Delay in ACL reconstruction is associated with more severe and painful meniscal and chondral injuries.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
August W M Fok, W P Yau

Abstract

The goal of our study was to investigate the associations between surgical delay, pain and meniscus, and articular cartilage lesions seen at the time of ACL reconstruction. One hundred and sixty-two consecutive patients who had received ACL reconstruction were recruited. The preoperative International Knee Documentation Committee (IKDC) questionnaires, and cartilage and meniscal lesions seen at the time of surgery were analysed. Patients with surgery within 12 months were less likely to have meniscus injury (59.8/77.4 %, p = 0.032), and the meniscus injury was more likely to be salvageable. (56.3/36.0 %, p = 0.042). Patients with meniscal tear larger than 10 mm had higher pain intensity than tear <10 mm (mean 6.8/8.2, p = 0.007). Patients older than 35 years of age were more likely to suffer from cartilage injury (76.4/39.1 %, p = 0.004). Patients with cartilage lesions had longer surgical delay (mean 18.9/12.1 months, p = 0.033). The presence of meniscal tear increased the risk of cartilage lesions (p = 0.038, OR = 2.14). Patients with cartilage lesions had a greater pain frequency (mean 6.9/7.7, p = 0.048). Moderate correlation was found between the size of cartilage lesion and the frequency of pain (p = 0.013). Increased sur...Continue Reading

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Citations

Jan 22, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Robert A MagnussenChristopher C Kaeding
Mar 4, 2014·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Dejie FuXiaojun Duan
Sep 24, 2013·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Daniel AndernordKristian Samuelsson
Apr 19, 2015·Journal of Orthopaedic Surgery and Research·Matthias J FeuchtPhilipp Niemeyer
Feb 24, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Aaron J KrychBruce A Levy
Jun 15, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Alexander H KingBruce A Levy
Oct 22, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Gang ChenJian Li
May 26, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Thomas L SandersAaron J Krych
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Mar 10, 2016·The American Journal of Sports Medicine·Thomas L SandersAaron J Krych
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Dec 27, 2019·The American Journal of Sports Medicine·Joshua S Everhart, David C Flanigan
Mar 18, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tetsuro UshioYasuharu Nakashima
Sep 10, 2019·Orthopaedic Journal of Sports Medicine·Amit JoshiAshok Kumar Banskota
Aug 1, 2019·Journal of Orthopaedic Surgery and Research·Romain GaillardElvire Servien
Jan 4, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Wenhua LiQiaolan Liu
Oct 2, 2020·Journal of Clinical Orthopaedics and Trauma·Ravi GuptaGladson DavidMasih
Feb 23, 2021·The Journal of Knee Surgery·Seyed Mohammad Javad MortazaviAhmad Shamabadi
Nov 20, 2019·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Graeme MatthewsonPeter MacDonald
Aug 10, 2021·Orthopaedic Journal of Sports Medicine·Seong Hwan KimNicolas Pujol
Aug 26, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Monika SenftlMoritz Tannast

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