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Meniscal, chondral injury risk no greater with delayed ACL reconstruction
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CHICAGO — Results presented at the Arthroscopy Association of North America Annual Meeting showed risk of meniscal or chondral injury was not affected by time to surgery in patients aged 40 years or older.
Jonathan A. Stone, MD, and colleagues categorized 227 patients aged 40 years or older by whether they underwent early (n=106) or delayed (n=121) ACL reconstruction. Stone noted a significant difference in median time to surgery between groups, with a median time to surgery of 56 days and 240 days in the early and delayed groups, respectively.
“Here is our multivariable analysis for meniscus injury showing that there was no association with a lapsed time to surgery with medial or lateral meniscus tear,” Stone said in his presentation.
He added the risk for both medial and lateral meniscus tears increased with age, and the risk for lateral meniscus tear increased among men. Multivariable analysis also showed no association between elapsed time to surgery with any increased risk for chondral injury in any compartment. However, an increased risk for chondral injury in the medial compartment was associated with age and BMI, according to Stone.
“There were no variables associated with increased risk in the lateral compartment and in the patellofemoral compartment, there was increased risk with age, female gender and work injury,” Stone said. – by Casey Tingle
Reference:
Stone JA, et al. Paper 20. Presented at: Arthroscopy Association of North America Annual Meeting; April 26-28, 2018; Chicago.
Disclosure: Stone reports no relevant financial disclosures.