Is anterior cruciate ligament reconstruction effective in preventing secondary meniscal tears and osteoarthritis?
Sanders TL, Kremers HM, Bryan AJ, Fruth KM, Larson DR, Pareek A, Levy BA, Stuart MJ, Dahm DL, Krych AJ. Am J Sports Med. 2016 Jul;44(7):1699-707.
Take Home Message: Patients who sustained an anterior cruciate ligament (ACL) rupture were more likely to develop secondary meniscal injury and arthritis when compared to a matched cohort. Specifically, those that were treated nonoperatively or with delayed surgery may be more likely to develop secondary meniscal injury, develop arthritis, and be in need of a total knee replacement when compared with those patients treated with early surgery.
After an anterior cruciate ligament (ACL) rupture, physically active patients often receive an ACL reconstruction if they wish to return to some level of activity. However, there is conflicting evidence about the long-term benefits of an ACL reconstruction. Therefore, Sanders and colleagues completed a retrospective study to 1) evaluate the protective benefits of ACL reconstruction (ACLR) with regards to meniscal tears and physician-diagnosed arthritis, 2) determine if there is an optimal time frame for undergoing treatment, and 3) identify predictive factors of long-term disability.