Incidence of Secondary Intra-articular Injuries With Time to Anterior Cruciate Ligament Reconstruction

The American Journal of Sports Medicine
Steven RallesMarc Tompkins

Abstract

Precise locations of chondral and meniscal damage with increased time to anterior cruciate ligament reconstruction (ACLR) have not been well described. The purpose of the study was to determine the relationship between delay in primary ACLR and incidence of secondary intra-articular injury. The hypothesis was that patients with increased time between initial injury and ACLR will exhibit greater incidence of secondary intra-articular injury when compared with those who receive surgical intervention promptly after injury. A second hypothesis was that patients with higher preinjury activity levels or older age will exhibit greater secondary injury when compared with those with minimal preinjury activity levels and younger age. Cohort study; Level of evidence, 3. A retrospective review was performed on 1434 patients with an anterior cruciate ligament deficiency who underwent primary ACLR at a single institution between 2009 and 2013. Patients were grouped according to time to surgery after initial injury: 0-3, 4-12, and >12 months. Operative notes were used to analyze 10 variables across time-to-surgery groups: cartilage damage in the patella, trochlea, medial femoral condyle, lateral femoral condyle, medial tibial plateau, and lat...Continue Reading

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Citations

Apr 5, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Giuseppe FilardoMaurilio Marcacci
Sep 15, 2016·Current Reviews in Musculoskeletal Medicine·Jan-Hendrik NaendrupVolker Musahl
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Mar 16, 2017·The American Journal of Sports Medicine·Ben ParkinsonTim Spalding
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Dec 27, 2019·The American Journal of Sports Medicine·Joshua S Everhart, David C Flanigan
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Aug 5, 2017·The American Journal of Sports Medicine·Keiko AmanoUNKNOWN Arthritis Foundation-ACL Consortium
Nov 18, 2020·Regenerative Medicine·Jun ZhangYi Liu
May 11, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Atsuo NakamaeNobuo Adachi

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