Timing of anterior cruciate ligament reconstruction and its effect on associated chondral damage and meniscal injury: a prospective observational study

Background: Following an anterior cruciate ligament (ACL) tear, associated injuries in the knee involving menisci and articular cartilage increase with time. This study was performed to assess distribution of secondary after ACL tear time identify a suitable timing for reconstruction surgery. Methods: 74 patients were divided into three groups based on since injury- less than six months, months one year, greater year. The odds finding each lesion every group calculated tested statistical significance. Receiver operating characteristic curves (ROC) drawn predict individual lesions injury. diagnostic performance significance these tests identified. Results: all year but only chondral damage statistically significant (p=0.025). Poor accuracy observed medial meniscal injury even years tear. Chondral showed good area under curve (0.817) which predicted sensitivity 62% at cut-off Conclusions: After could not be accurately predicted. However, rise seen sensitivity. There role MRI or arthroscopy extent who do undergo this