Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction

Robert H. Brophy; Rick W. Wright; Tal S. David; Robert G. McCormack; Jon K. Sekiya; Steven J. Svoboda; Laura J. Huston; Amanda K. Haas; Karen Steger-May; John P. Albright; Christina R. Allen; Annunziato Amendola; Allen F. Anderson; Jack T. Andrish; Christopher C. Annunziata; Robert A. A.; Bernard R. Bach; Champ L. Baker; Arthur R. Bartolozzi; Keith M. Baumgarten; Jeffery R. Bechler; Jeffrey H. Berg; Geoffrey Bernas; Stephen F. Brockmeier; Charles A. Bush-Joseph; J. Brad Butler; John D. Campbell; James L. Carey; James E. Carpenter; Brian J. Cole; Daniel E. Cooper; Jonathan M. Cooper; Charles L. Cox; R. Alexander Creighton; Diane L. Dahm; Thomas M. DeBerardino; Warren R. Dunn; David C. Flanigan; Robert W. Frederick; Theodore J. Ganley; Charles J. Gatt; Steven R. Gecha; James Robert Giffin; Sharon L. Hame; Jo A. Hannafin; Christopher D. Harner; Norman Lindsay Harris; Keith S. Hechtman; Elliott B. Hershman; Rudolf G. Hoellrich; Timothy M. Hosea; David C. Johnson; Timothy S. Johnson; Morgan H. Jones; Christopher C. Kaeding; Ganesh V. Kamath; Thomas E. Klootwyk; Brett A. Lantz; Bruce A. Levy; C. Benjamin Ma; G. Peter Maiers; Barton Mann; Robert G. Marx; Matthew J. Matava; Gregory M. Mathien; David R. McAllister; Eric C. McCarty; Bruce S. Miller; Carl W. Nissen; Daniel F. O'Neill; Brett D. Owens; Richard D. Parker; Mark L. Purnell; Arun J. Ramappa; Michael A. Rauh; Arthur Rettig; Kevin G. Shea; Orrin H. Sherman; James R. Slauterbeck; Matthew V. Smith; Jeffrey T. Spang; Kurt P. Spindler; Michael J. Stuart; Timothy N. Taft; Joachim J. Tenuta; Edwin M. Tingstad; Armando F. Vidal; Darius G. Viskontas; Richard A. White; James S. Williams; Michelle L. Wolcott; Brian R. Wolf; James J. York

doi:10.1177/0363546512437722

Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction

Robert H. Brophy, Rick W. Wright, Tal S. David, Robert G. McCormack, Jon K. Sekiya, Steven J. Svoboda, Laura J. Huston, Amanda K. Haas, Karen Steger-May, John P. Albright, Christina R. Allen, Annunziato Amendola, Allen F. Anderson, Jack T. Andrish, Christopher C. Annunziata, Robert A. A., Bernard R. Bach, Champ L. Baker, Arthur R. Bartolozzi, Keith M. BaumgartenJeffery R. Bechler, Jeffrey H. Berg, Geoffrey Bernas, Stephen F. Brockmeier, Charles A. Bush-Joseph, J. Brad Butler, John D. Campbell, James L. Carey, James E. Carpenter, Brian J. Cole, Daniel E. Cooper, Jonathan M. Cooper, Charles L. Cox, R. Alexander Creighton, Diane L. Dahm, Thomas M. DeBerardino, Warren R. Dunn, David C. Flanigan, Robert W. Frederick, Theodore J. Ganley, Charles J. Gatt, Steven R. Gecha, James Robert Giffin, Sharon L. Hame, Jo A. Hannafin, Christopher D. Harner, Norman Lindsay Harris, Keith S. Hechtman, Elliott B. Hershman, Rudolf G. Hoellrich, Timothy M. Hosea, David C. Johnson, Timothy S. Johnson, Morgan H. Jones, Christopher C. Kaeding, Ganesh V. Kamath, Thomas E. Klootwyk, Brett A. Lantz, Bruce A. Levy, C. Benjamin Ma, G. Peter Maiers, Barton Mann, Robert G. Marx, Matthew J. Matava, Gregory M. Mathien, David R. McAllister, Eric C. McCarty, Bruce S. Miller, Carl W. Nissen, Daniel F. O'Neill, Brett D. Owens, Richard D. Parker, Mark L. Purnell, Arun J. Ramappa, Michael A. Rauh, Arthur Rettig, Kevin G. Shea, Orrin H. Sherman, James R. Slauterbeck, Matthew V. Smith, Jeffrey T. Spang, Kurt P. Spindler, Michael J. Stuart, Timothy N. Taft, Joachim J. Tenuta, Edwin M. Tingstad, Armando F. Vidal, Darius G. Viskontas, Richard A. White, James S. Williams, Michelle L. Wolcott, Brian R. Wolf, James J. York

