Abstract：
OBJECTIVE: The aim of this study was to evaluate the relationship between the time from injury to ACL reconstruction (ACLR) and the rate as well as repairability of meniscal tears. Secondary aims were to evaluate the relationship between meniscal injury and Tegner Activity Scale, age, BMI, and gender.
METHODS: Between 2012 and 2022, 1,840 consecutive ACLRs were performed. A total of 1,317 ACLRs were included with a mean patient age of 31.2 years ± 10.5 [16-60]. Meniscal tear was assessed during arthroscopy using the ISAKOS classification. Time from injury to ACLR, Tegner Activity Scale, age, BMI and gender were analysed in uni- and then in multivariate analyses. Patients were divided into four groups according to the time from injury to surgery: < 3 months (427; 32%), 3-6 months (388; 29%), 6-12 months (248; 19%) and > 12 months (254; 19%).
RESULTS: Delaying ACLR > 12 months significantly increased the rate of medial meniscal (MM) injury (OR 1.14; p < 0.001). No correlation was found between a 3- or 6-month time from injury to surgery and MM tear. Performing ACLR > 3, 6, or 12 months after injury did not significantly increase the rate of lateral meniscal (LM) injury. Increasing Tegner activity scale was significantly associated with a lower rate of MM injury (OR 0.90; p = 0.020). An age > 30 years (OR 1.07; p = 0.025) and male gender (OR 1.13; p < 0.0001) was also associated with an increased rate of MM injury. Age > 30 years decreased the rate of MM repair (OR 0.85; p < 0.001). Male gender increased the rate of LM tear (OR 1.10; p = 0.001).
CONCLUSIONS: Performing ACLR more than 12 months after injury was associated with increased rates of MM injury but not with lower rates of repairable lesions. An increased pre-injury Tegner activity score was associated with a decreased rate of MM tear. Age > 30 years was associated with an increased rate of MM tear with concomitant ACL injury and a decreased rate of repairability of MM tear. ACLR should be performed within 12 months from injury to prevent from the risk of MM injury.
METHODS: Level III.
METHODS: Between 2012 and 2022, 1,840 consecutive ACLRs were performed. A total of 1,317 ACLRs were included with a mean patient age of 31.2 years ± 10.5 [16-60]. Meniscal tear was assessed during arthroscopy using the ISAKOS classification. Time from injury to ACLR, Tegner Activity Scale, age, BMI and gender were analysed in uni- and then in multivariate analyses. Patients were divided into four groups according to the time from injury to surgery: < 3 months (427; 32%), 3-6 months (388; 29%), 6-12 months (248; 19%) and > 12 months (254; 19%).
RESULTS: Delaying ACLR > 12 months significantly increased the rate of medial meniscal (MM) injury (OR 1.14; p < 0.001). No correlation was found between a 3- or 6-month time from injury to surgery and MM tear. Performing ACLR > 3, 6, or 12 months after injury did not significantly increase the rate of lateral meniscal (LM) injury. Increasing Tegner activity scale was significantly associated with a lower rate of MM injury (OR 0.90; p = 0.020). An age > 30 years (OR 1.07; p = 0.025) and male gender (OR 1.13; p < 0.0001) was also associated with an increased rate of MM injury. Age > 30 years decreased the rate of MM repair (OR 0.85; p < 0.001). Male gender increased the rate of LM tear (OR 1.10; p = 0.001).
CONCLUSIONS: Performing ACLR more than 12 months after injury was associated with increased rates of MM injury but not with lower rates of repairable lesions. An increased pre-injury Tegner activity score was associated with a decreased rate of MM tear. Age > 30 years was associated with an increased rate of MM tear with concomitant ACL injury and a decreased rate of repairability of MM tear. ACLR should be performed within 12 months from injury to prevent from the risk of MM injury.
METHODS: Level III.
摘要：
目的：这项研究的目的是评估从损伤到ACL重建（ACLR）的时间与半月板撕裂率和修复能力之间的关系。次要目的是评估半月板损伤与Tegner活动量表之间的关系，年龄,BMI,和性别。
方法：在2012年至2022年之间，进行了1,840次连续的ACLRs。共纳入1,317例ACLRs，患者平均年龄为31.2岁±10.5[16-60]。在关节镜检查期间使用ISAKOS分类评估半月板撕裂。从受伤到ACLR的时间，Tegner活动量表,年龄,BMI和性别分别在单因素分析和多因素分析中进行分析。根据受伤到手术的时间将患者分为四组：<3个月（427;32％），3-6个月（388；29%），6-12个月（248；19%）和>12个月（254；19%）。
结果：延迟ACLR>12个月可显着增加内侧半月板（MM）损伤的发生率（OR1.14；p<0.001）。从损伤到手术的3个月或6个月时间与MM撕裂之间没有发现相关性。损伤后ACLR>3、6或12个月并没有显着增加外侧半月板（LM）损伤的发生率。增加的Tegner活动量表与较低的MM损伤率显着相关（OR0.90；p=0.020）。年龄>30岁（OR1.07；p=0.025）和男性（OR1.13；p<0.0001）也与MM损伤的发生率增加有关。年龄>30岁降低MM修复率（OR0.85；p<0.001）。男性增加LM撕裂率（OR1.10；p=0.001）。
结论：在损伤后超过12个月进行ACLR与MM损伤的发生率增加有关，但与可修复病变的发生率无关。伤前Tegner活动评分增加与MM撕裂率降低相关。年龄>30岁与伴随ACL损伤的MM撕裂率增加和MM撕裂修复率降低相关。ACLR应在受伤后12个月内进行，以防止MM受伤的风险。
方法：三级。
方法：在2012年至2022年之间，进行了1,840次连续的ACLRs。共纳入1,317例ACLRs，患者平均年龄为31.2岁±10.5[16-60]。在关节镜检查期间使用ISAKOS分类评估半月板撕裂。从受伤到ACLR的时间，Tegner活动量表,年龄,BMI和性别分别在单因素分析和多因素分析中进行分析。根据受伤到手术的时间将患者分为四组：<3个月（427;32％），3-6个月（388；29%），6-12个月（248；19%）和>12个月（254；19%）。
结果：延迟ACLR>12个月可显着增加内侧半月板（MM）损伤的发生率（OR1.14；p<0.001）。从损伤到手术的3个月或6个月时间与MM撕裂之间没有发现相关性。损伤后ACLR>3、6或12个月并没有显着增加外侧半月板（LM）损伤的发生率。增加的Tegner活动量表与较低的MM损伤率显着相关（OR0.90；p=0.020）。年龄>30岁（OR1.07；p=0.025）和男性（OR1.13；p<0.0001）也与MM损伤的发生率增加有关。年龄>30岁降低MM修复率（OR0.85；p<0.001）。男性增加LM撕裂率（OR1.10；p=0.001）。
结论：在损伤后超过12个月进行ACLR与MM损伤的发生率增加有关，但与可修复病变的发生率无关。伤前Tegner活动评分增加与MM撕裂率降低相关。年龄>30岁与伴随ACL损伤的MM撕裂率增加和MM撕裂修复率降低相关。ACLR应在受伤后12个月内进行，以防止MM受伤的风险。
方法：三级。
