Meniscal and Articular Cartilage Predictors of Outcome After Revision ACL Reconstruction: A 6-Year Follow-up Cohort Study

Rick W. Wright; Laura J. Huston; Amanda K. Haas; Jacquelyn S. Pennings; Christina R. Allen; Daniel E. Cooper; Thomas M. DeBerardino; Warren R. Dunn; Brett A. Lantz; Kurt P. Spindler; Michael J. Stuart; John P. Albright; Annunziato Amendola; Jack T. Andrish; Christopher C. Annunziata; Robert A. Arciero; Bernard R. Bach; Champ L. Baker; Arthur R. Bartolozzi; Keith M. Baumgarten; Jeffery R. Bechler; Jeffrey H. Berg; Geoffrey A. Bernas; Stephen F. Brockmeier; Robert H. Brophy; Charles A. Bush-Joseph; J. Brad Butler; John D. Campbell; James L. Carey; James E. Carpenter; Brian J. Cole; Jonathan M. Cooper; Charles L. Cox; R. Alexander Creighton; Diane L. Dahm; Tal S. David; David C. Flanigan; Robert W. Frederick; Theodore J. Ganley; Elizabeth A. Garofoli; Charles J. Gatt; Steven R. Gecha; James Robert Giffin; Sharon L. Hame; Jo A. Hannafin; Christopher D. Harner; Norman Lindsay Harris; Keith S. Hechtman; Elliott B. Hershman; Rudolf G. Hoellrich; David C. Johnson; Timothy S. Johnson; Morgan H. Jones; Christopher C. Kaeding; Ganesh V. Kamath; Thomas E. Klootwyk; Bruce A. Levy; C. Benjamin Ma; G. Peter Maiers; Robert G. Marx; Matthew J. Matava; Gregory M. Mathien; David R. McAllister; Eric C. McCarty; Robert G. McCormack; Bruce S. Miller; Carl W. Nissen; Daniel F. O’Neill; Brett D. Owens; Richard D. Parker; Mark L. Purnell; Arun J. Ramappa; Michael A. Rauh; Arthur C. Rettig; Jon K. Sekiya; Kevin G. Shea; Orrin H. Sherman; James R. Slauterbeck; Matthew V. Smith; Jeffrey T. Spang; LTC Steven J. Svoboda; Timothy N. Taft; Joachim J. Tenuta; Edwin M. Tingstad; Armando F. Vidal; Darius G. Viskontas; Richard A. White; James S. Williams; Michelle L. Wolcott; Brian R. Wolf; James J. York

doi:10.1177/03635465231151389

Meniscal and Articular Cartilage Predictors of Outcome After Revision ACL Reconstruction: A 6-Year Follow-up Cohort Study

Rick W. Wright, Laura J. Huston, Amanda K. Haas, Jacquelyn S. Pennings, Christina R. Allen, Daniel E. Cooper, Thomas M. DeBerardino, Warren R. Dunn, Brett A. Lantz, Kurt P. Spindler, Michael J. Stuart, John P. Albright, Annunziato Amendola, Jack T. Andrish, Christopher C. Annunziata, Robert A. Arciero, Bernard R. Bach, Champ L. Baker, Arthur R. Bartolozzi, Keith M. BaumgartenJeffery R. Bechler, Jeffrey H. Berg, Geoffrey A. Bernas, Stephen F. Brockmeier, Robert H. Brophy, Charles A. Bush-Joseph, J. Brad Butler, John D. Campbell, James L. Carey, James E. Carpenter, Brian J. Cole, Jonathan M. Cooper, Charles L. Cox, R. Alexander Creighton, Diane L. Dahm, Tal S. David, David C. Flanigan, Robert W. Frederick, Theodore J. Ganley, Elizabeth A. Garofoli, Charles J. Gatt, Steven R. Gecha, James Robert Giffin, Sharon L. Hame, Jo A. Hannafin, Christopher D. Harner, Norman Lindsay Harris, Keith S. Hechtman, Elliott B. Hershman, Rudolf G. Hoellrich, David C. Johnson, Timothy S. Johnson, Morgan H. Jones, Christopher C. Kaeding, Ganesh V. Kamath, Thomas E. Klootwyk, Bruce A. Levy, C. Benjamin Ma, G. Peter Maiers, Robert G. Marx, Matthew J. Matava, Gregory M. Mathien, David R. McAllister, Eric C. McCarty, Robert G. McCormack, Bruce S. Miller, Carl W. Nissen, Daniel F. O’Neill, Brett D. Owens, Richard D. Parker, Mark L. Purnell, Arun J. Ramappa, Michael A. Rauh, Arthur C. Rettig, Jon K. Sekiya, Kevin G. Shea, Orrin H. Sherman, James R. Slauterbeck, Matthew V. Smith, Jeffrey T. Spang, LTC Steven J. Svoboda, Timothy N. Taft, Joachim J. Tenuta, Edwin M. Tingstad, Armando F. Vidal, Darius G. Viskontas, Richard A. White, James S. Williams, Michelle L. Wolcott, Brian R. Wolf, James J. York

