A Different Way to Think About Risk of Acute ACL Reconstruction

New data point to a nice way to counsel patients about the risks and rewards of going early

What’s the Claim?

A large-database study sourced from PearlDiver, which includes records from a variety of commercial and government insurance programs found:

  • Delaying ACL reconstruction >6 weeks in patients younger than 40 was associated with a 34% reduction in the odds of a subsequent procedure being performed for arthrofibrosis.
  • Waiting >10 weeks in patients over 40 was associated with a 65% reduction in those odds.
  • The actual frequency of those secondary procedures (manipulation under anesthesia or arthroscopic lysis of adhesions) is very low — < 3% in all groups studied.

How’s It Stack Up?