Orthopedic Surgery

Research output: Contribution to journal › Article › peer-review

51 Scopus citations

Abstract

Background: Knees undergoing revision anterior cruciate ligament (ACL) reconstruction typically have more intra-articular injuries than do knees undergoing primary reconstruction.Hypothesis: Previous partial meniscectomy (PM) is associated with a higher rate of chondral lesions at revision ACL reconstruction, whereas previous meniscal repair (MR) is not associated with a higher rate of chondral lesions at revision ACL reconstruction, compared with knees undergoing revision ACL with no previous meniscal surgery.Study design: Cohort study (Prevalence); Level of evidence, 2.Methods: Data from a multicenter cohort was reviewed to determine the history of prior meniscal surgery (PM/MR) and the presence of grade II/III/IV chondral lesions at revision ACL reconstruction. The association between previous meniscal surgery and the incidence of chondral lesions was examined. Patient age was included as a covariate to determine if surgery type contributes predictive information independent of patient age.Results: The cohort included 725 ACL revision surgeries. Chondrosis was associated with patient age (P <.0001) and previous meniscal surgery (P <.0001). After adjusting for patient age, knees with previous PM were more likely to have chondrosis than knees with previous MR (P =.003) or no previous meniscal surgery (P <.0001). There was no difference between knees without previous meniscal surgery and knees with previous MR (P =.7). Previous partial meniscectomy was associated with a higher rate of chondrosis in the same compartment compared with knees without previous meniscal surgery (P <.0001) and knees with previous MR (P ≤.03).Conclusion: The status of articular cartilage at the time of revision ACL reconstruction relates to previous meniscal surgery independent of the effect of patient age. Previous partial meniscectomy is associated with a higher incidence of articular cartilage lesions, whereas previous meniscal repair is not. Although this association may reflect underlying differences in the knee at the time of prior surgery, it does suggest that meniscal repair is preferable when possible at the time of ACL reconstruction.

Original language	English (US)
Pages (from-to)	808-814
Number of pages	7
Journal	American Journal of Sports Medicine
Volume	40
Issue number	4
DOIs	https://doi.org/10.1177/0363546512437722
State	Published - Apr 1 2012

Keywords

chondrosis
meniscal repair
meniscectomy
revision ACL reconstruction

ASJC Scopus subject areas

Physical Therapy, Sports Therapy and Rehabilitation
Orthopedics and Sports Medicine

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10.1177/0363546512437722

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Brophy, R. H., Wright, R. W., David, T. S., McCormack, R. G., Sekiya, J. K., Svoboda, S. J., Huston, L. J., Haas, A. K., Steger-May, K., Albright, J. P., Allen, C. R., Amendola, A., Anderson, A. F., Andrish, J. T., Annunziata, C. C., A., R. A., Bach, B. R., Baker, C. L., Bartolozzi, A. R., ... York, J. J. (2012). Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction. American Journal of Sports Medicine, 40(4), 808-814. https://doi.org/10.1177/0363546512437722

Brophy, RH, Wright, RW, David, TS, McCormack, RG, Sekiya, JK, Svoboda, SJ, Huston, LJ, Haas, AK, Steger-May, K, Albright, JP, Allen, CR, Amendola, A, Anderson, AF, Andrish, JT, Annunziata, CC, A., RA, Bach, BR, Baker, CL, Bartolozzi, AR, Baumgarten, KM, Bechler, JR, Berg, JH, Bernas, G, Brockmeier, SF, Bush-Joseph, CA, Butler, JB, Campbell, JD, Carey, JL, Carpenter, JE, Cole, BJ, Cooper, DE, Cooper, JM, Cox, CL, Creighton, RA, Dahm, DL, DeBerardino, TM, Dunn, WR, Flanigan, DC, Frederick, RW, Ganley, TJ, Gatt, CJ, Gecha, SR, Giffin, JR, Hame, SL, Hannafin, JA, Harner, CD, Harris, NL, Hechtman, KS, Hershman, EB, Hoellrich, RG, Hosea, TM, Johnson, DC, Johnson, TS, Jones, MH, Kaeding, CC, Kamath, GV, Klootwyk, TE, Lantz, BA, Levy, BA, Ma, CB, Maiers, GP, Mann, B, Marx, RG, Matava, MJ, Mathien, GM, McAllister, DR, McCarty, EC, Miller, BS, Nissen, CW, O'Neill, DF, Owens, BD, Parker, RD, Purnell, ML, Ramappa, AJ, Rauh, MA, Rettig, A, Shea, KG, Sherman, OH, Slauterbeck, JR, Smith, MV, Spang, JT, Spindler, KP, Stuart, MJ, Taft, TN, Tenuta, JJ, Tingstad, EM, Vidal, AF, Viskontas, DG, White, RA, Williams, JS, Wolcott, ML, Wolf, BR & York, JJ 2012, 'Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction', American Journal of Sports Medicine, vol. 40, no. 4, pp. 808-814. https://doi.org/10.1177/0363546512437722