Research output: Contribution to journal › Article › peer-review

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Abstract

Background: Meniscal and chondral damage is common in the patient undergoing revision anterior cruciate ligament (ACL) reconstruction. Purpose: To determine if meniscal and/or articular cartilage pathology at the time of revision ACL surgery significantly influences a patient’s outcome at 6-year follow-up. Study Design: Cohort study; Level of evidence, 3. Methods: Patients undergoing revision ACL reconstruction were prospectively enrolled between 2006 and 2011. Data collection included baseline demographics, surgical technique, pathology, treatment, and scores from 4 validated patient-reported outcome instruments: International Knee Documentation Committee (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Marx Activity Rating Scale. Patients were followed up at 6 years and asked to complete the identical set of outcome instruments. Regression analysis assessed the meniscal and articular cartilage pathology risk factors for clinical outcomes 6 years after revision ACL reconstruction. Results: An overall 1234 patients were enrolled (716 males, 58%; median age, 26 years). Surgeons reported the pathology at the time of revision surgery in the medial meniscus (45%), lateral meniscus (36%), medial femoral condyle (43%), lateral femoral condyle (29%), medial tibial plateau (11%), lateral tibial plateau (17%), patella (30%), and trochlea (21%). Six-year follow-up was obtained on 79% of the sample (980/1234). Meniscal pathology and articular cartilage pathology (medial femoral condyle, lateral femoral condyle, lateral tibial plateau, trochlea, and patella) were significant drivers of poorer patient-reported outcomes at 6 years (IKDC, KOOS, WOMAC, and Marx). The most consistent factors driving outcomes were having a medial meniscal excision (either before or at the time of revision surgery) and patellofemoral articular cartilage pathology. Six-year Marx activity levels were negatively affected by having either a repair/excision of the medial meniscus (odds ratio range, 1.45-1.72; P≤.04) or grade 3-4 patellar chondrosis (odds ratio, 1.72; P =.04). Meniscal pathology occurring before the index revision surgery negatively affected scores on all KOOS subscales except for sports/recreation (P <.05). Articular cartilage pathology significantly impaired all KOOS subscale scores (P <.05). Lower baseline outcome scores, higher body mass index, being a smoker, and incurring subsequent surgery all significantly increased the odds of reporting poorer clinical outcomes at 6 years. Conclusion: Meniscal and chondral pathology at the time of revision ACL reconstruction has continued significant detrimental effects on patient-reported outcomes at 6 years after revision surgery.

Original language	English
Pages (from-to)	605-614
Number of pages	10
Journal	American Journal of Sports Medicine
Volume	51
Issue number	3
DOIs	https://doi.org/10.1177/03635465231151389
State	Published - Mar 2023

Keywords

anterior cruciate ligament (ACL)
knee articular cartilage
meniscus
outcomes
revision ACL reconstruction

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10.1177/03635465231151389

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Wright, R. W., Huston, L. J., Haas, A. K., Pennings, J. S., Allen, C. R., Cooper, D. E., DeBerardino, T. M., Dunn, W. R., Lantz, B. A., Spindler, K. P., Stuart, M. J., Albright, J. P., Amendola, A., Andrish, J. T., Annunziata, C. C., Arciero, R. A., Bach, B. R., Baker, C. L., Bartolozzi, A. R., ... York, J. J. (2023). Meniscal and Articular Cartilage Predictors of Outcome After Revision ACL Reconstruction: A 6-Year Follow-up Cohort Study. American Journal of Sports Medicine, 51(3), 605-614. https://doi.org/10.1177/03635465231151389

