A correlation of time with meniscal tears in anterior cruciate ligament deficiency: stratifying the risk of surgical delay

Tayton, Edward; Verma, Rajeev; Higgins, Bernard; Gosal, H

doi:10.1007/s00167-008-0622-y

Cited by 43 publications

(38 citation statements)

References 20 publications

(35 reference statements)

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“…30-32 In a retrospective analysis of 205 patients, the mean time from the initial injury to meniscus tear was between 11 and 32 months for those with an injury to one or both menisci respectively. 33 For chondral lesions, as discussed above, the risk of cartilage degeneration following an ACL tear increases significantly, with most reports suggesting that 20% of chondral lesions occur at the time of the ACL injury, and another 20 to 30% developing later due to ACL deficiency. 31,34 …”

Section: Principles Of Acl Reconstructionmentioning

confidence: 99%

Anterior cruciate ligament reconstruction: principles of treatment

2016

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Anterior cruciate ligament (ACL) reconstruction is one of the most common procedures in sports medicine. Several areas of controversy exist in ACL tear management which have engaged surgeons and researchers in debates towards identifying an ideal approach for these patients.This instructional review discusses the principles of ACL reconstruction in an attempt to provide guidelines and initiate a critical thinking approach on the most common areas of controversy regarding ACL reconstruction.Using high-level evidence from the literature, as presented in randomised controlled trials, systematic reviews, and meta-analyses, operative versus conservative treatment, timing of surgery, and rehabilitation are discussed. Also, the advantages and disadvantages of the most common types of autografts, such as patellar tendon and hamstrings as well as allografts are presented.Key considerations for the anatomical, histological, biomechanical and clinical data (‘IDEAL’) graft positioning are reviewed.Cite this article: Paschos NK, Howell SM. Anterior cruciate ligament reconstruction: principles of treatment. EFORT Open Rev 2016;398-408. DOI: 10.1302/2058-5241.1.160032.

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Section: Principles Of Acl Reconstructionmentioning

confidence: 99%

Anterior cruciate ligament reconstruction: principles of treatment

2016

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“…We were unable to obtain information to calculate an OR and to perform meta-analysis for 4 of the articles. 1,8,58,62 The remaining 4 articles 14,29,41,67 provided an overall OR of 3.50 (95% CI: 2.09, 5.88) for medial meniscal tears when ACL surgery was performed more than 12 months after the ACL injury compared to less than 12 months after ACL injury. Statistical heterogeneity was considered substantial (I 2 = 73%, P = .01) (FIGURE 8).…”

Section: Time From Acl Injury To Acl Surgerymentioning

confidence: 99%

Risk Factors for Meniscal Tears: A Systematic Review Including Meta-analysis

Snoeker

Bakker²,

Kegel³

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

168

127

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Meniscal tears are commonly seen worldwide. In the Netherlands, the incidence of meniscal tears is 2 per 1000 patients per year. 16 Meniscal tears are responsible for an estimated 25 000 hospital admissions per year in England and Wales. 5 In the United States, arthroscopic partial meniscectomy after meniscal tear is the most frequent orthopaedic surgical procedure. 20 Meniscal tears lead to disability and time lost from work, and their surgical treatment increases the longterm risk of knee osteoarthritis (OA) 4-fold. 5,18,21,48 A better understanding of meniscal tears and their causality can aid in diagnosing knee disorders. 26,32 Despite its importance, little is known about the epidemiology of meniscal injury. A previously published systematic review by Reid et al 46 described, in addition to other knee disorders, risk factors for meniscal tears. The authors suggested that squatting, kneeling, crawling, chair sitting while driving, stair climbing, lifting items, and walking were all risk factors for meniscal tears. Reid et al 46 noted that kneeling was described as a risk factor in multiple studies, yet other factors were not described as such. McMillan and Nichols 38 systematically searched the literature to determine whether kneeling or squatting was causally associated with degenerative diseases of the knee. The authors concluded that work occupations involving frequent kneeling or squatting doubled the risk for developing knee OA. The authors of both articles limited their search to occupational settings and did not perform meta-analysis on the risk factors.The elapsed time between anterior cruciate ligament (ACL) injury and reconstruction surgery has been identified T T STUDY DESIGN: Systematic review with metaanalysis. T T OBJECTIVES:To review and critically appraise the literature for factors that increase the risk for meniscal tears. T T BACKGROUND:Meniscal tears are an important cause of disability and time lost from work, and are associated with a 4-fold increase in the long-term risk of knee osteoarthritis. Knowledge of the risk factors that lead to meniscal tears can help to correctly diagnose knee injuries and is important to the development of prevention strategies for knee osteoarthritis. T T METHODS:A search of the Cochrane Database of Systematic Reviews, MEDLINE, and Embase, from 1950 to January 2012, and a hand search of reference lists of all initially selected studies, without restriction on language or date of publication, were conducted. Prospective, retrospective, and case-control studies that included individuals over 16 years of age, who had no previous meniscal injuries or surgeries, were selected. A meta-analysis for 17 risk factors was performed. Where considerable heterogeneity among studies was present or the data did not provide sufficient information to perform a meta-analysis, a qualitative synthesis was conducted. T T RESULTS:Eleven studies, with a total of 7358 participants, were selected for systematic review. Data were available for meta-analysis for 10 of the 11 studies. ...

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“…Seon et al 2006, Ohly et al 2007, Papagasteriou et al 2007, Granan et al 2009, Tayton et al 2009 Vasara et al 2005). …”

Section: Questions Addressed In the Guidelineunclassified

Guideline on anterior cruciate ligament injury

Meuffels¹,

Poldervaart²,

Diercks³

et al. 2012

Acta Orthopaedica

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The Dutch Orthopaedic Association has a long tradition of development of practical clinical guidelines. Here we present the recommendations from the multidisciplinary clinical guideline working group for anterior cruciate ligament injury.The following 8 clinical questions were formulated by a steering group of the Dutch Orthopaedic Association.What is the role of physical examination and additional diagnostic tools?Which patient-related outcome measures should be used?What are the relevant parameters that influence the indication for an ACL reconstruction?Which findings or complaints are predictive of a bad result of an ACL injury treatment?What is the optimal timing for surgery for an ACL injury?What is the outcome of different conservative treatment modalities?Which kind of graft gives the best result in an ACL reconstruction?What is the optimal postoperative treatment concerning rehabilitation, resumption of sports, and physiotherapy?These 8 questions were answered and recommendations were made, using the “Appraisal of Guidelines for Research and Evaluation” instrument. This instrument seeks to improve the quality and effectiveness of clinical practical guidelines by establishing a shared framework to develop, report, and assess. The steering group has also developed 7 internal indicators to aid in measuring and enhancing the quality of the treatment of patients with an ACL injury, for use in a hospital or practice.

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A correlation of time with meniscal tears in anterior cruciate ligament deficiency: stratifying the risk of surgical delay

Cited by 43 publications

References 20 publications

Anterior cruciate ligament reconstruction: principles of treatment

Anterior cruciate ligament reconstruction: principles of treatment

Risk Factors for Meniscal Tears: A Systematic Review Including Meta-analysis

Guideline on anterior cruciate ligament injury

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