{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:23:59Z","timestamp":1786123439320,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:00:00Z","timestamp":1699401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:00:00Z","timestamp":1699401600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:00:00Z","timestamp":1699401600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:00:00Z","timestamp":1699401600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>A debilitating complication following anterior cruciate ligament reconstruction is a secondary meniscus tear. Currently, the literature is mixed regarding the risk factors associated with the incidence of secondary meniscus tears. The aim of this study was to investigate risk factors associated with meniscus tears following an isolated primary anterior cruciate ligament reconstruction. ACL graft failure was hypothesized to be the strongest risk factor for secondary meniscal injury occurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort analysis was performed using the PearlDiver Database. Patients with a primary anterior cruciate ligament reconstruction were identified in the database. Patients with concomitant knee ligament injury or meniscus injury present at the time the index procedure were excluded. Patients were grouped to those who had a secondary meniscus tear within 2\u00a0years following anterior cruciate ligament reconstruction and those who did not. Univariate analysis and multivariable regression analysis was conducted to identify significant risk factors for a secondary meniscus tear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 25,622 patients meeting criteria for inclusion in this study. Within 2\u00a0years from the primary anterior cruciate ligament reconstruction, there were 1,781 patients (7.0%) that experienced a meniscus tear. Graft failure had the highest odds of having a postoperative meniscus tear within 2\u00a0years (OR: 4.1; CI 3.5\u20134.8;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.002). Additional significant risk factors included tobacco use (OR: 2.0; CI 1.0\u20133.1;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), increased Charlson Comorbidity Index (OR: 1.2; CI 1.1\u20131.4), male gender (OR: 1.1; CI 1.1\u20131.2;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), obesity (OR: 1.1; CI 1.1\u20131.2;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), delayed surgery (OR:1.1; CI 1.1\u20131.2;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.002), and patients age 30 and older (OR: 1.0; CI 1.0\u20131.0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study found that anterior cruciate ligament graft failure is the strongest predictor of post\u2010operative meniscus tears. Other risk factors, including tobacco use, increased CCI, male gender, obesity, delayed surgery, and age 30 and older, were established, with several being modifiable. Therefore, targeted preoperative optimization of modifiable risk factors and postoperative protocols may reduce the risk of secondary meniscus tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III, prognostic trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-023-07653-z","type":"journal-article","created":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T05:02:08Z","timestamp":1699419728000},"page":"5823-5829","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Graft failure within 2\u00a0years of isolated anterior cruciate ligament reconstruction is associated with increased risk of secondary meniscus tears"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7696-0049","authenticated-orcid":false,"given":"David","family":"Sproul","sequence":"first","affiliation":[{"name":"The George Washington University School of Medicine and Health Sciences 2300 I (Eye) St NW 20052 Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amil","family":"Agarwal","sequence":"additional","affiliation":[{"name":"The George Washington University School of Medicine and Health Sciences 2300 I (Eye) St NW 20052 Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alisa","family":"Malyavko","sequence":"additional","affiliation":[{"name":"The George Washington University School of Medicine and Health Sciences 2300 I (Eye) St NW 20052 Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhay","family":"Mathur","sequence":"additional","affiliation":[{"name":"The George Washington University School of Medicine and Health Sciences 2300 I (Eye) St NW 20052 Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Timothy","family":"Kreulen","sequence":"additional","affiliation":[{"name":"Adult Reconstruction Division Department of Orthopaedic Surgery Johns Hopkins University 10700 Charter Drive, Suite 205 21044 Columbia MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savyasachi C.","family":"Thakkar","sequence":"additional","affiliation":[{"name":"Adult Reconstruction Division Department of Orthopaedic Surgery Johns Hopkins University 10700 Charter Drive, Suite 205 21044 Columbia MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Best","sequence":"additional","affiliation":[{"name":"Adult Reconstruction Division Department of Orthopaedic Surgery Johns Hopkins University 10700 Charter Drive, Suite 205 21044 Columbia MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,8]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010014\u20103471\u2010x"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.02.002"},{"issue":"5","key":"e_1_2_11_4_1","first-page":"529","article-title":"Risk factors for new meniscal tears following anterior cruciate ligament reconstruction","volume":"35","author":"Chan CX","year":"2020","journal-title":"J Knee Surg"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"issue":"11","key":"e_1_2_11_6_1","first-page":"1128","article-title":"Correlation of meniscal tear with timing of anterior cruciate ligament reconstruction in patients without initially concurrent meniscal tear","volume":"32","author":"Chen KH","year":"2018","journal-title":"J Knee Surg"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01565470"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515622414"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517707207"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519849695"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1941738111429419"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/17453674.2017.1279496"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643\u2010021\u201001785\u20104"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519844481"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.00509"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010022\u201007117\u2010w"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120933895"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glab257"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623\u2010198971030\u201000014"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623\u2010198264060\u201000011"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221124258"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010019\u201003128\u20104"},{"issue":"10","key":"e_1_2_11_23_1","first-page":"1091","article-title":"Time from injury is the key predictor of meniscal injury in ACL\u2010deficient knees","volume":"35","author":"Mortazavi SMJ","year":"2021","journal-title":"J Knee Surg"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.5409\/wjcp.v12.i2.38"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010007\u20100414\u20109"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2015.09.005"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516634325"},{"issue":"10","key":"e_1_2_11_28_1","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1136\/bjsports-2019-101125","article-title":"Does early anterior cruciate ligament reconstruction prevent development of meniscal damage? Results from a secondary analysis of a randomised controlled trial","volume":"54","author":"Snoeker BAM","year":"2020","journal-title":"Br J Sports Med"},{"issue":"11","key":"e_1_2_11_29_1","article-title":"Current trends in anterior cruciate ligament reconstruction: a review","volume":"7","author":"Vaishya R","year":"2015","journal-title":"Cureus"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/00913847.2017.1321460"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-023-07653-z","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-023-07653-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1007\/s00167-023-07653-z","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-023-07653-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-023-07653-z","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T14:38:38Z","timestamp":1786113518000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-023-07653-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,8]]},"references-count":29,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1007\/s00167-023-07653-z"],"URL":"https:\/\/doi.org\/10.1007\/s00167-023-07653-z","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,8]]},"assertion":[{"value":"9 June 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 October 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 November 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"IRB approved; study utilized a database, where information is recorded in such a manner that subjects cannot be identified, either directly or indirectly through identifiers linked to subjects.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"N\/A; retrospective study utilized a database, where information is recorded in such a manner that subjects cannot be identified, either directly or indirectly through identifiers linked to subjects.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}