2026, Number P5
Prevalence of meniscal and condral injuries observed in anterior cruciate ligament reconstruction in athletes aged 20 to 35 years
Language: Spanish
References: 13
Page: 522-527
PDF size: 469.72 Kb.
ABSTRACT
Objective: the purpose of this study was to analyze the incidence and characteristics of meniscal and chondral lesions associated with anterior cruciate ligament (ACL) rupture, according to the time elapsed between the injury and surgical reconstruction. Material and methods: an observational, retrospective, and cross-sectional study was conducted in patients aged 20 to 35 years with a history of regular sports activity, who underwent arthroscopic ACL reconstruction between March 2022 and March 2024 at a private hospital. A total of 71 patients were included: 62 (87.3%) underwent surgery within 24 weeks of injury, and nine (12.7%) after 24 weeks. Results: no statistically significant differences were found between the groups regarding age (p = 0.372), presence of medial meniscal injury (p = 0.821), lateral meniscal injury (p = 0.145), or chondral lesions (p = 0.262), nor in the treatments performed. Conclusion: the timing of surgery showed no significant association with the frequency or location of associated lesions. This study provides clinically relevant evidence regarding both early and delayed ACL reconstruction in a young, physically active population.REFERENCES
Krutsch W, Zellner J, Baumann F, Pfeifer C, Nerlich M, Angele P.Timing of anterior cruciate ligament reconstruction within the firstyear after trauma and its influence on treatment of cartilage andmeniscus pathology. Knee Surg Sports Traumatol Arthrosc. 2017; 25(2): 418-425. doi: 10.1007/s00167-015-3830-2.
Brambilla L, Pulici L, Carimati G, Quaglia A, Prospero E, Bait C etal. Prevalence of associated lesions in anterior cruciate ligamentreconstruction: correlation with surgical timing and with patient age,sex, and body mass index. Am J Sports Med. 2015; 43 (12): 2966-2973. doi: 10.1177/0363546515608483.
Tomihara T, Hashimoto Y, Takahashi S, Taniuchi M, Takigami J,Tsumoto S et al. Analyses of associated factors with concomitantmeniscal injury and irreparable meniscal tear at primary anteriorcruciate ligament reconstruction in young patients. Asia Pac J SportsMed Arthrosc Rehabil Technol. 2023; 32: 12-17. doi: 10.1016/j.asmart.2023.04.001.