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Lower Socioeconomic Status Adversely Affects Timing of Care and Rate of Re-Injury Following Anterior Cruciate Ligament Reconstruction

Rachel E Cherelstein, BS
UNITED STATES

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Lower Socioeconomic Status Adversely Affects Timing of Care and Rate of Re-Injury Following Anterior Cruciate Ligament Reconstruction

Eduardo J Natal-Albelo, MD, UNITED STATES Rachel E Cherelstein, BS, UNITED STATES Christopher M Kuenze, PhD, UNITED STATES Andrew Curley, MD, UNITED STATES Blake M. Bodendorfer, MD, UNITED STATES Mark Hopkins, MD, UNITED STATES Christine Conroy, MD, UNITED STATES Caroline Fryar, MD, UNITED STATES David X. Wang, MD, UNITED STATES Edward S. Chang, MD, UNITED STATES

Inova Health , Fairfax, Virginia , UNITED STATES

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Sports Medicine

Orthopaedic Sports Medicine Research Epidemiology

Diagnosis / Condition

Tears Instability

Treatment / Technique

Repair / Reconstruction

Anatomic Location

Knee

Anatomic Structure

Ligaments

ACL

Summary: Lower Socioeconomic Status Adversely Affects Timing of Care and Rate of Re-Injury Following Anterior Cruciate Ligament Reconstruction

Title

Lower Socioeconomic Status Adversely Affects Timing of Care and Rate of Re-Injury Following Anterior Cruciate Ligament Reconstruction

Introduction

Neighborhood socioeconomic status affects patient reported outcomes after ACL reconstruction. Furthermore, multiple studies have reported that time between initial injury and surgery vary greatly in diverse patient populations, irrespective of the health care system in which treatment was provided. Treatment for ACL injuries in a delayed manner has shown to increase additional knee pathology and result in worse long-term prognosis.

Objective

The primary aim of this study was to define the impact of socioeconomic factors, such as national area of deprivation index (ADI) and medical insurance type, on the access to orthopaedic care after an ACL rupture. The secondary aim was to determine if these variables, national ADI and medical insurance, were associated with second ACL injury after primary ACLR. We hypothesized that patients with a greater national deprivation index and Medicaid insurance will have less access to specialized care and an increased risk of re-injury.

Methods

An IRB approved retrospective study was conducted evaluating 339 patients that underwent ACL reconstructions between November 2015 and August 2018 by 3 sports medicine fellowship-trained orthopaedic surgeons. Patients undergoing primary ACL reconstruction were included. Demographic and surgical characteristics data were obtained via chart review and telephone interviews. National ADI percentile was obtained utilizing the Neighborhood Atlas Website and the patients’ home addresses. The relationship between national ADI percentile and care characteristics (e.g., time to specialized care) were investigated using Spearman’s rank correlation coefficients while the association between patient and care characteristics, and second ACL injury were investigated using multivariable logistic regression.

Results

A total of 339 patients met inclusion criteria and had complete datasets for all variables of interest. Participants had an average age of 23 +- 7.4 yrs. 55.8% of the patients were males and identified themselves as: White 45.7%, African American 14.5%, Asian 11.8%, Hispanic 7.7% and Other 21.3%. Patients with a greater national ADI percentage took longer to seek specialized care from time of injury (Spearman’s rank correlation coefficient = 0.141, p = 0.009) as well as to undergo surgery from time of injury (Spearman’s rank correlation coefficient = 0.183, p < 0.001). Individuals who utilized Medicaid insurance had significantly greater odds of experiencing a second ACL injury (OR = 3.079, p = 0.023) when compared to individuals who utilized commercial insurance. National ADI percentile (p = 0.208), time from injury to specialized care (p = 0.342), and time from specialized care to surgery (p = 0.051) did not significantly contribute to the model.

Conclusion

Lower socioeconomic status adversely affects timing of care and re-injury rates following an ACL injury. Patients with a greater national ADI percentage took significantly longer to seek specialized care and obtain surgery following ACL injury. Patients utilizing Medicaid insurance were more likely to sustain a re-injury following ACL Reconstruction. Future studies should look at factors that impede access to care and adversely affect post-operative outcomes.