@article{c474dc10cf014d66a9e6a4c8cbeaf1ae,

title = "Meniscal and Articular Cartilage Predictors of Outcome After Revision ACL Reconstruction: A 6-Year Follow-up Cohort Study",

abstract = "Background: Meniscal and chondral damage is common in the patient undergoing revision anterior cruciate ligament (ACL) reconstruction. Purpose: To determine if meniscal and/or articular cartilage pathology at the time of revision ACL surgery significantly influences a patient{\textquoteright}s outcome at 6-year follow-up. Study Design: Cohort study; Level of evidence, 3. Methods: Patients undergoing revision ACL reconstruction were prospectively enrolled between 2006 and 2011. Data collection included baseline demographics, surgical technique, pathology, treatment, and scores from 4 validated patient-reported outcome instruments: International Knee Documentation Committee (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Marx Activity Rating Scale. Patients were followed up at 6 years and asked to complete the identical set of outcome instruments. Regression analysis assessed the meniscal and articular cartilage pathology risk factors for clinical outcomes 6 years after revision ACL reconstruction. Results: An overall 1234 patients were enrolled (716 males, 58%; median age, 26 years). Surgeons reported the pathology at the time of revision surgery in the medial meniscus (45%), lateral meniscus (36%), medial femoral condyle (43%), lateral femoral condyle (29%), medial tibial plateau (11%), lateral tibial plateau (17%), patella (30%), and trochlea (21%). Six-year follow-up was obtained on 79% of the sample (980/1234). Meniscal pathology and articular cartilage pathology (medial femoral condyle, lateral femoral condyle, lateral tibial plateau, trochlea, and patella) were significant drivers of poorer patient-reported outcomes at 6 years (IKDC, KOOS, WOMAC, and Marx). The most consistent factors driving outcomes were having a medial meniscal excision (either before or at the time of revision surgery) and patellofemoral articular cartilage pathology. Six-year Marx activity levels were negatively affected by having either a repair/excision of the medial meniscus (odds ratio range, 1.45-1.72; P≤.04) or grade 3-4 patellar chondrosis (odds ratio, 1.72; P =.04). Meniscal pathology occurring before the index revision surgery negatively affected scores on all KOOS subscales except for sports/recreation (P <.05). Articular cartilage pathology significantly impaired all KOOS subscale scores (P <.05). Lower baseline outcome scores, higher body mass index, being a smoker, and incurring subsequent surgery all significantly increased the odds of reporting poorer clinical outcomes at 6 years. Conclusion: Meniscal and chondral pathology at the time of revision ACL reconstruction has continued significant detrimental effects on patient-reported outcomes at 6 years after revision surgery.",

keywords = "anterior cruciate ligament (ACL), knee articular cartilage, meniscus, outcomes, revision ACL reconstruction",

author = "Wright, {Rick W.} and Huston, {Laura J.} and Haas, {Amanda K.} and Pennings, {Jacquelyn S.} and Allen, {Christina R.} and Cooper, {Daniel E.} and DeBerardino, {Thomas M.} and Dunn, {Warren R.} and Lantz, {Brett A.} and Spindler, {Kurt P.} and Stuart, {Michael J.} and Albright, {John P.} and Annunziato Amendola and Andrish, {Jack T.} and Annunziata, {Christopher C.} and Arciero, {Robert A.} and Bach, {Bernard R.} and Baker, {Champ L.} and Bartolozzi, {Arthur R.} and Baumgarten, {Keith M.} and Bechler, {Jeffery R.} and Berg, {Jeffrey H.} and Bernas, {Geoffrey A.} and Brockmeier, {Stephen F.} and Brophy, {Robert H.} and Bush-Joseph, {Charles A.} and Butler, {J. Brad} and Campbell, {John D.} and Carey, {James L.} and Carpenter, {James E.} and Cole, {Brian J.} and Cooper, {Jonathan M.} and Cox, {Charles L.} and Creighton, {R. Alexander} and Dahm, {Diane L.} and David, {Tal S.} and Flanigan, {David C.} and Frederick, {Robert W.} and Ganley, {Theodore J.} and Garofoli, {Elizabeth A.} and Gatt, {Charles J.} and Gecha, {Steven R.} and Giffin, {James Robert} and Hame, {Sharon L.} and Hannafin, {Jo A.} and Harner, {Christopher D.} and Harris, {Norman Lindsay} and Hechtman, {Keith S.} and Hershman, {Elliott B.} and Hoellrich, {Rudolf G.} and Johnson, {David C.} and Johnson, {Timothy S.} and Jones, {Morgan H.} and Kaeding, {Christopher C.} and Kamath, {Ganesh V.} and Klootwyk, {Thomas E.} and Levy, {Bruce A.} and Ma, {C. Benjamin} and Maiers, {G. Peter} and Marx, {Robert G.} and Matava, {Matthew J.} and Mathien, {Gregory M.} and McAllister, {David R.} and McCarty, {Eric C.} and McCormack, {Robert G.} and Miller, {Bruce S.} and Nissen, {Carl W.} and O{\textquoteright}Neill, {Daniel F.} and Owens, {Brett D.} and Parker, {Richard D.} and Purnell, {Mark L.} and Ramappa, {Arun J.} and Rauh, {Michael A.} and Rettig, {Arthur C.} and Sekiya, {Jon K.} and Shea, {Kevin G.} and Sherman, {Orrin H.} and Slauterbeck, {James R.} and Smith, {Matthew V.} and Spang, {Jeffrey T.} and Svoboda, {LTC Steven J.} and Taft, {Timothy N.} and Tenuta, {Joachim J.} and Tingstad, {Edwin M.} and Vidal, {Armando F.} and Viskontas, {Darius G.} and White, {Richard A.} and Williams, {James S.} and Wolcott, {Michelle L.} and Wolf, {Brian R.} and York, {James J.}",

