caa a22 4500 605456178 CHVBK 20210128100216.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00167-013-2497-9 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2497-9 Meniscal and articular cartilage lesions in the anterior cruciate ligament-deficient knee: correlation between time from injury and knee scores [Elektronische Daten] [Sotirios Michalitsis, Mariana Vlychou, Konstantinos Malizos, Paschal Thriskos, Michael Hantes] Purpose: Anterior cruciate ligament (ACL) rupture is associated with meniscal tears and/or articular cartilage damage. The aim of this study was twofold: (a) to report and correlate the incidence of meniscal and cartilage lesions in ACL-deficient knees with time from injury and (b) to correlate lesions of menisci and cartilage with widely used knee scores. Methods: Data were analysed from 109 consecutive patients with ACL rupture. Meniscal and articular cartilage lesions were documented during the arthroscopic reconstruction of the ACL. Patients were distributed into 3 groups according to time from injury; group A: 0-3months (35 patients), group B: 3-12months (39 patients) and group C: more than 12months (35 patients). Lysholm, KOOS and IKDC rating scales were recorded preoperatively. Logistic regression analyses were applied to correlate the concomitant intra-articular pathologies with the time from injury and knee-rating scales. Results: Of 109 patients, 32 (29%) had a medial meniscus tear, 20 (19%) had a lateral meniscus tear, 17 (15%) had both menisci torn and 40 (37%) had no meniscal tear. Analysis revealed that time from injury was not a significant factor for the presence of a meniscal lesion. The odds of development of a high-grade cartilage lesion in an ACL-deficient knee reconstructed more than 12months from time from injury are 5.5 and 12.5 times higher when compared with knees that underwent ACL reconstruction less than 3months and between 3 and 12months after knee injury, respectively. No association was found between intra-articular pathology and the KOOS and Lysholm scores. A positive correlation between the IKDC score and patients without any intra-articular pathology was found. Conclusions: The presence of high-grade cartilage lesions is significantly increased in an ACL-deficient knee when reconstruction is performed more than 12months after injury. However, the incidence of meniscal tears is not increased significantly. Correlation of intra-articular pathology in ACL-deficient knees with knee-rating scales is weak. Level of evidence: Diagnostic study, Level II. Springer-Verlag Berlin Heidelberg, 2013 Anterior cruciate ligament nationallicence Meniscal tears nationallicence Cartilage lesions nationallicence Time from injury nationallicence Knee scores nationallicence Michalitsis Sotirios The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece aut Vlychou Mariana Department of Radiology, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece aut Malizos Konstantinos The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece aut Thriskos Paschal Department of Radiology, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece aut Hantes Michael The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 232-239 0942-2056 23:1<232 2015 23 167 https://doi.org/10.1007/s00167-013-2497-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2497-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Michalitsis Sotirios The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece aut NATIONALLICENCE 700 1- Vlychou Mariana Department of Radiology, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece aut NATIONALLICENCE 700 1- Malizos Konstantinos The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece aut NATIONALLICENCE 700 1- Thriskos Paschal Department of Radiology, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece aut NATIONALLICENCE 700 1- Hantes Michael The Department of Orthopaedic Surgery, School of Health Sciences, University Hospital of Larissa, University of Thessaly, 41110, Mezourlo, Larissa, Greece aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 232-239 0942-2056 23:1<232 2015 23 167