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An Analysis Of Repeat Anterior Cruciate Ligament Injury and Return to Sport in Australian Soccer Players Demonstrates Hamstring Autografts to be a Reliable Option ePoster Presentation Jonathan R Manara, BMBS, FRCS (Tr & Orth), UNITED KINGDOM Lucy J. Salmon, PhD, AUSTRALIA Faisal Kilani, BSc, AUSTRALIA Claire Monk, BS, AUSTRALIA Keran Sundaraj, MBBS MCs (Trauma) FRACS FAOA, AUSTRALIA Leo A. Pinczewski, MBBS, FRACS, FAOA, AUSTRALIA Justin P. Roe, MB BS BSc(Med) Hons FRACS, A/Prof., AUSTRALIA
Technology Assisted Anterior Cruciate Ligament Reconstruction Improves Tunnel Placement but Leads to No Change in Clinical Outcomes: A Systematic Review and Meta-Analysis ePoster Presentation Ehsan Yavari, HBSc, CANADA Sabreena Moosa, HBSc, CANADA Dan Cohen, MD, CANADA Darren L. de SA, MD MBA FRCSC, CANADA
Return To Play And Pattern Of Injury In A Consecutive Case Series Of Elite UEFA Football Player Following Anterior Cruciate Ligament Rupture ePoster Presentation Luca Farinelli, MD, ITALY Elisabeth Abermann, MD, AUSTRIA Amit Meena, MBBS, MS, DNB, INDIA Christian Fink, MD, Prof., AUSTRIA
A Novel Quantitative Assessment of Bone Tendon Junction Healing in Patients after ACL Reconstruction by High Resolution Peripheral Computer Tomography: The Development of a Deep-Learning System ePoster Presentation Michael Tim Yun Ong, MBChB(UK), BSc(UK), MRCS(Edin), MSc(CUHK), FRCSEd, HONG KONG Patrick S. H. Yung, MBChB, FRCS(Orth), FHKCOS, FHKAM, FRCS, HONG KONG
Patellar Tendon Autograft is Associated with Difficulty Kneeling but Does Not Result in a More Painful or Symptomatic Knee Compared to Hamstring Tendon Autograft after Anterior Cruciate Ligament Reconstruction: Results from the New Zealand ACL Registry ePoster Presentation Richard Rahardja, MBChB, BMedSc(Hons), NEW ZEALAND Hamish Love, FRACS, NEW ZEALAND Mark G. Clatworthy, FRACS, NEW ZEALAND Simon W. Young, MD, FRACS, NEW ZEALAND
Technique for Increasing the Strength of Fixation to the Suspensory Button in Anterior Cruciate Ligament Reconstruction Using the Quadriceps Tendon ePoster Presentation Tomoyuki Kanayama, MD, JAPAN Junsuke Nakase, MD, PhD, JAPAN Rikuto Yoshimizu, JAPAN Yusuke Yanatori, MD, JAPAN Hiroyuki Tsuchiya, JAPAN
A Comparison of Postoperative Outcomes Between Internal Brace Augmented and Non-Augment Hamstring Tendon Autograft Anterior Cruciate Ligament Reconstruction (ACLR) ePoster Presentation Maria Melanie Legaspi Valbuena, MD, MBA, PHILIPPINES Raphael Coligado Jurilla, MD, PHILIPPINES Patrick How, PHILIPPINES Jason Paul Santiago, MD, PHILIPPINES
Is There Any Benefit In Anterior Cruciate Ligament Reconstruction In Patients Over 60 Years Old? ePoster Presentation Panagiotis G. Ntagiopoulos, MD, PhD, GREECE Paolo Ferrua, MD, ITALY Guillaume Demey, MD, FRANCE David H. Dejour, MD, FRANCE
Surgeon Volume Affects Revision Rate Following Primary Anterior Cruciate Ligament Reconstruction With Allograft ePoster Presentation Sahil Dadoo, BS, UNITED STATES Ian DeYoe Engler, MD, UNITED STATES Janina Kaarre, MD MSc, UNITED STATES Audrey Y. Chang, BA, UNITED STATES Michael Shannon, BS, UNITED STATES Laura Keeling, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
