Timing of anterior cruciate ligament reconstruction within the first year after XXXX and its influence on treatment of cartilage and meniscus pathology.

@entity1 @entity1844 @entity571 @entity937 @entity397 @entity6151 @entity130
PURPOSE: Anterior cruciate ligament (ACL) @entity397 are often associated with primary @entity1844 . Late reconstruction of ACL-deficient knees may increase the risk of developing secondary @entity1844 ; hence, the timing of ACL repair is of the utmost importance. Because meniscus outcome is also a potential predictor for @entity571 ( @entity571 ), this study compared ACL repair within the first 6  months after injury to that of surgery conducted 7-12  months after injury with regard to the incidence of @entity1844 . METHODS: This prospective cross-sectional study included all complete isolated primary @entity6151 treated in our institution within 1  year after @entity130 over a 12-month period. Exclusion criteria were revision ACL, complex ligament injuries, previous knee surgery, and missing injury data. Cartilage lesions were classified according to the score established by the International Cartilage Repair Society (ICRS score) and @entity937 according to their treatment options. RESULTS: Two hundred and thirty-three of 730 @entity1 (162 @entity1 , 71 @entity1 ) with ACL repair met the inclusion criteria. 86.3  % of surgical interventions were conducted within 6  months and 13.7  % after 6  months of @entity130 . Severe cartilage lesions grade III-IV did not significantly differ between the different time points of ACL repair (<6  months 39.9  %; >6  months 31.3  %; p  =  n.s.). Medial meniscus lesions received significantly higher meniscal repair in early compared to delayed ACL repair. Significantly higher rate of meniscal repair of the medial meniscus was seen in cases of early ACL repair compared to delayed (<6  months 77.2  %, >6  months 46.7; p  =  0.022). The rate of medial meniscal repair in early ACL repair was significantly higher for @entity1 (89.5-0  %; p  =  0.002), however, not for @entity1 (73.3-53.8  %; p  =  n.s.). No differences were found for lateral meniscal lesions, with regard to neither the different time points (p  =  n.s.) nor the sex (p  =  n.s.). CONCLUSIONS: Because of the significantly higher rate of prognostically advantageous meniscal repair, the recommendation for an ACL reconstruction within 6  months after @entity130 was made to preserve the meniscus and reduce the risk of developing @entity571 . LEVEL OF EVIDENCE: Prospective cross-sectional cohort study, Level II.