note = "Publisher Copyright: {\textcopyright} 2023 The Author(s).",

year = "2023",

month = mar,

doi = "10.1177/03635465231151389",

language = "English",

volume = "51",

pages = "605--614",

journal = "American Journal of Sports Medicine",

issn = "0363-5465",

number = "3",

}

Wright, RW, Huston, LJ, Haas, AK, Pennings, JS, Allen, CR, Cooper, DE, DeBerardino, TM, Dunn, WR, Lantz, BA, Spindler, KP, Stuart, MJ, Albright, JP, Amendola, A, Andrish, JT, Annunziata, CC, Arciero, RA, Bach, BR, Baker, CL, Bartolozzi, AR, Baumgarten, KM, Bechler, JR, Berg, JH, Bernas, GA, Brockmeier, SF, Brophy, RH, Bush-Joseph, CA, Butler, JB, Campbell, JD, Carey, JL, Carpenter, JE, Cole, BJ, Cooper, JM, Cox, CL, Creighton, RA, Dahm, DL, David, TS, Flanigan, DC, Frederick, RW, Ganley, TJ, Garofoli, EA, Gatt, CJ, Gecha, SR, Giffin, JR, Hame, SL, Hannafin, JA, Harner, CD, Harris, NL, Hechtman, KS, Hershman, EB, Hoellrich, RG, Johnson, DC, Johnson, TS, Jones, MH, Kaeding, CC, Kamath, GV, Klootwyk, TE, Levy, BA, Ma, CB, Maiers, GP, Marx, RG, Matava, MJ, Mathien, GM, McAllister, DR, McCarty, EC, McCormack, RG, Miller, BS, Nissen, CW, O’Neill, DF, Owens, BD, Parker, RD, Purnell, ML, Ramappa, AJ, Rauh, MA, Rettig, AC, Sekiya, JK, Shea, KG, Sherman, OH, Slauterbeck, JR, Smith, MV, Spang, JT, Svoboda, LTCSJ, Taft, TN, Tenuta, JJ, Tingstad, EM, Vidal, AF, Viskontas, DG, White, RA, Williams, JS, Wolcott, ML, Wolf, BR & York, JJ 2023, 'Meniscal and Articular Cartilage Predictors of Outcome After Revision ACL Reconstruction: A 6-Year Follow-up Cohort Study', American Journal of Sports Medicine, vol. 51, no. 3, pp. 605-614. https://doi.org/10.1177/03635465231151389

TY - JOUR

T1 - Meniscal and Articular Cartilage Predictors of Outcome After Revision ACL Reconstruction

T2 - A 6-Year Follow-up Cohort Study

AU - Wright, Rick W.

AU - Huston, Laura J.

AU - Haas, Amanda K.

AU - Pennings, Jacquelyn S.

AU - Allen, Christina R.

AU - Cooper, Daniel E.

AU - DeBerardino, Thomas M.