Blumensaat’s Line Morphology Does Not Influence the Femoral Tunnel Position in Anatomical Double-Bundle ACL Reconstruction ePoster Presentation Yoshiyuki Yahagi, MD,PhD, JAPAN Takanori Iriuchishima, MD, PhD, JAPAN Keinosuke Ryu, Prof., JAPAN Kazuyoshi Nakanishi, Prof., JAPAN
The Lateral Femoral Notch Sign Decreases in Pediatric Patients Following Anterior Cruciate Ligament Reconstruction ePoster Presentation Nicolas Pascual-Leone, MD, UNITED STATES Danielle E. Chipman, BS, UNITED STATES Douglas Mintz, MD, UNITED STATES Frank A. Cordasco, MD, MS, UNITED STATES Peter D. Fabricant, MD, MPH, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
Age-Related Microstructural Changes In Semitendinosus and Quadriceps Tendons ePoster Presentation Junsuke Nakase, MD, PhD, JAPAN Kazuki Asai, JAPAN Mitsuhiro Kimura, JAPAN Rikuto Yoshimizu, JAPAN Tomoyuki Kanayama, MD, JAPAN Yusuke Yanatori, MD, JAPAN Hiroyuki Tsuchiya, JAPAN
Double Bundle ACL Revision Reconstruction with Allograft Resulted In a Low Revision Rate At 10 Year ePoster Presentation Luca Macchiarola, MD, ITALY Nicola Pizza, MD, ITALY Alberto Grassi, PhD, ITALY Giacomo Dal Fabbro, ITALY Stefano Zaffagnini, MD, Prof., ITALY
Return to Sports in Anterior Cruciate Ligament Reconstruction Revision Surgery ePoster Presentation David H. Figueroa, MD, CHILE Maria Loreto Figueroa Berrios, MD, CHILE Alexandra Feuereisen, MD, CHILE Javier Ignacio González, MD, CHILE Rafael Calvo, MD, CHILE
Posterior Displacement Of The Detached Meniscocapsular Ligament Of Ramp Lesion In ACL Injured Knee Observed On MRI In Flexed Knee Position Is Associated With Greater Preoperative Anterior Knee Laxity ePoster Presentation Satoshi Nonaka, MD, JAPAN Kazuhisa Hatayama, MD, PhD, JAPAN Hibiki Kakiage, MD, JAPAN Masanori Terauchi, MD, JAPAN
Bone–Patellar Tendon–Bone Autograft and Female Sex are Associated with the Presence of Cyclops Lesions and Syndrome After Anterior Cruciate Ligament Reconstruction ePoster Presentation Tomohiro Tomihara, MD, JAPAN Yusuke Hashimoto, MD, PhD, JAPAN Kazuya Nishino, MD, JAPAN Shuko Tsumoto, MD, JAPAN
Delaying ACL Reconstruction Increases the Rate and Severity of Medial Compartment Chondral Injury ePoster Presentation Nicolas Cance, MD, FRANCE Julien Erard, MD, FRANCE Jobe Shatrov, MD, AUSTRALIA Gaspard Fournier, MD, FRANCE Stanislas Gunst, MD, FRANCE Gianluca Ciolli, MD, ITALY Pasquale Porcelli, MD, ITALY Sebastien Lustig, MD, PhD, Prof., FRANCE Elvire Servien, MD, PhD, Prof., FRANCE
No Single Dominant Risk Factor for Noncontact ACL Injury: Key Thresholds and Relative Contributions of Knee Geometry and Anterior-Posterior Laxity ePoster Presentation Jacob Zeitlin, BA, UNITED STATES Mark Alan Fontana, PhD, UNITED STATES Michael Parides, PhD, UNITED STATES Thomas L. Wickiewicz, MD, UNITED STATES Andrew D. Pearle, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES Bruce D. Beynnon, PhD, UNITED STATES Carl W Imhauser, PhD, UNITED STATES
Static Anterior Tibial Translation After Anatomic ACLR: An MRI Analysis ePoster Presentation Ignacio Garcia-Mansilla, MD, ARGENTINA Fernando Holc, MD, ARGENTINA Ignacio Astore, MD, ARGENTINA Camila Juana, MD, ARGENTINA Juan Pablo Zicaro, MD, ARGENTINA Carlos H. Yacuzzi, MD, ARGENTINA Matias Costa-Paz, MD, PhD, ARGENTINA
