Delayed anterior cruciate ligament reconstruction and risk of meniscus injury: Exploring the safest delay interval

Autor: Ghuna Arioharjo Utoyo, Dliyauddin Fachri, Calvin
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Experimental Orthopaedics, Vol 11, Iss 3, Pp n/a-n/a (2024)
Druh dokumentu: article
ISSN: 2197-1153
DOI: 10.1002/jeo2.70006
Popis: ABSTRACT Purpose The duration for which anterior cruciate ligament reconstruction (ACLR) can be delayed without resulting in a risk of subsequent meniscus injury has remained a debatable topic. The main purpose of this study was to determine the safest delay interval for a delayed ACLR. Methods This retrospective study included all patients who underwent ACLR between January 2020 and January 2022. The patients were divided into four groups based on the delay interval: 12 months. Clinical outcomes were assessed using the International Knee Documentation Committee (IKDC) score and Knee Injury and Osteoarthritis Outcomes Score (KOOS) at 1‐year postoperatively. Results A total of 95 patients were included in this study. ACLR delay of 3–6 months was not associated with the risk of meniscus injury, while a delay of 6–12 months (odds ratio [OR] = 4.35; 95% confidence interval [CI] = 1.13–16.79; p = 0.031) and >12 months (OR = 10.68; 95% CI = 2.55–42.22; p = 0.001) was associated with a likelihood of developing meniscus injury. Meniscus injury risk increased by 12% for each month of ACLR delay (OR = 1.12; 95% CI = 1.04–1.22; p = 0.003). Regarding clinical outcomes at 1‐year postoperatively, all groups exhibit the same clinical results. Conclusion ACLR can be safely delayed up to 6 months after the initial injury. However, a delay for >6 months must be avoided, as it was found to significantly increase the likelihood of developing a meniscus injury. Level of Evidence Level III, retrospective comparative study.
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