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Prevalence and Incidence of Chondral and Meniscal Lesions in Patients Undergoing Primary and Subsequent Revision Anterior Cruciate Ligament Reconstruction: An Analysis of 213 Patients From the SANTI Group

2022; SAGE Publishing; Volume: 50; Issue: 7 Linguagem: Inglês

10.1177/03635465221094624

1552-3365

Charles Pioger, Steven Claes, Ibrahim Haidar, Thomas Fradin, Cédric Ngbilo, Johnny Rayes, Graeme P. Hopper, Thaïs Dutra Vieira, Bertrand Sonnery‐Cottet,

Sports injuries and prevention

Previous studies have shown a higher prevalence of meniscal and chondral lesions at the time of revision anterior cruciate ligament reconstruction (R-ACLR) compared with primary ACLR procedures. However, studies that follow the development of meniscal and chondral status through primary and subsequent R-ACLR are scarce.To compare the prevalence of meniscal and chondral injuries in patients undergoing primary ACLR and subsequent R-ACLR.Case series; Level of evidence, 4.Patients who underwent ACLR and subsequently needed R-ACLR between January 2009 and February 2018 in a single center were included. A retrospective analysis of prospectively collected data was conducted.A total of 213 patients were included, with a mean follow-up of 59.7 months. The mean age was 22 years at primary ACLR and 26.1 years at the time of revision. The proportion of meniscal tears was higher at the time of R-ACLR compared with the time of primary reconstruction (70.0% vs 44.6%, respectively; P < .001). Similarly, the prevalence of chondral lesions was significantly higher at the time of revision versus the primary reconstruction (15.5% vs 7.0%, respectively; P = .003).R-ACLR is associated with a higher rate of concomitant meniscal and chondral lesions than primary ACLR.