No Evidence of Racial Disparities in Revision Risk Following ACL Reconstruction in a Single Healthcare Network Despite Increased Social Disadvantage Among Black Patients ePoster Presentation Ian DeYoe Engler, MD, UNITED STATES Sahil Dadoo, BS, UNITED STATES William T. Li, MD, UNITED STATES Robert Tisherman, UNITED STATES Audrey Y. Chang, BA, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
Early Results of ACL Reconstruction with Quadriceps Tendon Autograft All-Inside Technique ePoster Presentation Amogh Iyer, BS, UNITED STATES Galo Bustamante, BS, UNITED STATES Eric Milliron, BS, UNITED STATES Parker Cavendish, BS, UNITED STATES James C. Kirven, BS, UNITED STATES Spencer E. Talentino, MD, UNITED STATES Charles Qin, MD, UNITED STATES Ryan H. Barnes, MD, UNITED STATES David C. Flanigan, MD, UNITED STATES Christopher C. Kaeding, MD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES Robert A. Duerr, MD, UNITED STATES
Analysis of Patient Reported Outcomes and Subsequent Surgery Rate Following Quadriceps Tendon Anterior Cruciate Ligament Reconstruction and Lateral extra-articular Tenodesis in Skeletally Immature Patients: Two Year Follow-Up ePoster Presentation Sofia Hidalgo Perea, BS, UNITED STATES Danielle E. Chipman, BS, UNITED STATES Frank A. Cordasco, MD, MS, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
A Bifactor Model Supports Unidimensionality of the IKDC in Young Active Patients with ACL Tears ePoster Presentation Hana Marmura, MPT, PhD, UNITED STATES Paul Tremblay, PhD, CANADA Alan Getgood, MD, FRCS(Tr&Orth), DipSEM, QATAR Dianne M. Bryant, PhD, CANADA
High Return to Sport Rate and Few Re-Ruptures at Long Term in Professional Footballers After Anterior Cruciate Ligament Reconstruction with Hamstrings ePoster Presentation Tommaso Bonanzinga, MD, PhD, ITALY Alberto Grassi, PhD, ITALY Gian Andrea Lucidi, MD, ITALY Luca Macchiarola, MD, ITALY Marianna Viotto, ITALY Stefano Zaffagnini, MD, Prof., ITALY
Adhesion Between the Anterior Cruciate Ligament Grafts and the Transverse Ligament of the Menisci: An effect of Arthroscopic Release ePoster Presentation Masashi Kusano, MD, PhD, JAPAN Keisuke Kita, MD, PhD, JAPAN Ryohei Uchida, MD, PhD, JAPAN Yukiyoshi Toritsuka, MD, PhD, JAPAN
Short Message Service-Based Collection of Patient Reported Outcome Measures Following ACL Reconstruction: A Pilot Study ePoster Presentation Steffen Sauer, MD, DENMARK
Proprioceptive and Clinical Outcomes of Anterior Cruciate Ligament Reconstruction With Remnant Tissue Preservation Technique: A Comparison According to the Preserved Tissue Length ePoster Presentation Hasan Bombaci, Prof., TURKEY Bugra Basalan, MD, TURKEY Ozgul Ozturk, MD, TURKEY Onur Aydogdu, PhD, TURKEY Zübeyir Sarı, Prof, TURKEY
Biomechanical Changes at the Knee Joint between Pre- and Post-Operative Gait in Patients with ACL Injury ePoster Presentation Kohei Nishizawa, PhD, JAPAN Kengo Harato, MD, PhD, JAPAN Shu Kobayashi, MD, PhD, JAPAN Yasuo Niki, MD, PhD, JAPAN Takeo Nagura, MD, JAPAN
Quadriceps Autograft Is A Viable Graft Choice For ACL Reconstruction In Patients Over 50 Years Old ePoster Presentation Amit Meena, MBBS, MS, DNB, INDIA Luca Farinelli, MD, ITALY Christian Hoser, MD, AUSTRIA Elisabeth Abermann, MD, AUSTRIA Mirco Herbort, MD, Prof., GERMANY Christian Fink, MD, Prof., AUSTRIA
