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Concomitant meniscal injury in anterior cruciate ligament reconstruction does not lead to poorer short-term post-operative outcomes.

Concomitant meniscal injury in anterior cruciate ligament reconstruction does not lead to poorer short-term post-operative outcomes.
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Singh A, Wei DT, Lin CTP, Liang S, Goyal S, Tan KA, Chin BZ, Krishna L,


Singh A, Wei DT, Lin CTP, Liang S, Goyal S, Tan KA, Chin BZ, Krishna L, (click to view)

Singh A, Wei DT, Lin CTP, Liang S, Goyal S, Tan KA, Chin BZ, Krishna L,

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Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA 2017 07 15() doi 10.1007/s00167-017-4635-2
Abstract
PURPOSE
The main objective was to compare post-operative outcomes in patients undergoing anterior cruciate ligament (ACL) reconstruction both with and without concomitant meniscus injury at a mean follow-up of 3.5 years. The secondary objective was to study the effect of different meniscal injury sites and treatment modalities on post-operative outcomes (PROS).

METHODS
This is a retrospective analysis of a prospectively maintained database of patients undergoing ACL reconstruction at our tertiary institution between 2009 and 2012. Age, sex, graft type, graft fixation modality, location of meniscal tear and treatment (meniscal repair or meniscectomy) were recorded in the database. PROS used included the Tegner activity scale and the Lysholm score.

RESULTS
There were no significant differences between patients with or without meniscal injury in terms of age, BMI or preoperative PROS. There was no significant difference in the post-operative outcome scores between patients with or without meniscal injury at a mean follow-up of 3.5 years. Regardless of the location of meniscal injury, the post-operative scores improved as compared to preoperative scores.

CONCLUSION
Concomitant meniscal injury in cases of ACL reconstruction is not associated with poorer short-term post-operative PROS (mean follow-up time: 3.5 years). These findings may influence management decisions and help in preoperative counselling.

LEVEL OF EVIDENCE
IV.

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