What question did this study set out to answer?

To evaluate the association between time elapsed from ACL injury to reconstruction and the incidence of meniscal tears and chondral injuries in patients aged 16 years or younger.

November 1, 2020Orthopaedic Journal of Sports MedicineOpen Access

Incidence of Medial and Lateral Meniscal Tears After Delayed Anterior Cruciate Ligament Reconstruction in Pediatric Patients

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To evaluate the association between time elapsed from ACL injury to reconstruction and the incidence of meniscal tears and chondral injuries in patients aged 16 years or younger.
Retrospective cohort study of 207 consecutive knees in 207 patients aged ≤16 years undergoing primary ACL reconstruction between December 2012 and April 2019.
Patients were stratified into an early reconstruction group (≤150 days from injury, n=180) and a delayed reconstruction group (>150 days, n=27), with arthroscopic findings evaluated by two knee surgeons.
The delayed group had a significantly higher rate of medial meniscal tears (16/27 [59.2%] vs 46/180 [25.6%]; OR, 4.24 [95% CI, 1.83–9.33]; P = .0011) and a lower rate of lateral meniscal tears (6/27 [22.2%] vs 90/180 [50.0%]; OR, 0.29 [95% CI, 0.11–0.70]; P = .007).
Chondral injuries were significantly more frequent in the delayed group at the medial femoral condyle (8/27 [29.6%] vs 25/180 [13.9%]; OR, 2.61 [95% CI, 1.03–6.62]; P = .049) and the medial tibial plateau (2/27 [7.4%] vs 1/180 [0.6%]; OR, 14.32 [95% CI, 1.58–208.10]; P = .045).

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Implication

Cohort study reveals higher medial meniscal and chondral damage in pediatric patients undergoing delayed ACL reconstruction, indicating risks from prolonged surgical wait times.

Cite This Study

Kawashima et al. (2020) studied this question.

synapsesocial.com/papers/6a964b42555aebb9fcbb6c74 https://doi.org/10.1177/2325967120964603

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Implication

Cohort study reveals higher medial meniscal and chondral damage in pediatric patients undergoing delayed ACL reconstruction, indicating risks from prolonged surgical wait times.

Incidence of Medial and Lateral Meniscal Tears After Delayed Anterior Cruciate Ligament Reconstruction in Pediatric Patients

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Discussion

Implication

Cite This Study

Incidence of Medial and Lateral Meniscal Tears After Delayed Anterior Cruciate Ligament Reconstruction in Pediatric Patients

Key Points

Discussion

Implication

Cite This Study

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