دورية أكاديمية
أعرض في EDS

Prevalence and Predictors of Concomitant Meniscal Surgery During Pediatric and Adolescent ACL Reconstruction: Analysis of 4729 Patients Over 20 Years at a Tertiary-Care Regional Children's Hospital.

التفاصيل البيبلوغرافية
العنوان: Prevalence and Predictors of Concomitant Meniscal Surgery During Pediatric and Adolescent ACL Reconstruction: Analysis of 4729 Patients Over 20 Years at a Tertiary-Care Regional Children's Hospital.
المؤلفون: Pruneski JA; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Tavabi N; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Heyworth BE; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Kocher MS; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Kramer DE; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Christino MA; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Milewski MD; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Yen YM; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Micheli L; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Murray MM; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Garcia Andujar RA; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA., Kiapour AM; Department of Orthopaedic Surgery and Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
المصدر: Orthopaedic journal of sports medicine [Orthop J Sports Med] 2024 Mar 20; Vol. 12 (3), pp. 23259671241236496. Date of Electronic Publication: 2024 Mar 20 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage on behalf of: The American Orthopaedic Society for Sports Medicine Country of Publication: United States NLM ID: 101620522 Publication Model: eCollection Cited Medium: Print ISSN: 2325-9671 (Print) Linking ISSN: 23259671 NLM ISO Abbreviation: Orthop J Sports Med Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Thousand Oaks, CA] : Sage on behalf of: The American Orthopaedic Society for Sports Medicine, [2013]-
مستخلص: Background: The rate of concomitant meniscal procedures performed in conjunction with anterior cruciate ligament (ACL) reconstruction is increasing. Few studies have examined these procedures in high-risk pediatric cohorts.
Hypotheses: That (1) the rates of meniscal repair compared with meniscectomy would increase throughout the study period and (2) patient-related factors would be able to predict the type of meniscal operation, which would differ according to age.
Study Design: Cohort study (prevalence); Level of evidence, 2.
Methods: Natural language processing was used to extract clinical variables from notes of patients who underwent ACL reconstruction between 2000 and 2020 at a single institution. Patients were stratified to pediatric (5-13 years) and adolescent (14-19 years) cohorts. Linear regression was used to evaluate changes in the prevalence of concomitant meniscal surgery during the study period. Logistic regression was used to determine predictors of the need for and type of meniscal procedure.
Results: Of 4729 patients (mean age, 16 ± 2 years; 54.7% female) identified, 2458 patients (52%) underwent concomitant meniscal procedures (55% repair rate). The prevalence of lateral meniscal (LM) procedures increased in both pediatric and adolescent cohorts, whereas the prevalence of medial meniscal (MM) repair increased in the adolescent cohort ( P = .02). In the adolescent cohort, older age was predictive of concomitant medial meniscectomy ( P = .031). In the pediatric cohort, female sex was predictive of concomitant MM surgery and of undergoing lateral meniscectomy versus repair ( P ≤ .029). Female sex was associated with decreased odds of concomitant LM surgery in both cohorts ( P ≤ .018). Revision ACLR was predictive of concomitant MM surgery and of meniscectomy (medial and lateral) in the adolescent cohort ( P < .001). Higher body mass index was associated with increased odds of undergoing medial meniscectomy versus repair in the pediatric cohort ( P = .03).
Conclusion: More than half of the young patients who underwent ACLR had meniscal pathology warranting surgical intervention. The prevalence of MM repair compared with meniscectomy in adolescents increased throughout the study period. Patients who underwent revision ACLR were more likely to undergo concomitant meniscal surgeries, which were more often meniscectomy. Female sex had mixed effects in both the pediatric and adolescent cohorts.
Competing Interests: One or more of the authors has declared the following potential conflict of interest or source of funding: Funding was received from the Children's Hospital Orthopaedic Surgery Foundation and Boston Children's Hospital Faculty Council. B.E.H. has received education payments from Arthrex, Kairos Surgical, and Pylant Medical; consulting fees from Imagen Technologies; and nonconsulting fees from Arthrex; he holds stock for Imagen Technologies. M.S.K. has received education payments from Kairos Surgical, consulting fees from OrthoPediatrics and Ossur, nonconsulting fees from Smith & Nephew, and royalties from OrthoPediatrics, Ossur, Elsevier, and Wolters Kluwer. D.E.K. has received education payments from Kairos Surgical and consulting fees from Miach Orthopaedics and DePuy Synthes. M.D.M. has received education payments from Kairos Surgical and royalties from Saunders/Mosby-Elsevier. Y-M.Y. has received consulting fees from OrthoPediatrics and Smith & Nephew. L.M. is an unpaid consultant for Carticel. M.M.M. has received consulting fees from Miach Orthopedics and royalties from Springer and owns stock from Miach Orthopedics. A.M.K. has received consulting fees from Miach Orthopaedics. AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. Ethical approval for this study was obtained from Boston Children's Hospital (ref No. IRB-P00037878).
