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Does Surgery for Cruciate Ligament and Meniscus Injury Increase the Risk of Comorbidities at 2 Years in the Military System?

Publication ,  Journal Article
Cook, CE; Sheean, AJ; Zhou, L; Min, KS; Rhon, DI
Published in: J Knee Surg
April 2023

This study aims to determine whether surgery for cruciate ligament (anterior or posterior) or meniscus injury increased risks of subsequent comorbidities in beneficiaries of the Military Health System. The study was a retrospective case-control design in which individuals with cruciate or meniscus injuries were divided into two groups (surgery or none). Data were pulled 12 months prior and 24 months following each respective event and presence of comorbidities were compared between the two groups. Bivariate analyses and logistic regression were used to determine if surgery increased the odds of comorbidities. Participants included 1,686 with a cruciate ligament injury (30.1% treated surgically) and 13,146 with a meniscus injury (44.4% treated surgically). Bivariate comparisons of surgery versus nonsurgical treatment found multiple significant differences. After adjusting for covariates, a significant (p < 0.05) protective effect was seen only for meniscus surgery for concussion, insomnia, other mental health disorders, depression, and substance abuse. Surgery had no increased/decreased risk of comorbidities for cruciate ligament injuries. For meniscus injuries, surgery demonstrated a protective effect for six of the comorbidities we assessed. The treatment approach (surgery vs. nonsurgical) did not change the risk of comorbidities in those with a cruciate ligament injury. It is noteworthy that three of the six comorbidities involved mental health disorders. Although the study design does not allow for determination of causation, these findings should compel future prospective study designs that could confirm these findings.

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Published In

J Knee Surg

DOI

EISSN

1938-2480

Publication Date

April 2023

Volume

36

Issue

5

Start / End Page

465 / 474

Location

Germany

Related Subject Headings

  • Retrospective Studies
  • Prospective Studies
  • Meniscus
  • Humans
  • Anterior Cruciate Ligament Injuries
  • Anterior Cruciate Ligament
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
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MLA
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Cook, C. E., Sheean, A. J., Zhou, L., Min, K. S., & Rhon, D. I. (2023). Does Surgery for Cruciate Ligament and Meniscus Injury Increase the Risk of Comorbidities at 2 Years in the Military System? J Knee Surg, 36(5), 465–474. https://doi.org/10.1055/s-0041-1736197
Cook, Chad E., Andrew J. Sheean, Liang Zhou, Kyong S. Min, and Daniel I. Rhon. “Does Surgery for Cruciate Ligament and Meniscus Injury Increase the Risk of Comorbidities at 2 Years in the Military System?J Knee Surg 36, no. 5 (April 2023): 465–74. https://doi.org/10.1055/s-0041-1736197.
Cook CE, Sheean AJ, Zhou L, Min KS, Rhon DI. Does Surgery for Cruciate Ligament and Meniscus Injury Increase the Risk of Comorbidities at 2 Years in the Military System? J Knee Surg. 2023 Apr;36(5):465–74.
Cook, Chad E., et al. “Does Surgery for Cruciate Ligament and Meniscus Injury Increase the Risk of Comorbidities at 2 Years in the Military System?J Knee Surg, vol. 36, no. 5, Apr. 2023, pp. 465–74. Pubmed, doi:10.1055/s-0041-1736197.
Cook CE, Sheean AJ, Zhou L, Min KS, Rhon DI. Does Surgery for Cruciate Ligament and Meniscus Injury Increase the Risk of Comorbidities at 2 Years in the Military System? J Knee Surg. 2023 Apr;36(5):465–474.
Journal cover image

Published In

J Knee Surg

DOI

EISSN

1938-2480

Publication Date

April 2023

Volume

36

Issue

5

Start / End Page

465 / 474

Location

Germany

Related Subject Headings

  • Retrospective Studies
  • Prospective Studies
  • Meniscus
  • Humans
  • Anterior Cruciate Ligament Injuries
  • Anterior Cruciate Ligament
  • 3202 Clinical sciences
  • 1103 Clinical Sciences