ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
Delaying ACL reconstruction is associated with increased rates of medial meniscal tear.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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22 citing papers in PubMed, 34 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
- Comment on"Independent effects of sports activity level and surgical timing on concomitant lesions in anterior cruciate ligament injuries".International orthopaedics · 2026Article
- Insurance Type as an Independent Factor of Surgical Delay After Anterior Cruciate Ligament Injury.Orthopaedic journal of sports medicine · 2026Article
- Independent effects of sports activity level and surgical timing on concomitant lesions in anterior cruciate ligament injuries.International orthopaedics · 2026Article
- No association detected between posterior tibial slope, static anterior tibial translation and medial meniscus repair failure after anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2026Article
- Anterior tibial translation versus rotational instability in ACL reconstruction: Defining the problem before choosing the procedure.Journal of experimental orthopaedics · 2026Article
- Machine learning-based prediction of meniscal tears in ACL reconstruction using BMI, time to surgery, injury mechanism, and Tegner activity score: A temporally validated decision tool.Journal of experimental orthopaedics · 2026Article
- Does the timing of ACL reconstruction affects meniscal tear type?: A retrospective cohort study.Medicine · 2026Article
- Article
- 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
- Association between Meniscal Injuries at the Time of an Anterior Cruciate Ligament Reconstruction and Lower Return-to-Sport Rates: An Analysis at 5 Years of Follow-up of the MERIscience Cohort.Orthopaedic journal of sports medicine · 2025Article
- Risk Factors for Re-Tear of the Meniscus Following Meniscus Repair with Concomitant ACL Reconstruction.Journal of clinical medicine · 2025Article
- Lateral Meniscus Allograft Transplantation: An All-Soft Tissue All-Inside Technique.Arthroscopy techniques · 2025Article
- Higher incidence of postoperative complications in patients with simultaneous patellar tendon and anterior cruciate ligament ruptures following single surgery: a case series and literature review.BMC musculoskeletal disorders · 2025Review
- No impact of graft size or time to surgery on anterior tibial translation under weight-bearing following ACL reconstruction.Journal of experimental orthopaedics · 2025Article
- Unrepaired ramp lesions are associated with a higher risk of secondary medial meniscus bucket handle tear compared to lateral meniscus bucket handle tear after anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- Research progress and clinical application of all-inside reconstruction techniques: narrative review.Frontiers in surgery · 2025Review
- Management of Meniscus Pathology with Concomitant Anterior Cruciate Ligament Injury.Current reviews in musculoskeletal medicine · 2024Review
- No difference in laxity, proprioception and neuromuscular control after suture-tape augmented ACL repair of acute proximal avulsions versus ACL reconstruction using hamstring autografts in young, active population.Journal of experimental orthopaedics · 2024Article
- Predictive Refined Computational Modeling of ACL Tear Injury Patterns.Bioengineering (Basel, Switzerland) · 2024Article
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Authors and funding
9 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to evaluate the relationship between the time from injury to ACL reconstruction (ACLR) and the rate as well as repairability of meniscal tears. Secondary aims were to evaluate the relationship between meniscal injury and Tegner Activity Scale, age, BMI, and gender.
methodsBetween 2012 and 2022, 1,840 consecutive ACLRs were performed. A total of 1,317 ACLRs were included with a mean patient age of 31.2 years ± 10.5 [16-60]. Meniscal tear was assessed during arthroscopy using the ISAKOS classification. Time from injury to ACLR, Tegner Activity Scale, age, BMI and gender were analysed in uni- and then in multivariate analyses. Patients were divided into four groups according to the time from injury to surgery: < 3 months (427; 32%), 3-6 months (388; 29%), 6-12 months (248; 19%) and > 12 months (254; 19%).
resultsDelaying ACLR > 12 months significantly increased the rate of medial meniscal (MM) injury (OR 1.14; p < 0.001). No correlation was found between a 3- or 6-month time from injury to surgery and MM tear. Performing ACLR > 3, 6, or 12 months after injury did not significantly increase the rate of lateral meniscal (LM) injury. Increasing Tegner activity scale was significantly associated with a lower rate of MM injury (OR 0.90; p = 0.020). An age > 30 years (OR 1.07; p = 0.025) and male gender (OR 1.13; p < 0.0001) was also associated with an increased rate of MM injury. Age > 30 years decreased the rate of MM repair (OR 0.85; p < 0.001). Male gender increased the rate of LM tear (OR 1.10; p = 0.001).
conclusionPerforming ACLR more than 12 months after injury was associated with increased rates of MM injury but not with lower rates of repairable lesions. An increased pre-injury Tegner activity score was associated with a decreased rate of MM tear. Age > 30 years was associated with an increased rate of MM tear with concomitant ACL injury and a decreased rate of repairability of MM tear. ACLR should be performed within 12 months from injury to prevent from the risk of MM injury. LEVEL OF EVIDENCE: Level III.
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