AI Article Synopsis
- The MOON network has been studying various factors that influence recovery after ACL injuries since 2015, including knee laxity predictors, meniscus treatment effects, and graft selection.
- Patients with meniscus tears and generalized laxity tend to show more instability on examination, while allografts have a significantly higher re-tear risk compared to autografts.
- Diabetic patients face a higher likelihood of post-surgery infections, and those who undergo additional knee surgeries are more prone to experience postoperative pain; however, small, stable meniscus tears may not require treatment for low re-operation rates.
Article Abstract
Since 2015, the Multicenter Orthopedic Outcomes Network (MOON) has addressed several factors associated with patient outcome after anterior cruciate ligament (ACL) injury. These factors include predictors of high grade knee laxity, the impact of meniscus treatment on joint space narrowing after surgery, graft selection, treating diabetic patients, predictors of clinically significant pain, and outcomes of patients where meniscus tears were left in situ without treatment. The presence of meniscus tears and generalized laxity predict a lax examination under anesthesia prior to surgery. Allograft reconstructions carry a 5.2 times increased risk of re-tear compared to autograft. Patients with diabetes should be counseled they may be at increased risk (odds ratio 18.8) for infection after surgery. Subsequent ipsilateral knee surgery is the strongest predictor of postoperative pain after ACLR. Stable, partial thickness meniscus tears measuring less than 1 cm can be left alone without treatment with low re-operation rates at 6-years.
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| http://dx.doi.org/10.1055/s-0036-1593341 | DOI Listing |
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