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title = "Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction",

abstract = "Background: Knees undergoing revision anterior cruciate ligament (ACL) reconstruction typically have more intra-articular injuries than do knees undergoing primary reconstruction.Hypothesis: Previous partial meniscectomy (PM) is associated with a higher rate of chondral lesions at revision ACL reconstruction, whereas previous meniscal repair (MR) is not associated with a higher rate of chondral lesions at revision ACL reconstruction, compared with knees undergoing revision ACL with no previous meniscal surgery.Study design: Cohort study (Prevalence); Level of evidence, 2.Methods: Data from a multicenter cohort was reviewed to determine the history of prior meniscal surgery (PM/MR) and the presence of grade II/III/IV chondral lesions at revision ACL reconstruction. The association between previous meniscal surgery and the incidence of chondral lesions was examined. Patient age was included as a covariate to determine if surgery type contributes predictive information independent of patient age.Results: The cohort included 725 ACL revision surgeries. Chondrosis was associated with patient age (P <.0001) and previous meniscal surgery (P <.0001). After adjusting for patient age, knees with previous PM were more likely to have chondrosis than knees with previous MR (P =.003) or no previous meniscal surgery (P <.0001). There was no difference between knees without previous meniscal surgery and knees with previous MR (P =.7). Previous partial meniscectomy was associated with a higher rate of chondrosis in the same compartment compared with knees without previous meniscal surgery (P <.0001) and knees with previous MR (P ≤.03).Conclusion: The status of articular cartilage at the time of revision ACL reconstruction relates to previous meniscal surgery independent of the effect of patient age. Previous partial meniscectomy is associated with a higher incidence of articular cartilage lesions, whereas previous meniscal repair is not. Although this association may reflect underlying differences in the knee at the time of prior surgery, it does suggest that meniscal repair is preferable when possible at the time of ACL reconstruction.",

keywords = "chondrosis, meniscal repair, meniscectomy, revision ACL reconstruction",

author = "Brophy, {Robert H.} and Wright, {Rick W.} and David, {Tal S.} and McCormack, {Robert G.} and Sekiya, {Jon K.} and Svoboda, {Steven J.} and Huston, {Laura J.} and Haas, {Amanda K.} and Karen Steger-May and Albright, {John P.} and Allen, {Christina R.} and Annunziato Amendola and Anderson, {Allen F.} and Andrish, {Jack T.} and Annunziata, {Christopher C.} and A., {Robert A.} and Bach, {Bernard R.} and Baker, {Champ L.} and Bartolozzi, {Arthur R.} and Baumgarten, {Keith M.} and Bechler, {Jeffery R.} and Berg, {Jeffrey H.} and Geoffrey Bernas and Brockmeier, {Stephen F.} and Bush-Joseph, {Charles A.} and Butler, {J. Brad} and Campbell, {John D.} and Carey, {James L.} and Carpenter, {James E.} and Cole, {Brian J.} and Cooper, {Daniel E.} and Cooper, {Jonathan M.} and Cox, {Charles L.} and Creighton, {R. Alexander} and Dahm, {Diane L.} and DeBerardino, {Thomas M.} and Dunn, {Warren R.} and Flanigan, {David C.} and Frederick, {Robert W.} and Ganley, {Theodore J.} and Gatt, {Charles J.} and Gecha, {Steven R.} and Giffin, {James Robert} and Hame, {Sharon L.} and Hannafin, {Jo A.} and Harner, {Christopher D.} and Harris, {Norman Lindsay} and Hechtman, {Keith S.} and Hershman, {Elliott B.} and Hoellrich, {Rudolf G.} and Hosea, {Timothy M.} and Johnson, {David C.} and Johnson, {Timothy S.} and Jones, {Morgan H.} and Kaeding, {Christopher C.} and Kamath, {Ganesh V.} and Klootwyk, {Thomas E.} and Lantz, {Brett A.} and Levy, {Bruce A.} and Ma, {C. Benjamin} and Maiers, {G. Peter} and Barton Mann and Marx, {Robert G.} and Matava, {Matthew J.} and Mathien, {Gregory M.} and McAllister, {David R.} and McCarty, {Eric C.} and Miller, {Bruce S.} and Nissen, {Carl W.} and O'Neill, {Daniel F.} and Owens, {Brett D.} and Parker, {Richard D.} and Purnell, {Mark L.} and Ramappa, {Arun J.} and Rauh, {Michael A.} and Arthur Rettig and Shea, {Kevin G.} and Sherman, {Orrin H.} and Slauterbeck, {James R.} and Smith, {Matthew V.} and Spang, {Jeffrey T.} and Spindler, {Kurt P.} and Stuart, {Michael J.} and Taft, {Timothy N.} and Tenuta, {Joachim J.} and Tingstad, {Edwin M.} and Vidal, {Armando F.} and Viskontas, {Darius G.} and White, {Richard A.} and Williams, {James S.} and Wolcott, {Michelle L.} and Wolf, {Brian R.} and York, {James J.}",