The PCL-PCA Angle: A New Simple and Reliable MRI Method to Describe Anterior Tibial Translation in ACL-Deficient Knees ePoster Presentation Romain Seil, MD, Prof., LUXEMBOURG Renaud Siboni, MD, PhD student, FRANCE Charles Pioger, MD, FRANCE Caroline Mouton, PhD, LUXEMBOURG
Time-Series Biological Responses Toward Decellularized Bovine Tendon Graft and Autograft for 52 Consecutive Weeks after Rat Anterior Cruciate Ligament Reconstruction ePoster Presentation Masafumi Itoh, MD, PhD, JAPAN Junya Itou, MD, PhD, JAPAN Umit Kuwa, MD, PhD, JAPAN Ken Okazaki, MD, PhD, JAPAN Kiyotaka Iwasaki, Prof, JAPAN
Revision Anterior Cruciate Ligament Reconstruction with All Soft Tissue Quadriceps Tendon Autograft and Quadriceps Tendon Autograft with Bone Block Have Similar Clinical Outcomes ePoster Presentation Asher B Mirvish, BA, UNITED STATES Joshua C Setliff, BA, UNITED STATES Ehab M Nazzal, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Zachary J Herman, MD, UNITED STATES Clair Smith, MSc, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES Jonathan D Hughes, MD, PhD, UNITED STATES
Femoral Button is Not Applied: Does It Matter ? ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Ahmed Zendeoui, MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
The Effect of Delaying Anterior Cruciate Ligament Reconstruction More Than 3 or 6 Months on Revision Rates and Knee Stability After 2 Years of Follow-up ePoster Presentation Helena Amstrup Jensen, BSc, DENMARK Torsten Grønbech Nielsen, PhD., DENMARK Martin Lind, MD, PhD, Prof., DENMARK
Effect of Intra-articular Drain on Pain in Postoperative Arthroscopic Anterior Cruciate Ligament Reconstruction: A Randomized control trial ePoster Presentation Artit Boonrod, MD, THAILAND Sarat Tiangwan, MD, THAILAND Aumjit Wittayapairoj, MD, , THAILAND Sermsak Sumanont, MD, THAILAND Punyawat Apiwatanakul, MD, THAILAND Khananut Jaruwanneechai, MD, THAILAND
ACL Repair Versus ACL Reconstruction: A Propensity Matched Study ePoster Presentation Adnan Saithna, MD, FRCS, UNITED STATES Alexandre Ferreira, MD, FRANCE Alessandro Carrozzo, MD, ITALY Sylvain Guy, MD, FRANCE Thais Dutra Vieira, MD, FRANCE Johannes Barth, MD, Prof., FRANCE Bertrand Sonnery-Cottet, MD, PhD, FRANCE
The Statistical Fragility Of Clinical Trials Comparing Bone-Patellar Tendon-Bone Versus Hamstring Tendon Autografts In Anterior Cruciate Ligament Reconstruction Surgery: A Systematic Review ePoster Presentation Jeffrey Okewunmi, BS, UNITED STATES Zakaria Chakrani, BA, UNITED STATES John K Cordero, MD, UNITED STATES Robert L Parisien, MD, UNITED STATES
Quad Versus Patella Tendon Autograft for Anterior Cruciate Ligament Reconstruction In Young Athletes ePoster Presentation Cory Riccio, MD, UNITED STATES Nathan Fackler, MD, UNITED STATES Christopher M Kuenze, PhD, UNITED STATES Tarun Vippa, BS, UNITED STATES Sarah Powell, MD, UNITED STATES Rachel E Cherelstein, BS, UNITED STATES Edward S. Chang, MD, UNITED STATES
A Prospective Comparison of Postoperative Pain and Opioid Consumption between Primary Repair and Reconstruction of the Anterior Cruciate Ligament ePoster Presentation Sebastian Rilk, MD, UNITED STATES Harmen D. Vermeijden, MD, UNITED STATES Xiuyi A Yang, M.S., UNITED STATES Robert O'Brien, MHS, PA-C, UNITED STATES Jelle P. van der List, MD, PhD, NETHERLANDS Gregory S. Difelice, MD, UNITED STATES