AU - Dunn, Warren R.

AU - Lantz, Brett A.

AU - Spindler, Kurt P.

AU - Stuart, Michael J.

AU - Albright, John P.

AU - Amendola, Annunziato

AU - Andrish, Jack T.

AU - Annunziata, Christopher C.

AU - Arciero, Robert A.

AU - Bach, Bernard R.

AU - Baker, Champ L.

AU - Bartolozzi, Arthur R.

AU - Baumgarten, Keith M.

AU - Bechler, Jeffery R.

AU - Berg, Jeffrey H.

AU - Bernas, Geoffrey A.

AU - Brockmeier, Stephen F.

AU - Brophy, Robert H.

AU - Bush-Joseph, Charles A.

AU - Butler, J. Brad

AU - Campbell, John D.

AU - Carey, James L.

AU - Carpenter, James E.

AU - Cole, Brian J.

AU - Cooper, Jonathan M.

AU - Cox, Charles L.

AU - Creighton, R. Alexander

AU - Dahm, Diane L.

AU - David, Tal S.

AU - Flanigan, David C.

AU - Frederick, Robert W.

AU - Ganley, Theodore J.

AU - Garofoli, Elizabeth A.

AU - Gatt, Charles J.

AU - Gecha, Steven R.

AU - Giffin, James Robert

AU - Hame, Sharon L.

AU - Hannafin, Jo A.

AU - Harner, Christopher D.

AU - Harris, Norman Lindsay

AU - Hechtman, Keith S.

AU - Hershman, Elliott B.

AU - Hoellrich, Rudolf G.

AU - Johnson, David C.

AU - Johnson, Timothy S.

AU - Jones, Morgan H.

AU - Kaeding, Christopher C.

AU - Kamath, Ganesh V.

AU - Klootwyk, Thomas E.

AU - Levy, Bruce A.

AU - Ma, C. Benjamin

AU - Maiers, G. Peter

AU - Marx, Robert G.

AU - Matava, Matthew J.

AU - Mathien, Gregory M.

AU - McAllister, David R.

AU - McCarty, Eric C.

AU - McCormack, Robert G.

AU - Miller, Bruce S.

AU - Nissen, Carl W.

AU - O’Neill, Daniel F.

AU - Owens, Brett D.

AU - Parker, Richard D.

AU - Purnell, Mark L.

AU - Ramappa, Arun J.

AU - Rauh, Michael A.

AU - Rettig, Arthur C.

AU - Sekiya, Jon K.

AU - Shea, Kevin G.

AU - Sherman, Orrin H.

AU - Slauterbeck, James R.

AU - Smith, Matthew V.

AU - Spang, Jeffrey T.

AU - Svoboda, LTC Steven J.

AU - Taft, Timothy N.

AU - Tenuta, Joachim J.

AU - Tingstad, Edwin M.

AU - Vidal, Armando F.

AU - Viskontas, Darius G.

AU - White, Richard A.

AU - Williams, James S.

AU - Wolcott, Michelle L.

AU - Wolf, Brian R.

AU - York, James J.

PY - 2023/3

Y1 - 2023/3

N2 - Background: Meniscal and chondral damage is common in the patient undergoing revision anterior cruciate ligament (ACL) reconstruction. Purpose: To determine if meniscal and/or articular cartilage pathology at the time of revision ACL surgery significantly influences a patient’s outcome at 6-year follow-up. Study Design: Cohort study; Level of evidence, 3. Methods: Patients undergoing revision ACL reconstruction were prospectively enrolled between 2006 and 2011. Data collection included baseline demographics, surgical technique, pathology, treatment, and scores from 4 validated patient-reported outcome instruments: International Knee Documentation Committee (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Marx Activity Rating Scale. Patients were followed up at 6 years and asked to complete the identical set of outcome instruments. Regression analysis assessed the meniscal and articular cartilage pathology risk factors for clinical outcomes 6 years after revision ACL reconstruction. Results: An overall 1234 patients were enrolled (716 males, 58%; median age, 26 years). Surgeons reported the pathology at the time of revision surgery in the medial meniscus (45%), lateral meniscus (36%), medial femoral condyle (43%), lateral femoral condyle (29%), medial tibial plateau (11%), lateral tibial plateau (17%), patella (30%), and trochlea (21%). Six-year follow-up was obtained on 79% of the sample (980/1234). Meniscal pathology and articular cartilage pathology (medial femoral condyle, lateral femoral condyle, lateral tibial plateau, trochlea, and patella) were significant drivers of poorer patient-reported outcomes at 6 years (IKDC, KOOS, WOMAC, and Marx). The most consistent factors driving outcomes were having a medial meniscal excision (either before or at the time of revision surgery) and patellofemoral articular cartilage pathology. Six-year Marx activity levels were negatively affected by having either a repair/excision of the medial meniscus (odds ratio range, 1.45-1.72; P≤.04) or grade 3-4 patellar chondrosis (odds ratio, 1.72; P =.04). Meniscal pathology occurring before the index revision surgery negatively affected scores on all KOOS subscales except for sports/recreation (P <.05). Articular cartilage pathology significantly impaired all KOOS subscale scores (P <.05). Lower baseline outcome scores, higher body mass index, being a smoker, and incurring subsequent surgery all significantly increased the odds of reporting poorer clinical outcomes at 6 years. Conclusion: Meniscal and chondral pathology at the time of revision ACL reconstruction has continued significant detrimental effects on patient-reported outcomes at 6 years after revision surgery.

