文献类型：期刊文献

英文题名：Relationship between anterior cruciate ligament reconstruction performed at different times and meniscus tears: A systematic review and meta-analysis

作者：Zeng, Jiankang[1,2];Gao, Rong[1,2];Tan, Fei[1,2];Li, Peijie[1,2];Li, Jiahuan[1,2];Wang, Jing[1,2];Wang, Xin[1,2];Zhang, Jiangming[1,2];Qiao, Yongjie[1];Dang, Chenpo[1];Zhou, Shenghu[1]

第一作者：Zeng, Jiankang

通信作者：Dang, CP[1];Zhou, SH[1]

机构：[1]940th Hosp Joint Logist Support Force Chinese Peop, Dept Joint Surg, Lanzhou 730050, Gansu, Peoples R China;[2]Gansu Univ Tradit Chinese Med, Clin Med Coll 1, Lanzhou 730030, Gansu, Peoples R China

第一机构：940th Hosp Joint Logist Support Force Chinese Peop, Dept Joint Surg, Lanzhou 730050, Gansu, Peoples R China

通信机构：[1]corresponding author), 940th Hosp Joint Logist Support Force Chinese Peop, Dept Joint Surg, Lanzhou 730050, Gansu, Peoples R China.

年份：2025

卷号：48

期号：8

起止页码：4719

外文期刊名：ASIAN JOURNAL OF SURGERY

收录：;Scopus(收录号：2-s2.0-105000032091);WOS:【SCI-EXPANDED(收录号:WOS:001580916100004)】；

基金：This study was funded by the Science and Technology Plan Project of Lanzhou City (Grant No. 2023-2-11, Grant No. 2023-ZD-170) and the Hospital project of the No.940 Hospital of the Joint Logistics support Force (Grant No. 2023YXKY015 and Grant No. 2021yxky009) . This work was also partially supported by the Internal Medicine Research Project of Gansu Provincial People's Hospital (Grant No. 22GSSYD-77) .

语种：英文

外文关键词：Anterior cruciate ligament (ACL); Reconstruction; Timing; Meniscal tears

摘要：The purpose of this meta-analysis was to compare the effects of early anterior cruciate ligament reconstruction (ACLR) with delayed ACLR on meniscal tears. Two reviewers searched Pubmed, Embase, Web of Science, Cochrane Library, and some relevant gray literature sources without search date restrictions. All published literature on early versus delayed reconstruction for ACL rupture was found. Reviewers performed independent data extraction, risk of bias, and study quality assessments. After screening, 22 studies were included for analysis: 4 randomized controlled trials, 3 prospective cohort studies, and 15 retrospective cohort studies. We compared the incidence of meniscal tears at three time points (3, 6, and 12 months) following ACLR. ACLR performed within 3 months of injury was associated with a lower rate of medial meniscus (MM) tears compared with ACLR performed >3 months of injury (P = 0.01), but there was no statistically significant difference for lateral meniscus (LM) tears. ACLR performed within 6 months after injury was associated with a lower rate of MM tear compared with ACLR performed >6 months after injury (P = 0.0006). No statistical difference was observed between the two groups for LM tears. Similarly, ACLR performed >12 months after injury was associated with a higher rate of MM tear compared with ACLR performed within 12 months after injury (P = 0.0003) but not with a higher rate of lateral meniscal tears. The results of our study indicate that a delay exceeding 3 months in performing ACLR led to a significant increase in MM tears, while it had no significant impact on LM tears. The current available evidence suggests that for patients who require ACLR, it is recommended to undergo the procedure within 3 months of injury. (c) 2025 Asian Surgical Association and Taiwan Society of Coloproctology. Publishing services by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).