Incidence of concomitant intra- and extra-articular lesions and procedures in patients undergoing primary and subsequent revision single-stage or 2-stage revision anterior cruciate ligament reconstruction: a matched retrospective cohort study

IF 1.6 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2025-07-07 DOI:10.1016/j.knee.2025.06.013

Anna M. Ifarraguerri , Alexander B. White , George D. Graham , Kennedy K. Gachigi , Alexander N. Berk , Michael S. Collins , David P. Trofa , Dana P. Piasecki , James E. Fleischli , Patrick N. Siparsky , Bryan M. Saltzman

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引用次数: 0

Abstract

Purpose

This study compares the concomitant intra- and extra-articular pathologies in patients undergoing primary anterior cruciate ligament reconstruction (ACLR) to their subsequent single or 2-stage revision ACLR.

Methods

Patients from 2012 to 2021 with minimum two-year follow-up after single-stage revision ACLR were matched with patients who underwent 2-stage revision ACLR by age, sex, and body mass index. Concomitant pathologies and procedures were compared from primary to single or 2-stage revision ACLR. The incidence of concomitant knee pathologies and procedures at the time of primary and revision ACLR was compared between the two groups.

Results

Following primary ACLR, 27 patients had single-stage revision ACLR and 27 had 2-stage revision ACLR. At the time of revision surgery, 2-stage revision ACLR had increased incidence of multi-ligamentous injury and meniscus repair. Rates of chondral injury alone and chondral injury plus concomitant meniscal injury increased significantly from primary to 2-stage revision ACLR. No significant change in the incidence of concomitant pathologies or procedures was found at primary ACLR to single-stage revision ACLR.

Conclusion

Patients with 2-stage revision ACLR are more likely to have concomitant multi-ligamentous pathologies and meniscal repair at the time of revision. Additionally, 25.9% of patients developed chondral pathologies and 18.55% developed both chondral and meniscal lesions from primary ACLR to 2-stage revision ACLR, raising concern about the long-term outcomes of these patients.

Level of evidence

Retrospective Cohort; 3.

查看原文本刊更多论文

一期或二期前交叉韧带重建翻修患者关节内和关节外病变的发生率及手术：一项匹配的回顾性队列研究

目的：本研究比较原发性前交叉韧带重建（ACLR）患者与随后的单期或2期ACLR翻修患者的关节内和关节外病变。方法将2012年至2021年接受单期ACLR翻修后至少随访两年的患者与接受两期ACLR翻修的患者按年龄、性别和体重指数进行匹配。伴随的病理和手术比较从初级到单期或2期翻修ACLR。比较两组间首次和翻修ACLR时的伴随膝关节病变和手术的发生率。结果原发性ACLR术后，27例患者行单期ACLR翻修，27例患者行2期ACLR翻修。在翻修手术时，2期翻修ACLR增加了多韧带损伤和半月板修复的发生率。单纯软骨损伤和软骨损伤合并半月板损伤的发生率从一期到二期翻修ACLR显著增加。与单期翻修ACLR相比，原发性ACLR的伴随病变或手术的发生率没有显著变化。结论2期ACLR翻修患者在翻修时更容易合并多韧带病变和半月板修复。此外，从原发性ACLR到2期改良ACLR， 25.9%的患者发生软骨病变，18.55%的患者同时发生软骨和半月板病变，引起了对这些患者长期预后的关注。证据水平：回顾性队列；3.

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.