{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T13:05:34Z","timestamp":1774530334917,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T00:00:00Z","timestamp":1615161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T00:00:00Z","timestamp":1615161600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T00:00:00Z","timestamp":1615161600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this study was to (1) report on the incidence of concurrent surgical pathology at the time of adolescent ACL reconstruction, (2) evaluate patient risk factors for concurrent pathology, and (3) measure the effect of BMI on operating room (OR) time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of the NSQIP database for the years 2005\u20132017 was conducted. Nine\u2010hundred and seventeen patients 18 years of age and younger who underwent ACL reconstruction (ACLR) were identified using CPT code 29888 and patients undergoing surgery for multi\u2010ligamentous knee injuries were excluded. The mean patient age was 17.6 years (range 14\u201318, standard deviation 0.52) and consisted of 546\u00a0males (59.5%) and 371 females (40.5%). Logistic regression was used to assess the relationship between BMI and additional CPT codes for internal derangement at the time of surgery. Internal derangement was defined as any procedure for the treatment of a meniscal tear, chondral lesion, or loose body removal. Linear regression analysis was then performed to evaluate the effect of BMI on operative time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>43.7% of patients undergoing ACLR required an associated procedure for internal derangement. Additionally, the risk of requiring additional procedures for internal derangement increased by 3.1% per BMI point. BMI was also predictive of operative time, independent of the number of additional procedures. Specifically, the operative time increased by nearly one minute for every point increase in BMI (58.0 s).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Adolescent patients with an elevated BMI were much more likely to require additional surgical procedures for internal derangement at the time of ACL reconstruction. Additionally, BMI was a significant predictor for longer operative times.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-021-06432-y","type":"journal-article","created":{"date-parts":[[2021,3,7]],"date-time":"2021-03-07T23:16:58Z","timestamp":1615159018000},"page":"4182-4187","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Elevated BMI increases concurrent pathology and operative time in adolescent ACL reconstruction"],"prefix":"10.1002","volume":"29","author":[{"given":"Sophia A.","family":"Traven","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics Medical University of South Carolina 96 Jonathan Lucas Dr, CSB 708 29425 Charleston SC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. Jacob","family":"Wolf","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics Medical University of South Carolina 96 Jonathan Lucas Dr, CSB 708 29425 Charleston SC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Brett","family":"Goodloe","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics Medical University of South Carolina 96 Jonathan Lucas Dr, CSB 708 29425 Charleston SC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell A.","family":"Reeves","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics Medical University of South Carolina 96 Jonathan Lucas Dr, CSB 708 29425 Charleston SC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane K.","family":"Woolf","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics Medical University of South Carolina 96 Jonathan Lucas Dr, CSB 708 29425 Charleston SC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harris S.","family":"Slone","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedics Medical University of South Carolina 96 Jonathan Lucas Dr, CSB 708 29425 Charleston SC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,8]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118825453"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514559912"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016\u20101877"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511406871"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS\u2010D\u201017\u201000294"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000521"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513518412"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512449994"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS\u201021\u201002\u201078"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2011.12.012"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100032\u20101327450"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010008\u20100786\u20104"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.530"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105012\u20105"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.08.016"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513503448"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635\u2010200612000\u201000005"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ker276"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.10884"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001331"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514562168"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.6361"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.07.044"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100033\u20101333663"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398\u2010199307000\u201000016"},{"key":"e_1_2_8_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001222"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100036\u20101593620"},{"key":"e_1_2_8_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105267\u2010x"},{"key":"e_1_2_8_30_2","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000000777"},{"key":"e_1_2_8_31_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2011.154021"},{"key":"e_1_2_8_32_2","unstructured":"(2014 November 4)American College of Surgeons National Surgical Quality Improvement Program.User guide for the 2013 participant use data file. 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Traven MD, G. Jacob Wolf MD, J. Brett Goodloe MD, Russell A. Reeves MD, Shane K. Woolf, and Harris S. Slone MD declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was a large database retrospective review, and for this type of study formal consent is not required. All aspects of this study, including the retrospective review of human surgical procedures, were in accordance with the ethical standards of the institutional and\/or national research committee and the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}