year = "2012",

month = apr,

day = "1",

doi = "10.1177/0363546512437722",

language = "English (US)",

volume = "40",

pages = "808--814",

journal = "American Journal of Sports Medicine",

issn = "0363-5465",

publisher = "SAGE Publications Inc.",

number = "4",

}

TY - JOUR

T1 - Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction

AU - Brophy, Robert H.

AU - Wright, Rick W.

AU - David, Tal S.

AU - McCormack, Robert G.

AU - Sekiya, Jon K.

AU - Svoboda, Steven J.

AU - Huston, Laura J.

AU - Haas, Amanda K.

AU - Steger-May, Karen

AU - Albright, John P.

AU - Allen, Christina R.

AU - Amendola, Annunziato

AU - Anderson, Allen F.

AU - Andrish, Jack T.

AU - Annunziata, Christopher C.

AU - A., Robert A.

AU - Bach, Bernard R.

AU - Baker, Champ L.

AU - Bartolozzi, Arthur R.

AU - Baumgarten, Keith M.

AU - Bechler, Jeffery R.

AU - Berg, Jeffrey H.

AU - Bernas, Geoffrey

AU - Brockmeier, Stephen F.

AU - Bush-Joseph, Charles A.

AU - Butler, J. Brad

AU - Campbell, John D.

AU - Carey, James L.

AU - Carpenter, James E.

AU - Cole, Brian J.

AU - Cooper, Daniel E.

AU - Cooper, Jonathan M.

AU - Cox, Charles L.

AU - Creighton, R. Alexander

AU - Dahm, Diane L.

AU - DeBerardino, Thomas M.

AU - Dunn, Warren R.

AU - Flanigan, David C.

AU - Frederick, Robert W.

AU - Ganley, Theodore J.

AU - Gatt, Charles J.

AU - Gecha, Steven R.

AU - Giffin, James Robert

AU - Hame, Sharon L.

AU - Hannafin, Jo A.

AU - Harner, Christopher D.

AU - Harris, Norman Lindsay

AU - Hechtman, Keith S.

AU - Hershman, Elliott B.

AU - Hoellrich, Rudolf G.

AU - Hosea, Timothy M.

AU - Johnson, David C.

AU - Johnson, Timothy S.

AU - Jones, Morgan H.

AU - Kaeding, Christopher C.

AU - Kamath, Ganesh V.

AU - Klootwyk, Thomas E.

AU - Lantz, Brett A.

AU - Levy, Bruce A.

AU - Ma, C. Benjamin

AU - Maiers, G. Peter

AU - Mann, Barton

AU - Marx, Robert G.

AU - Matava, Matthew J.

AU - Mathien, Gregory M.

AU - McAllister, David R.

AU - McCarty, Eric C.

AU - Miller, Bruce S.

AU - Nissen, Carl W.

AU - O'Neill, Daniel F.

AU - Owens, Brett D.

AU - Parker, Richard D.

AU - Purnell, Mark L.

AU - Ramappa, Arun J.

AU - Rauh, Michael A.

AU - Rettig, Arthur

AU - Shea, Kevin G.

AU - Sherman, Orrin H.

AU - Slauterbeck, James R.

AU - Smith, Matthew V.

AU - Spang, Jeffrey T.

AU - Spindler, Kurt P.

AU - Stuart, Michael J.

AU - Taft, Timothy N.

AU - Tenuta, Joachim J.

AU - Tingstad, Edwin M.

AU - Vidal, Armando F.

