“…This is in line with findings from a study of 616 participants that reported more meniscal injury in patients who underwent ACLR more than 3 months after injury and more cartilage injury in those who received ACLR more than 6 months from injury (Razi et al, 2013). Similarly, a large study of 1434 individuals found a relationship between an increased period of time from injury to surgery and higher rates of concomitant joint injury when presenting for ACLR, including injury to meniscus and joint surfaces (Ralles, Agel, Obermeier, & Tompkins, 2015). People with concomitant injury to other knee structures at the time of ACLR report higher rates of osteoarthritis 10 to 20 years later (Claes et al, 2013;Keays, 2010;Magnussen et al, 2009;Murray et al, 2012;Øiestad et al, 2009;van Meer et al, 2015) and poorer patient-reported outcomes after ACLR including more knee pain, symptoms, poorer function and reduced QOL (Barenius et al, 2010;Cox et al, 2014;Dunn et al, 2015;Gerhard et al, 2012;Neuman et al, 2008;Røtterud et al, 2012;Røtterud et al, 2013).…”