The Relationship Between Preoperative Static Anterior Tibial Subluxation and Graft Maturation on MRI After Double-Bundle Anterior Cruciate Ligament Reconstruction ePoster Presentation Shigehiro Asai, MD, JAPAN Hideaki Fukuda, MD, JAPAN Takahiro Ogura, MD, JAPAN Kenji Takahashi, MD, PhD, JAPAN
Non-Operative Treatment is an Excellent Option for Isolated Anterior Cruciate Ligament Injuries: a Systematic Review and Meta-Analysis ePoster Presentation Robert de Jonge, MD, HUNGARY Miklos Mate, MD, HUNGARY Norbert Kovacs, MD, HUNGARY Marcell Imrei, MD, , HUNGARY Karoly Pap, MD, PhD, HUNGARY Gergely Agocs, PhD, HUNGARY Peter Hegyi, Prof., HUNGARY Gergely Pánics, PhD, HUNGARY
Uncommonly Considered Predisposing Anatomic Risk Factor for Anterior Cruciate Ligament (ACL) Injury: Recognition and Possible Rehabilitation Potential for Prevention ePoster Presentation Mujeeb Ashraf, FRCS, MCh,FEBTS, SAUDI ARABIA Hatem Al-Harbi, FRCSC, SAUDI ARABIA
Diagnosis and Classification of Anteromedial Bundle Injury In Anterior Cruciate Ligament Injuries with a Digital Application ePoster Presentation Fernando Hernandez-Aragon, MD, MEXICO Nadia Karina Portillo Ortiz, MD, MEXICO Jose Arturo Balderrama Reynosa, Ing., MEXICO Marcela Miranda Robles, Ing., MEXICO Ivan Ramos Moctezuma, Eng, MEXICO Luis Sigala Gonzalez, Eng, MEXICO Irene Leal-Berumen, PhD, MEXICO Arturo Aguirre Madrid, MD, MEXICO Fernando González González, MD, MEXICO Edmundo Berumen Nafarrate, PhD, Prof., MEXICO
Second-look Arthroscopic Evaluation and Clinical Outcomes After Anatomic Double Bundle Anterior Cruciate Ligament Reconstruction: Comparison of Different Knee Flexion Angles During Tibial Graft Fixation ePoster Presentation Yasunari Oniki, MD, PhD, JAPAN Taiki Murakami, JAPAN Eiichi Nakamura, MD, PhD, JAPAN
Role of Biophysic Stimulation with Pulsed Electromagnetic Fields on Bone Bruise in Anterior Cruciate Ligament Reconstruction ePoster Presentation Vito Gaetano Rinaldi, MD, ITALY Iacopo Sassoli, MD, ITALY Matteo La Verde, MD, ITALY Eugenio Cammisa, MD, ITALY Federico Coliva, MD, ITALY Alberto Fogacci, MD, ITALY Giada Lullini, MD, PhD, ITALY Stefano Zaffagnini, MD, Prof., ITALY Giulio Maria Marcheggiani Muccioli, MD, PhD, Associate Professor, ITALY
Effect of The Tibial Tunnel Communication on the Bone-Tendon Healing and Location of the Graft at the Tibial Tunnel Aperture in The Double-Bundle Anterior Cruciate Ligament Reconstruction ePoster Presentation Naoto Suzue, MD, PhD, JAPAN Yoshitsugu Takeda, MD, PhD, JAPAN
Elevated Posterior Tibial Slope is Associated with Anterior Cruciate Ligament Reconstruction Failures: A Systematic Review and Meta-Analysis ePoster Presentation Benjamin Ormseth, BS, UNITED STATES Jeremy Adelstein, BS, UNITED STATES Andrew Garrone, MD, UNITED STATES Alex C. Dibartola, MD, MPH, UNITED STATES Ryan H. Barnes, MD, UNITED STATES Charles Qin, MD, UNITED STATES Christopher C. Kaeding, MD, UNITED STATES David C. Flanigan, MD, UNITED STATES Robert Siston, PhD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES Robert A. Duerr, MD, UNITED STATES
