Timing of anterior cruciate ligament reconstruction and incidence of meniscal and chondral injury within the knee

Background : To review a single-surgeon series of 616 athletic patients with anterior cruciate ligament reconstructions in order to evaluate the relationship between the timing of the reconstruction and the incidence of meniscal and chondral injuries. Methods: Six group of patients were categorized...

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Bibliographic Details
Main Authors: Mohammad Razi, Shahin Salehi, Haleh Dadgostar, Afsaneh Safar Cherati, Ahmad Bagheri Moghaddam, Seyyed Mehdi Tabatabaiand, Masoud Solaymani Dodaran
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2013;volume=4;issue=13;spage=98;epage=103;aulast=Razi
Description
Summary:Background : To review a single-surgeon series of 616 athletic patients with anterior cruciate ligament reconstructions in order to evaluate the relationship between the timing of the reconstruction and the incidence of meniscal and chondral injuries. Methods: Six group of patients were categorized based on the time interval from their injury to surgery in the following manner: <3 months, 3-6 months, 6-9 months, 9-18 months, 18-36 months, and >36 months. The presence of meniscal tears was documented and chondral pathology was scored based on the Outerbridge classification. Results: Incidence of medial meniscus tear was significantly higher in patients undergoing reconstruction after 3 months from their injury ( P = 0.032). The opportunity of patients with chondral pathology was recorded to be significantly higher in the groups operated on after 6 months from their injuries time ( P = 0.008). Conclusions: Considering the effect of time on the rate of having meniscus injury and chondral pathology, reducing the time between the injury and surgery could improve the long-term health outcomes in this population.
ISSN:2008-7802
2008-8213