Anterior cruciate ligament reconstruction and concomitant procedures in Finland between 2004 and 2018 based on national registers

Arimaa, Anssi; Salminen, Tommi; Knifsund, Jani; Kytö, Ville; Lankinen, Petteri; Laaksonen, Inari

doi:10.2340/17453674.2023.8481

Cited by 4 publications

(1 citation statement)

References 29 publications

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“…Additionally, there has been a recent sharp rise in anterior cruciate ligament (ACL) reconstruction among patients younger than 15 years old (4,6). While CLI epidemiological investigation in children and adolescents has been thoroughly researched in Europe and the United States (2,3,7,8), it remains under-researched in Asian countries, particularly China.…”

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confidence: 99%

Epidemiology and distribution of cruciate ligament injuries in children and adolescents, with an analysis of risk factors for concomitant meniscal tear

Zhi,

Wen,

Zhang

et al. 2024

Front. Pediatr.

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IntroductionTo investigate the epidemiological features and prevalence of cruciate ligament injuries (CLI) in children and adolescents, and to examine the potential risk factors associated with concomitant meniscal tear (MT) among this population.MethodsThe demographic data and injury details of children and adolescents with CLI from Southeast China were analyzed to describe their distribution characteristics, alongside an analysis of the prevalence of MTs, the most frequent complication. In addition, binary logistic analysis was employed to ascertain the risk factors linked to MT in individuals suffering from CLI.ResultsA total of 203 patients with CLI (n = 206) met the inclusion criteria, with a male-to-female ratio of 2.3:1. Notably, a higher proportion of females were aged ≤16 years old compared to males, who predominated in patients aged >16 years (P = 0.001). Among children and adolescents, anterior cruciate ligament (ACL) injuries were the primary type of CLI, accounting for 88.18% (179/203) of all cases. The majority of cases (132/203, 65.02%) were sustained during sports activities, and sprains were the predominant mechanism of injury (176/203, 86.7%). Additionally, the most common associated injury was an MT (157/203, 77.34%). The posterior horn is the most frequently affected site for both medial MT (62.93% out of 73 cases) and lateral MT (70.19% out of 73 cases). Moreover, vertical tears constituted the majority of medial MTs (59.48% out of 116 cases). Furthermore, patients with a higher BMI faced an increased risk of associated MT in comparison to non-overweight patients (88% vs. 73.86%; P = 0.038). Each increase in BMI unit was linked with a 14% higher probability of associated MT occurrence in children and adolescents with CLI (OR = 1.140; P = 0.036).DiscussionACL injuries are a common form of knee ligament injury among children and adolescents, especially those over the age of 16, and are often the result of a sprain. Meniscal posterior horn injury is the most commonly associated injury of youth with CLI. Additionally, overweight or obese people with CLI are at a greater risk of developing MT.

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Section: Introductionmentioning

confidence: 99%

Epidemiology and distribution of cruciate ligament injuries in children and adolescents, with an analysis of risk factors for concomitant meniscal tear

Zhi,

Wen,

Zhang

et al. 2024

Front. Pediatr.

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Longer time between anterior cruciate ligament injury and reconstruction is associated with a greater risk of medial meniscus injury

Wang,

Liu,

et al. 2024

J. exp. orthop.

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PurposeTo evaluate the impact of delaying reconstruction following anterior cruciate ligament (ACL) injury on the risk of meniscal injury and subsequent meniscectomy, the study was carried out. This constitutes the first study of its kind to be conducted in China.MethodsThis study collected data on patients who had undergone ACL reconstruction surgery at Peking University First Hospital between 2010 and 2022. Patient's injury details, including the time and cause of ACL injury, surgery date and meniscal injury details, were recorded. Patients were stratified into distinct cohorts based on the duration between injury and reconstruction. Logistic regression analysis was used to evaluate the impact of a delayed reconstruction time on the risk of meniscal injury and meniscectomy.ResultsThe study involved patients with an average age of 34.1 ± 11.3 years. Nearly half of the patients (49.74%) had meniscal injuries. Univariate logistic regression analysis showed that gender and the time from ACL trauma to surgery were significantly associated with meniscus injury (p < 0.01). Men have a higher risk of meniscus damage than women (p < 0.01, odds ratio: 1.94, 95% confidence interval: 1.23–3.05). Patients who had surgery 12 months after injury had a significantly increased risk of meniscus injury compared to those who had surgery within 3 months after injury (p < 0.01). The time from ACL injury to operation was significantly correlated with medial meniscus injury (p < 0.001). There was no significant correlation between time to ACL reconstruction and lateral meniscus injury (p > 0.05). Age was significantly associated with the risk of medial meniscectomy (p > 0.05). Time from injury to surgery was not significantly associated with the risk of lateral meniscectomy (p > 0.05).ConclusionsDelayed reconstruction beyond 12 months after ACL rupture increases the risk of medial meniscus injury. The risk of meniscus injury after ACL injury is higher in men than in women, and the risk of medial meniscectomy increases with age.Level of EvidenceLevel III.

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Gradual stabilization and narrowing of bone tunnels following primary anterior cruciate ligament reconstruction

Liu,

Lu,

Vithran

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeThe purpose of this study is to dynamically assess variations in tunnel diameters following anterior cruciate ligament reconstruction (ACLR) and investigate correlations with patient‐reported outcomes (PROs) and graft maturity based on signal‐to‐noise quotient (SNQ).MethodsTunnel diameter and tunnel position were measured using three‐dimensional models derived from computed tomography (CT) data. Postoperative graft maturity and integration were evaluated using magnetic resonance imaging (MRI). Clinical outcomes were assessed through PROs, which included the International Knee Documentation Committee Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Scores and Lysholm scores. The correlation between tunnel enlargement extent, PROs and SNQ values, as well as correlations between confounding factors, tunnel diameter differences and SNQ were analyzed.ResultsA total of 73 participants underwent primary ACLR and scheduled follow‐ups. At the segment of the articular aperture, the femoral tunnel was enlarged by 32.3% to 10.4 ± 1.6 mm (p < 0.05), and the tibial tunnel was widened by 17.2% to 9.6 ± 1.2 mm (p < 0.05) at the 6‐month follow‐up. At 1 year postoperatively, diameters at the articular aperture were not further increased on the femoral (n.s.) and tibial (n.s.) sides. In early postoperative follow‐up, the femoral tunnel was anteriorly and distally shifted, coupled with posterior and lateral deviation involving the tibial side, exhibiting minimal migration at 1‐year follow‐up. The degree of tunnel widening was not correlated with PROs and SNQ values. Age, gender, body mass index (BMI), time from surgery to follow‐up, concomitant injuries and autograft type were not correlated with tunnel diameter differences and SNQ.ConclusionsThe femoral and tibial bone tunnels exhibited eccentrical widening and gradually stabilized at 1 year following ACLR. Furthermore, the enlarged bone tunnels were not correlated with unsatisfied PROs and inferior graft maturity.Level of evidenceLevel IV.

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Anterior cruciate ligament reconstruction and concomitant procedures in Finland between 2004 and 2018 based on national registers

Cited by 4 publications

References 29 publications

Epidemiology and distribution of cruciate ligament injuries in children and adolescents, with an analysis of risk factors for concomitant meniscal tear

Epidemiology and distribution of cruciate ligament injuries in children and adolescents, with an analysis of risk factors for concomitant meniscal tear

Longer time between anterior cruciate ligament injury and reconstruction is associated with a greater risk of medial meniscus injury

Gradual stabilization and narrowing of bone tunnels following primary anterior cruciate ligament reconstruction

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