AU - Viskontas, Darius G.

AU - White, Richard A.

AU - Williams, James S.

AU - Wolcott, Michelle L.

AU - Wolf, Brian R.

AU - York, James J.

PY - 2012/4/1

Y1 - 2012/4/1

N2 - Background: Knees undergoing revision anterior cruciate ligament (ACL) reconstruction typically have more intra-articular injuries than do knees undergoing primary reconstruction.Hypothesis: Previous partial meniscectomy (PM) is associated with a higher rate of chondral lesions at revision ACL reconstruction, whereas previous meniscal repair (MR) is not associated with a higher rate of chondral lesions at revision ACL reconstruction, compared with knees undergoing revision ACL with no previous meniscal surgery.Study design: Cohort study (Prevalence); Level of evidence, 2.Methods: Data from a multicenter cohort was reviewed to determine the history of prior meniscal surgery (PM/MR) and the presence of grade II/III/IV chondral lesions at revision ACL reconstruction. The association between previous meniscal surgery and the incidence of chondral lesions was examined. Patient age was included as a covariate to determine if surgery type contributes predictive information independent of patient age.Results: The cohort included 725 ACL revision surgeries. Chondrosis was associated with patient age (P <.0001) and previous meniscal surgery (P <.0001). After adjusting for patient age, knees with previous PM were more likely to have chondrosis than knees with previous MR (P =.003) or no previous meniscal surgery (P <.0001). There was no difference between knees without previous meniscal surgery and knees with previous MR (P =.7). Previous partial meniscectomy was associated with a higher rate of chondrosis in the same compartment compared with knees without previous meniscal surgery (P <.0001) and knees with previous MR (P ≤.03).Conclusion: The status of articular cartilage at the time of revision ACL reconstruction relates to previous meniscal surgery independent of the effect of patient age. Previous partial meniscectomy is associated with a higher incidence of articular cartilage lesions, whereas previous meniscal repair is not. Although this association may reflect underlying differences in the knee at the time of prior surgery, it does suggest that meniscal repair is preferable when possible at the time of ACL reconstruction.

AB - Background: Knees undergoing revision anterior cruciate ligament (ACL) reconstruction typically have more intra-articular injuries than do knees undergoing primary reconstruction.Hypothesis: Previous partial meniscectomy (PM) is associated with a higher rate of chondral lesions at revision ACL reconstruction, whereas previous meniscal repair (MR) is not associated with a higher rate of chondral lesions at revision ACL reconstruction, compared with knees undergoing revision ACL with no previous meniscal surgery.Study design: Cohort study (Prevalence); Level of evidence, 2.Methods: Data from a multicenter cohort was reviewed to determine the history of prior meniscal surgery (PM/MR) and the presence of grade II/III/IV chondral lesions at revision ACL reconstruction. The association between previous meniscal surgery and the incidence of chondral lesions was examined. Patient age was included as a covariate to determine if surgery type contributes predictive information independent of patient age.Results: The cohort included 725 ACL revision surgeries. Chondrosis was associated with patient age (P <.0001) and previous meniscal surgery (P <.0001). After adjusting for patient age, knees with previous PM were more likely to have chondrosis than knees with previous MR (P =.003) or no previous meniscal surgery (P <.0001). There was no difference between knees without previous meniscal surgery and knees with previous MR (P =.7). Previous partial meniscectomy was associated with a higher rate of chondrosis in the same compartment compared with knees without previous meniscal surgery (P <.0001) and knees with previous MR (P ≤.03).Conclusion: The status of articular cartilage at the time of revision ACL reconstruction relates to previous meniscal surgery independent of the effect of patient age. Previous partial meniscectomy is associated with a higher incidence of articular cartilage lesions, whereas previous meniscal repair is not. Although this association may reflect underlying differences in the knee at the time of prior surgery, it does suggest that meniscal repair is preferable when possible at the time of ACL reconstruction.

KW - chondrosis

KW - meniscal repair

KW - meniscectomy

KW - revision ACL reconstruction

UR - http://www.scopus.com/inward/record.url?scp=84859513790&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84859513790&partnerID=8YFLogxK

U2 - 10.1177/0363546512437722

DO - 10.1177/0363546512437722

M3 - Article

C2 - 22374942

AN - SCOPUS:84859513790

SN - 0363-5465

VL - 40

SP - 808

EP - 814

JO - American Journal of Sports Medicine

JF - American Journal of Sports Medicine

IS - 4

ER -

Association between previous meniscal surgery and the incidence of chondral lesions at revision anterior cruciate ligament reconstruction

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