{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T23:30:46Z","timestamp":1780788646762,"version":"3.54.1"},"reference-count":27,"publisher":"BMJ","issue":"2","funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2022,8,26]]},"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess whether initial non-operative treatment of anterior cruciate ligament (ACL) ruptures with optional delayed ACL reconstruction leads to more meniscal procedures compared with early ACL reconstruction during the 2-year follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We compared the number of meniscal procedures of 167 patients with an ACL rupture, who either received early ACL reconstruction (n=85) or rehabilitation therapy plus optional delayed ACL reconstruction (n=82), participating in the Conservative vs Operative Methods for Patients with ACL Rupture Evaluation trial. Patients were aged 18 to 65 years (mean 31.3, SD 10.5), 60% male sex (n=100). We evaluated the presence and location of meniscal tears by baseline MRI. We analysed and compared how many patients per randomisation group had a meniscal procedure during follow-up in the ACL injured knee, adjusted for sex, body mass index, age group and orthopaedic surgeon.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At baseline, 41% of the entire study population (69\/167 patients) had a meniscal tear on MRI. During the 2-year follow-up, 25 patients randomised to early ACL reconstruction (29%, 25\/85 patients) had a meniscal procedure, compared with 17 patients randomised to rehabilitation plus optional delayed reconstruction (21%, 17\/82 patients) (risk ratio 0.67 with 95% CI 0.40 to 1.12, p=0.12). Of these patients who received early ACL reconstruction (n=82) and patients that received delayed ACL reconstruction (n=41), 5% of the patients had an additional isolated meniscal procedure after ACL reconstruction. In patients who received no ACL reconstruction (n=41), 10% (n=4) had an isolated surgical procedure for a meniscal tear during the 2-year follow-up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Initial non-surgical treatment of ACL ruptures followed by optional delayed ACL reconstruction does not lead to a higher number of meniscal procedures compared with early ACL reconstruction over a 2-year follow-up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration number<\/jats:title><jats:p>NL 2618.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bjsports-2021-105235","type":"journal-article","created":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T17:20:12Z","timestamp":1663867212000},"page":"78-82","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Meniscal procedures are not increased with delayed ACL reconstruction and rehabilitation: results from a randomised controlled trial"],"prefix":"10.1136","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8007-9983","authenticated-orcid":false,"given":"Sabine J A","family":"van der Graaff","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6316-9629","authenticated-orcid":false,"given":"Max","family":"Reijman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eline M","family":"van Es","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sita M A","family":"Bierma-Zeinstra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan A N","family":"Verhaar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5372-6003","authenticated-orcid":false,"given":"Duncan E","family":"Meuffels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,9,22]]},"reference":[{"key":"2024051415065140000_57.2.78.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0907797"},{"key":"2024051415065140000_57.2.78.2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20120222-07"},{"key":"2024051415065140000_57.2.78.3","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514525910"},{"key":"2024051415065140000_57.2.78.4","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508330136"},{"key":"2024051415065140000_57.2.78.5","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513503448"},{"key":"2024051415065140000_57.2.78.6","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00888"},{"key":"2024051415065140000_57.2.78.7","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2018-100022"},{"key":"2024051415065140000_57.2.78.8","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200205000-00003"},{"key":"2024051415065140000_57.2.78.9","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2018.0302"},{"key":"2024051415065140000_57.2.78.10","doi-asserted-by":"crossref","first-page":"232596711878650","DOI":"10.1177\/2325967118786507","article-title":"Recurrent instability episodes and meniscal or cartilage damage after anterior cruciate ligament injury: a systematic review","volume":"6","author":"Sommerfeldt","year":"2018","journal-title":"Orthop J Sports Med"},{"key":"2024051415065140000_57.2.78.11","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-100956"},{"key":"2024051415065140000_57.2.78.12","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-101125"},{"key":"2024051415065140000_57.2.78.13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n375"},{"key":"2024051415065140000_57.2.78.14","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2012.704563"},{"key":"2024051415065140000_57.2.78.15","unstructured":"Richtlijn Artroscopie van de knie. 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