Is Anterior Cruciate Ligament Reconstruction Effective in Preventing Secondary Meniscal Tears and Osteoarthritis?

Thomas L. Sanders, Hilal D Maradit Kremers, Andrew J. Bryan, Kristin M. Fruth, Dirk R. Larson, Ayoosh Pareek, Bruce A Levy, Michael J. Stuart, Diane L. Dahm, Aaron Krych

Research output: Contribution to journalArticle

54 Scopus citations

Abstract

Background: Reconstruction of anterior cruciate ligament (ACL) tears may potentially prevent the development of secondary meniscal injuries and arthritis. Purpose/Hypothesis: The purpose of this study was to (1) evaluate the protective benefit of ACL reconstruction (ACLR) in preventing subsequent meniscal tears or arthritis, (2) determine if earlier ACLR (21 years at the time of injury, articular cartilage damage, and medial/lateral meniscal tears were predictive of arthritis after ACLR. Conclusion: Patients treated with ACLR have a significantly lower risk of secondary meniscal tears, symptomatic arthritis, and TKA when compared with patients treated nonoperatively after ACL tears. Similarly, early ACLR significantly reduces the risk of subsequent meniscal tears and arthritis compared with delayed ACLR.

Original languageEnglish (US)
Pages (from-to)1699-1707
Number of pages9
JournalAmerican Journal of Sports Medicine
Volume44
Issue number7
DOIs
StatePublished - Jul 1 2016

Keywords

  • ACL reconstruction
  • ACL tear
  • arthritis
  • meniscal tear
  • total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

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