Purpose: To compare knee osteoarthritis (OA) incidence within 5 years of surgery between 5 common sports medicine procedures: isolated anterior cruciate ligament (ACL) reconstruction, isolated meniscus repair (MR), isolated arthroscopic partial meniscectomy (APM), ACL reconstruction with MR (ACL + MR), and ACL reconstruction with APM (ACL + APM).
Methods: The PearlDiver Mariner M157Ortho database was searched. Five cohorts were identified using () codes and included those 16 to 60 years old who underwent isolated ACL reconstruction, isolated MR, ACL + MR, isolated APM, or ACL + APM repair. Groups were matched by age, sex, and presence of diagnosis codes for obesity. The incidence of knee OA diagnosis within 5 years of the index procedure was determined for each group, and odds ratios (ORs) were calculated and compared against isolated ACL reconstruction.
Results: Each group consisted of 7,672 patients (3,450 females, 4,222 males). A significantly greater proportion of the APM group was diagnosed with knee OA within 5 years of surgery compared to isolated ACL reconstruction (APM = 1,032/7,672 [13.5%] vs ACL = 745/7,672 [9.7%]; ≤ .001; OR, 1.45; 95% confidence interval [CI], 1.31-1.60). Similarly, a greater proportion of the MR group was diagnosed with OA compared to isolated ACL reconstruction (MR = 826/7,672 [10.7%]; = .030; OR, 1.12; 95% CI, 1.01-1.25). No differences in OA incidence were noted between the ACL + APM group when compared to isolated ACL reconstruction ( = .81). Patients undergoing ACL + MR demonstrated the lowest OA incidence with reduced odds when compared to isolated ACL reconstruction (ACL + MR = 575/7,672 [7.5%]; < .001; OR, 0.75; 95% CI, 0.67-0.84).
Conclusions: In this analysis using codes, APM was associated with the highest knee OA incidence, and ACL + MR was associated with the lowest OA incidence within 5 years of surgery.
Level Of Evidence: Level III, retrospective cohort study.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10901843 | PMC |
| http://dx.doi.org/10.1016/j.asmr.2024.100903 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Perioperative testosterone supplementation improves outcomes of orthopedic surgeries: A Systematic review of heterogeneous studies.
Arthroscopy
December 2024
American Hip Institute Research Foundation, Chicago, IL 60018; American Hip Institute, Chicago, IL 60018. Electronic address:
Purpose: The purpose of this study is to assess the effect of perioperative testosterone supplementation on orthopedic surgical outcomes.
Methods: Three online databases were searched from database inception until September 2024. Three reviewers independently screened all titles, abstracts, and full-texts of articles investigating perioperative testosterone use in orthopedic surgery.
Female collegiate soccer players post anterior cruciate ligament reconstruction utilize aberrant movement strategies to achieve similar performance to uninjured players.
Clin Biomech (Bristol)
December 2024
UGA Biomechanics Laboratory, Department of Kinesiology, University of Georgia, Athens, GA, USA.
Background: Female soccer athletes with a history of anterior cruciate ligament injury are more susceptible to secondary injuries and potentially worse sport performance. The purpose of this study was to determine if female soccer athletes post anterior cruciate ligament reconstruction demonstrate worse jump height and reactive strength index performance and lower involved limb hip, knee, and ankle joint power and absorption, and larger joint power and absorption asymmetries compared to matched uninjured athletes.
Methods: Eleven Division I female soccer athletes post anterior cruciate ligament reconstruction (18.
Utility of preoperative ultrasound in assessing the adequacy of autograft for anterior cruciate ligament reconstruction: a systematic review and meta-analysis.
Skeletal Radiol
December 2024
Department of Orthopaedic Surgery, Tufts Medical Center, Boston, MA, USA.
Objective: Anterior cruciate ligament (ACL) reconstruction using tendon autograft requires imaging to evaluate graft adequacy. Ultrasound (US) offers an efficient adjunct to MRI; however, the utility of US is variable in prior literature and should be investigated. The primary aim of this study is to provide a statistical appraisal of literature assessing correlation of preoperative US measurements with intraoperative size of autografts during ACL reconstruction.
View Article and Find Full Text PDFAdults With Head and Neck Burns Experience Worse Long-Term Outcomes and Require More Reconstructive Surgeries: A Burn Model System Study.
Ann Plast Surg
December 2024
Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, CA.
Background: Adults living with head and neck burn injuries experience psychosocial consequences due to scarring as well as functional disabilities. However, the impact of head and neck burns on long-term self-reported psychosocial outcomes, return to work, and need for reconstructive surgery has not been well described. This study investigates the unique longitudinal problems in psychosocial and functional recovery faced by adults with head and neck burn injuries.
View Article and Find Full Text PDFComparison of Vertical Jump Force-Time Metrics Between ACL-Injured and Healthy Semi-Professional Male and Female Soccer Players.
Sports (Basel)
December 2024
Research Center for Sport and Health Sciences, University of Iceland, 102 Reykjavik, Iceland.
Given the increasing use of innovative force plate systems in applied sports settings and the impact that anterior cruciate ligament (ACL) injuries have on team success, the purpose of the present study was to compare the lower-body neuromuscular performance characteristics of athletes who underwent ACL reconstruction (ACLR) and their non-injured counterparts (i.e., healthy controls).
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!