Delaying ACL Reconstruction Can Have Repercussions

The Sacramento Bee reports:

Kids treated more than 150 days after an Anterior Cruciate Ligament (ACL) injury have higher rates of other knee injuries, including medial meniscal tears, say researchers presenting at the American Orthopaedic Society for Sports Medicine's (AOSSM) Specialty Day in San Francisco, CA.

"In our research, children who had delayed treatment of an ACL injury more than 150 days, tended to have an increased chance of also having a medial meniscus or chondral injury in their knee. These additional injuries may increase recovery time, inhibit return to play, and worsen long term functional outcomes of the knee," said lead researcher, Guillaume D. Dumont, MD of the University of Texas Southwestern Medical Center in Dallas, Texas. "This finding may also be relevant when counseling patients and their families regarding timing for injury treatment."

The researchers analyzed records from 370 patients who underwent ACL reconstruction between January 2005 and January 2011 at Children's Medical Center of Dallas. 200 patients were more than 15 years old and 170 patients were less than 15 years old. There were 208 male patients and 162 female patients involved in the study. Patients were injured in a variety of athletic activities: football (29.7%), basketball (20.2%), soccer (17.6%), cheerleading/gymnastics (4.3%), and other (28.1%).

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