ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Acute and subacute anterior cruciate ligament reconstructions are associated with a higher risk of revision and reoperation.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 13 citations in OpenAlex.
- Delayed reconstruction is associated with higher rates of medial meniscus and chondral injury following anterior cruciate ligament (ACL) injury: A New Zealand ACL registry study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Spontaneous Healing of Meniscal Tears With ACL Injuries and Its Impact on Timing of ACL Surgery.Orthopaedic journal of sports medicine · 2026Article
- Does the timing of ACL reconstruction affects meniscal tear type?: A retrospective cohort study.Medicine · 2026Article
- Surgical Delay Beyond Three Months for Primary Anterior Cruciate Ligament Reconstruction Does not Increase Risk of Medial Meniscal Ramp Lesions or Lateral Root Tears.Arthroscopy, sports medicine, and rehabilitation · 2025Article
- Impact of Early vs Delayed Anterior Cruciate Ligament Reconstruction on Tibiofemoral Laxity.The Permanente journal · 2025Article
- Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Article
- Delayed ACL reconstruction increases rates of concomitant procedures and risk of subsequent surgery.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Scoping Review on ACL Surgery and Registry Data.Current reviews in musculoskeletal medicine · 2022Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose(1) Report concomitant cartilage and meniscal injury at the time of anterior cruciate ligament reconstruction (ACLR), (2) evaluate the risk of aseptic revision ACLR during follow-up, and (3) evaluate the risk of aseptic ipsilateral reoperation during follow-up.
methodsUsing a United States integrated healthcare system's ACLR registry, patients who underwent primary isolated ACLR were identified (2010-2018). Multivariable Cox proportional-hazards regression was used to evaluate the risk of aseptic revision, with a secondary outcome evaluating ipsilateral aseptic reoperation. Outcomes were evaluated by time from injury to ACLR: acute (< 3 weeks), subacute (3 weeks-3 months), delayed (3-9 months), and chronic (≥ 9 months).
resultsThe final sample included 270 acute (< 3 weeks), 5971 subacute (3 weeks-3 months), 5959 delayed (3-9 months), and 3595 chronic (≥ 9 months) ACLR. Medial meniscus [55.4% (1990/3595 chronic) vs 38.9% (105/270 acute)] and chondral injuries [40.0% (1437/3595 chronic) vs 24.8% (67/270 acute)] at the time of ACLR were more common in the chronic versus acute groups. The crude 6-year revision rate was 12.9% for acute ACLR, 7.0% for subacute, 5.1% for delayed, and 4.4% for chronic ACLR; reoperation rates a 6-year follow-up was 15.0% for acute ACLR, 9.6% for subacute, 6.4% for delayed, and 8.1% for chronic ACLR. After adjustment for covariates, acute and subacute ACLR had higher risks for aseptic revision (acute HR 1.70, 95% CI 1.07-2.72, p = 0.026; subacute HR 1.25, 95% CI 1.01-1.55, p = 0.040) and aseptic reoperation (acute HR 2.04, 95% CI 1.43-2.91, p < 0.001; subacute HR 1.31, 95% CI 1.11-1.54, p = 0.002) when compared to chronic ACLR.
conclusionsIn this cohort study, while more meniscal and chondral injuries were reported for ACLR performed ≥ 9 months after the date of injury, a lower risk of revision and reoperation was observed following chronic ACLR relative to patients undergoing surgery in acute or subacute fashions. LEVEL OF EVIDENCE III:
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