AB - Background: Meniscal and chondral damage is common in the patient undergoing revision anterior cruciate ligament (ACL) reconstruction. Purpose: To determine if meniscal and/or articular cartilage pathology at the time of revision ACL surgery significantly influences a patient’s outcome at 6-year follow-up. Study Design: Cohort study; Level of evidence, 3. Methods: Patients undergoing revision ACL reconstruction were prospectively enrolled between 2006 and 2011. Data collection included baseline demographics, surgical technique, pathology, treatment, and scores from 4 validated patient-reported outcome instruments: International Knee Documentation Committee (IKDC), Knee injury and Osteoarthritis Outcome Score (KOOS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Marx Activity Rating Scale. Patients were followed up at 6 years and asked to complete the identical set of outcome instruments. Regression analysis assessed the meniscal and articular cartilage pathology risk factors for clinical outcomes 6 years after revision ACL reconstruction. Results: An overall 1234 patients were enrolled (716 males, 58%; median age, 26 years). Surgeons reported the pathology at the time of revision surgery in the medial meniscus (45%), lateral meniscus (36%), medial femoral condyle (43%), lateral femoral condyle (29%), medial tibial plateau (11%), lateral tibial plateau (17%), patella (30%), and trochlea (21%). Six-year follow-up was obtained on 79% of the sample (980/1234). Meniscal pathology and articular cartilage pathology (medial femoral condyle, lateral femoral condyle, lateral tibial plateau, trochlea, and patella) were significant drivers of poorer patient-reported outcomes at 6 years (IKDC, KOOS, WOMAC, and Marx). The most consistent factors driving outcomes were having a medial meniscal excision (either before or at the time of revision surgery) and patellofemoral articular cartilage pathology. Six-year Marx activity levels were negatively affected by having either a repair/excision of the medial meniscus (odds ratio range, 1.45-1.72; P≤.04) or grade 3-4 patellar chondrosis (odds ratio, 1.72; P =.04). Meniscal pathology occurring before the index revision surgery negatively affected scores on all KOOS subscales except for sports/recreation (P <.05). Articular cartilage pathology significantly impaired all KOOS subscale scores (P <.05). Lower baseline outcome scores, higher body mass index, being a smoker, and incurring subsequent surgery all significantly increased the odds of reporting poorer clinical outcomes at 6 years. Conclusion: Meniscal and chondral pathology at the time of revision ACL reconstruction has continued significant detrimental effects on patient-reported outcomes at 6 years after revision surgery.

KW - anterior cruciate ligament (ACL)

KW - knee articular cartilage

KW - meniscus

KW - outcomes

KW - revision ACL reconstruction

UR - http://www.scopus.com/inward/record.url?scp=85149153828&partnerID=8YFLogxK

U2 - 10.1177/03635465231151389

DO - 10.1177/03635465231151389

M3 - Article

C2 - 36734487

AN - SCOPUS:85149153828

SN - 0363-5465

VL - 51

SP - 605

EP - 614

JO - American Journal of Sports Medicine

JF - American Journal of Sports Medicine

IS - 3

ER -

Meniscal and Articular Cartilage Predictors of Outcome After Revision ACL Reconstruction: A 6-Year Follow-up Cohort Study

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