PREDICTIVE FACTORS ASSOCIATED WITH INCREASED RISK OF MENISCAL TEARS AND CHONDRAL LESIONS IN ANTERIOR CRUCIATE LIGAMENT TEAR PATIENTS

Dr Sushmita Kushwaha; Dr. Himanshu Kataria; Dr Himanshu Gupta; Dr Diganta Borah

Volume : VIII, Issue : I, January - 2019

PREDICTIVE FACTORS ASSOCIATED WITH INCREASED RISK OF MENISCAL TEARS AND CHONDRAL LESIONS IN ANTERIOR CRUCIATE LIGAMENT TEAR PATIENTS

Dr Sushmita Kushwaha, Dr. Himanshu Kataria, Dr Himanshu Gupta, Dr Diganta Borah

Abstract :

INTRODUCTION: ACL injury predisposes the knee to additional damages.

AIM: To find the predictors of meniscal and chondral injuries in patients of ACL tear.

DESIGN: retrospective study.

MATERIALS AND METHODS: Data were acquired from 1200 patients undergoing ACL reconstruction. Logistic regression assessed the association between potential predictive factors and presence of meniscal and chondral lesions in ACL deficient knees.

RESULTS: number of instability episodes(OR=1.191, p<0.0001), time since injury(OR=1.004, p=0.001), Sports related injury(OR=1.471, p=0.010) and high velocity injury like RTA(OR= 2.144, p<0.0001) predicted meniscal tears. Time since injury(OR=1.007, p<0.0001), age(OR=1.032, p=0.004), number of instability episodes(OR=1.092, p<0.0001) and previous knee surgery(OR=2.681, p=0.028) predicted chondral lesions.

CONCLUSIONS: Higher number of instability episodes, delayed time since injury, Sports related injury and high velocity injury predicts meniscal tears. Time since injury, age, number of instability episodes and previous ipsilateral arthroscopic knee surgery predicts chondral lesions in ACL deficient knees.