, Sydney, Australia

[3] Catholic Univ, A Gemelli Univ Hosp Fdn IRCCS, Dept Orthopaed, Via Pineta Sacchetti 217, I-00168 Rome, Italy

[4] Ctr Traumatol Ortoped, Orthopaed & Traumatol Dept, Via Gianfranco Zuretti 29, I-10126 Turin, TO, Italy

[5] Claude Bernard Lyon 1 Univ, Univ Lyon, IFSTTAR, LBMC UMR T9406, F-69622 Lyon, France

[6] Univ Lyon 1, Interuniv Lab Human Movement Sci, LIBM EA 7424, Lyon, France

来源：

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY | 2023年 / 31卷 / 10期

关键词：

ACL; Meniscal tear; Arthroscopy; ACL reconstruction; Surgery timing; Medial meniscus; ANTERIOR CRUCIATE LIGAMENT; KNEE; INJURIES; REPAIR; PATHOLOGY; CARTILAGE; SURGERY;

D O I：

10.1007/s00167-023-07516-7

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

PurposeThe 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.MethodsBetween 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 & PLUSMN; 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%).ResultsDelaying 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).ConclusionPerforming 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.

引用

页码：4458 / 4466

页数：9

共 46 条

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