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Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction.

Publication ,  Journal Article
Brophy, RH; Wright, RW; David, TS; McCormack, RG; Sekiya, JK; Svoboda, SJ; Huston, LJ; Haas, AK; Steger-May, K ...
Published in: Am J Sports Med
April 2012

BACKGROUND: Knees undergoing revision anterior cruciate ligament (ACL) reconstruction typically have more intra-articular injuries than do knees undergoing primary reconstruction. HYPOTHESIS: Previous partial meniscectomy (PM) is associated with a higher rate of chondral lesions at revision ACL reconstruction, whereas previous meniscal repair (MR) is not associated with a higher rate of chondral lesions at revision ACL reconstruction, compared with knees undergoing revision ACL with no previous meniscal surgery. STUDY DESIGN: Cohort study (Prevalence); Level of evidence, 2. METHODS: Data from a multicenter cohort was reviewed to determine the history of prior meniscal surgery (PM/MR) and the presence of grade II/III/IV chondral lesions at revision ACL reconstruction. The association between previous meniscal surgery and the incidence of chondral lesions was examined. Patient age was included as a covariate to determine if surgery type contributes predictive information independent of patient age. RESULTS: The cohort included 725 ACL revision surgeries. Chondrosis was associated with patient age (P < .0001) and previous meniscal surgery (P < .0001). After adjusting for patient age, knees with previous PM were more likely to have chondrosis than knees with previous MR (P = .003) or no previous meniscal surgery (P < .0001). There was no difference between knees without previous meniscal surgery and knees with previous MR (P = .7). Previous partial meniscectomy was associated with a higher rate of chondrosis in the same compartment compared with knees without previous meniscal surgery (P < .0001) and knees with previous MR (P ≤ .03). CONCLUSION: The status of articular cartilage at the time of revision ACL reconstruction relates to previous meniscal surgery independent of the effect of patient age. Previous partial meniscectomy is associated with a higher incidence of articular cartilage lesions, whereas previous meniscal repair is not. Although this association may reflect underlying differences in the knee at the time of prior surgery, it does suggest that meniscal repair is preferable when possible at the time of ACL reconstruction.

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Published In

Am J Sports Med

DOI

EISSN

1552-3365

Publication Date

April 2012

Volume

40

Issue

4

Start / End Page

808 / 814

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Tibial Meniscus Injuries
  • Postoperative Complications
  • Orthopedics
  • Middle Aged
  • Menisci, Tibial
  • Male
  • Knee Injuries
  • Humans
 

Citation

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Brophy, R. H., Wright, R. W., David, T. S., McCormack, R. G., Sekiya, J. K., Svoboda, S. J., … Multicenter ACL Revision Study (MARS) Group, . (2012). Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction. Am J Sports Med, 40(4), 808–814. https://doi.org/10.1177/0363546512437722
Brophy, Robert H., Rick W. Wright, Tal S. David, Robert G. McCormack, Jon K. Sekiya, Steven J. Svoboda, Laura J. Huston, Amanda K. Haas, Karen Steger-May, and Karen Multicenter ACL Revision Study (MARS) Group. “Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction.Am J Sports Med 40, no. 4 (April 2012): 808–14. https://doi.org/10.1177/0363546512437722.
Brophy RH, Wright RW, David TS, McCormack RG, Sekiya JK, Svoboda SJ, et al. Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction. Am J Sports Med. 2012 Apr;40(4):808–14.
Brophy, Robert H., et al. “Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction.Am J Sports Med, vol. 40, no. 4, Apr. 2012, pp. 808–14. Pubmed, doi:10.1177/0363546512437722.
Brophy RH, Wright RW, David TS, McCormack RG, Sekiya JK, Svoboda SJ, Huston LJ, Haas AK, Steger-May K, Multicenter ACL Revision Study (MARS) Group. Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction. Am J Sports Med. 2012 Apr;40(4):808–814.
Journal cover image

Published In

Am J Sports Med

DOI

EISSN

1552-3365

Publication Date

April 2012

Volume

40

Issue

4

Start / End Page

808 / 814

Location

United States

Related Subject Headings

  • Young Adult
  • United States
  • Tibial Meniscus Injuries
  • Postoperative Complications
  • Orthopedics
  • Middle Aged
  • Menisci, Tibial
  • Male
  • Knee Injuries
  • Humans