(© The Author(s) 2024.)
References: Sports Health. 2018 Nov/Dec;10(6):523-531. (PMID: 30355175)
Am J Sports Med. 2022 Sep;50(11):2909-2916. (PMID: 35916744)
J Pediatr Orthop. 2018 Oct;38(9):e490-e494. (PMID: 29975296)
Orthop J Sports Med. 2019 Jul 25;7(7):2325967119860806. (PMID: 31384621)
Orthop J Sports Med. 2019 Sep 24;7(9):2325967119869848. (PMID: 31579682)
Am J Sports Med. 2011 Dec;39(12):2582-7. (PMID: 21917611)
Knee Surg Sports Traumatol Arthrosc. 2023 Apr;31(4):1203-1211. (PMID: 36477347)
Knee Surg Sports Traumatol Arthrosc. 1993;1(3-4):226-34. (PMID: 8536037)
J Pediatr Orthop. 2018 Feb;38(2):105-109. (PMID: 27177235)
Am J Sports Med. 2015 Dec;43(12):2966-73. (PMID: 26473010)
J Orthop Res. 2021 Jul;39(7):1368-1382. (PMID: 33751642)
J Bone Joint Surg Am. 2017 Apr 5;99(7):600-612. (PMID: 28375893)
Knee Surg Sports Traumatol Arthrosc. 2004 Jul;12(4):262-70. (PMID: 14504718)
J Child Orthop. 2008 Dec;2(6):407-15. (PMID: 19308536)
Am J Sports Med. 2019 May;47(6):1346-1352. (PMID: 30995103)
Am J Sports Med. 2016 Jul;44(7):1861-76. (PMID: 26772611)
J Pediatr Orthop. 2020 Mar;40(3):129-134. (PMID: 32028474)
Bone Joint J. 2020 Jul;102-B(7_Supple_B):99-104. (PMID: 32600201)
Am J Sports Med. 2012 Sep;40(9):2128-33. (PMID: 22729621)
Scand J Med Sci Sports. 2009 Jun;19(3):345-55. (PMID: 18510592)
Pediatrics. 2017 Mar;139(3):. (PMID: 28228501)
J Arthroplasty. 2021 Mar;36(3):922-926. (PMID: 33051119)
Orthop J Sports Med. 2021 Mar 15;9(3):2325967120986565. (PMID: 33796585)
Am J Sports Med. 2013 Dec;41(12):2766-71. (PMID: 24029723)
J Athl Train. 2013 Nov-Dec;48(6):810-7. (PMID: 24143905)
Am J Sports Med. 2015 Feb;43(2):282-8. (PMID: 25537943)
J Pediatr Orthop. 2016 Jul-Aug;36(5):447-52. (PMID: 25985368)
J Bone Joint Surg Am. 2019 Nov 6;101(21):1931-1938. (PMID: 31567670)
Orthop J Sports Med. 2021 Feb 23;9(2):2325967120984138. (PMID: 33748299)
J Athl Train. 2016 May;51(5):425-7. (PMID: 27244126)
PLoS One. 2024 Mar 7;19(3):e0298892. (PMID: 38451905)
Orthop J Sports Med. 2019 Dec 20;7(12):2325967119890325. (PMID: 31903403)
Sports Health. 2020 Nov/Dec;12(6):559-563. (PMID: 32780637)
J Orthop Sports Phys Ther. 2008 Oct;38(10):586-95. (PMID: 18979658)
J Bone Joint Surg Am. 1983 Apr;65(4):538-47. (PMID: 6833331)
Am J Sports Med. 2015 Feb;43(2):275-81. (PMID: 25497145)
Clin Imaging. 2023 May;97:55-61. (PMID: 36889116)
J Arthroplasty. 2019 Oct;34(10):2216-2219. (PMID: 31416741)
Arthroscopy. 2012 Jan;28(1):123-30. (PMID: 22074619)
Am J Sports Med. 2013 Aug;41(8):1771-9. (PMID: 23771955)
Am J Sports Med. 2022 Jul;50(9):2367-2373. (PMID: 35647786)
Am J Sports Med. 2014 Mar;42(3):675-80. (PMID: 24477820)
فهرسة مساهمة: Keywords: adolescent; anterior cruciate ligament; knee; meniscal surgery; meniscectomy; pediatric; trends
تواريخ الأحداث: Date Created: 20240322 Latest Revision: 20240323
رمز التحديث: 20240323
مُعرف محوري في PubMed: PMC10956158
DOI: 10.1177/23259671241236496
PMID: 38515604
قاعدة البيانات: MEDLINE
الوصف
تدمد:2325-9671
DOI:10.1177/23259671241236496