Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery
Abstract Background The objective of this study is to investigate the risk of revision surgery when delaying anterior cruciate ligament reconstruction (ACLR) past 3 months or 6 months after injury. Materials and methods A total of 30,280 patients with isolated ACLR were identified in the Danish Knee...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-04-01
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| Series: | Journal of Orthopaedics and Traumatology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s10195-024-00759-1 |
| _version_ | 1797199300538662912 |
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| author | Helena Amstrup Jensen Torsten Grønbech Nielsen Martin Lind |
| author_facet | Helena Amstrup Jensen Torsten Grønbech Nielsen Martin Lind |
| author_sort | Helena Amstrup Jensen |
| collection | DOAJ |
| description | Abstract Background The objective of this study is to investigate the risk of revision surgery when delaying anterior cruciate ligament reconstruction (ACLR) past 3 months or 6 months after injury. Materials and methods A total of 30,280 patients with isolated ACLR were identified in the Danish Knee Ligament Reconstruction Registry and divided into four groups; ACLR < 3 months, > 3 months, < 6 months, or > 6 months after injury. Primary outcome was revision surgery and secondary outcome were objective and subjective clinical outcome. The 2 year relative risk, crude, and adjusted hazard ratio (HR) were calculated. Results Comparing ACLR < 3 months to ACLR > 3 months of injury the 2 year relative risk of revision surgery was found to be 1.81 (95% CI 1.46–2.23; P < 0.001) with an adjusted hazard ratio (HR) of 1.27 (95% CI 1.12–1.44; P < 0.001). Comparing ACLR < 6 months to ACLR > 6 months of injury the 2 year relative risk of revision surgery was found to be 1.61 (95% CI 1.34–1.92; P < 0.001) with an adjusted HR of 1.27 (95% CI 1.15–1.40; P < 0.001). Conclusion The risk of revision ACLR surgery was found to be increased when ACLR was performed within 3 months or 6 months of injury compared with later surgery. The 1 year postoperative objective knee laxity and the subjective patient-related outcome was found to be without a clinically significant difference; however, those with early ACLR (< 3 months or < 6 months) were found to have a higher activity level 1 year postoperatively. The information about increased risk of revision when having early surgery should be informed to patients when deciding timing of ACLR treatment. Level of evidence: II. |
| first_indexed | 2024-04-24T07:13:34Z |
| format | Article |
| id | doaj.art-eafb36a3edbf4758904311b0db745647 |
| institution | Directory Open Access Journal |
| issn | 1590-9999 |
| language | English |
| last_indexed | 2024-04-24T07:13:34Z |
| publishDate | 2024-04-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of Orthopaedics and Traumatology |
| spelling | doaj.art-eafb36a3edbf4758904311b0db7456472024-04-21T11:27:02ZengSpringerOpenJournal of Orthopaedics and Traumatology1590-99992024-04-012511910.1186/s10195-024-00759-1Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgeryHelena Amstrup Jensen0Torsten Grønbech Nielsen1Martin Lind2Department of Orthopedics, Aarhus University HospitalDepartment of Orthopedics, Aarhus University HospitalDepartment of Orthopedics, Aarhus University HospitalAbstract Background The objective of this study is to investigate the risk of revision surgery when delaying anterior cruciate ligament reconstruction (ACLR) past 3 months or 6 months after injury. Materials and methods A total of 30,280 patients with isolated ACLR were identified in the Danish Knee Ligament Reconstruction Registry and divided into four groups; ACLR < 3 months, > 3 months, < 6 months, or > 6 months after injury. Primary outcome was revision surgery and secondary outcome were objective and subjective clinical outcome. The 2 year relative risk, crude, and adjusted hazard ratio (HR) were calculated. Results Comparing ACLR < 3 months to ACLR > 3 months of injury the 2 year relative risk of revision surgery was found to be 1.81 (95% CI 1.46–2.23; P < 0.001) with an adjusted hazard ratio (HR) of 1.27 (95% CI 1.12–1.44; P < 0.001). Comparing ACLR < 6 months to ACLR > 6 months of injury the 2 year relative risk of revision surgery was found to be 1.61 (95% CI 1.34–1.92; P < 0.001) with an adjusted HR of 1.27 (95% CI 1.15–1.40; P < 0.001). Conclusion The risk of revision ACLR surgery was found to be increased when ACLR was performed within 3 months or 6 months of injury compared with later surgery. The 1 year postoperative objective knee laxity and the subjective patient-related outcome was found to be without a clinically significant difference; however, those with early ACLR (< 3 months or < 6 months) were found to have a higher activity level 1 year postoperatively. The information about increased risk of revision when having early surgery should be informed to patients when deciding timing of ACLR treatment. Level of evidence: II.https://doi.org/10.1186/s10195-024-00759-1ACLACL reconstructionAnterior cruciate ligament reconstructionTimingTime from injury to surgeryRevision surgery |
| spellingShingle | Helena Amstrup Jensen Torsten Grønbech Nielsen Martin Lind Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery Journal of Orthopaedics and Traumatology ACL ACL reconstruction Anterior cruciate ligament reconstruction Timing Time from injury to surgery Revision surgery |
| title | Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery |
| title_full | Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery |
| title_fullStr | Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery |
| title_full_unstemmed | Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery |
| title_short | Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery |
| title_sort | delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery |
| topic | ACL ACL reconstruction Anterior cruciate ligament reconstruction Timing Time from injury to surgery Revision surgery |
| url | https://doi.org/10.1186/s10195-024-00759-1 |
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