Transtibial Femoral Tunnel Technique In ACL Reconstruction and Osteoarthritis Incidence ePoster Presentation Marcus Vinicius Danieli, MD, PhD, BRAZIL João P.F. Guerreiro, MD, PhD, BRAZIL Joao Vitor Guedes Guedes Suzze, MD, BRAZIL Victoria de Abreu, MD, BRAZIL
New Injuries Within 2 Years After Acute ACL Injury Treated With Either ACL Reconstruction and Rehabilitation or With Rehabilitation Alone ePoster Presentation Anna Samuelsson Selin , MD, PhD student, SWEDEN Hakan Gauffin, MD PhD, SWEDEN Anne Fältström, PhD, SWEDEN Joanna Kvist, Professor, SWEDEN
Implant-Free Reconstruction Techniques For Ligaments Injuries Of The Knee – Cost-Effective Innovative Alternatives For The Traditional Techniques ePoster Presentation Girinivasan Chellamuthu, MBBS, MS Ortho, FIOT, FASM, INDIA Santosh Sahanand Kulasekaran, MBBS,MS(ortho), INDIA David V. Rajan, MS(Orth), MNAMS(Orth), FRCS(G), INDIA
Concomitant Chondral Injury and ACL Reconstruction ePoster Presentation Emily Schueppert, BS, UNITED STATES S. Ali Ghasemi, MD, UNITED STATES Diannemarie Omire-Mayor, MD, UNITED STATES Arthur R Bartolozzi, MD, UNITED STATES
Comparison Outcome of Home Based Versus Supervised Physiotherapy Rehabilitation Post Anterior Cruciate Ligament (ACL) Reconstruction in Recreational Athletes : A Randomised and Single Blind Study ePoster Presentation Muhammad Rajaei Ahmad, MBBS, Master of Medicine (Orthopaedics), MALAYSIA Muzaffar Tengku Shihabudin, M.Med (Ortho), MALAYSIA
Decreased Time Between Injury and Surgery and Increased Injury Severity Predict Motion Loss After Multiligament Knee Injury, but Are Only Part of the Picture ePoster Presentation Cale A. Jacobs, PhD, UNITED STATES Kathleen Poploski, PhD, UNITED STATES Caitlin Conley, PhD, UNITED STATES Austin V Stone, MD, PhD, UNITED STATES Darren L. Johnson, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES James J. Irrgang, PT, PhD, FAPTA, UNITED STATES
Short-Term Clinical Outcomes of Remnant-Preserving Single-Bundle Augmentation in Anterior Cruciate Ligament Reconstruction: Comparison with Single- and Double-Bundle Reconstruction ePoster Presentation Mariko Osugi, MD, JAPAN Atsuo Nakamae, MD, PhD, JAPAN Kazuhiro Tsukisaka, MD, , JAPAN Masataka Deie, MD, PhD, Prof., JAPAN Nobuo Adachi, MD, PhD, JAPAN
Posterior Tibial Plateau Compression Fractures Coinciding with ACL Injury: Means of Identification, Treatment Decision-Making Process and Clinical Relevance of Proposed MRI-Based Classification System ePoster Presentation Robert Smigielski, MD, PhD, POLAND Beata Ciszkowska-Lyson, PhD, POLAND Aleksandra Zielinska, MA, BSc, POLAND Christian Fink, MD, Prof., AUSTRIA Mirco Herbort, MD, Prof., GERMANY
Altered Trunk Movements During Running after Anterior Cruciate Ligament Reconstruction ePoster Presentation Jodie A. McClelland, BPhysio(Hons), PhD, AUSTRALIA Julian A. Feller, FRACS, FAOrthA, AUSTRALIA Michael Maes, Md, BELGIUM Gustaf Gauffin, SWEDEN Anna Nilsson, SWEDEN Kate E. Webster, PhD, AUSTRALIA
Effects of Focused Extracorporeal Shock Wave Therapy in Reducing Pain In Patients With Anterior Knee Pain After ACLR with BTB Autograft ePoster Presentation Hideaki Fukuda, MD, JAPAN
Clinical Outcome Of Bicruciate Ligament Reconstruction In Multiple Knee Ligament Injuries: Comparison With Bicruciate And Collateral Ligament Reconstructions ePoster Presentation Zenta Jotoku, MD, PhD, JAPAN Eiji Kondo, MD, PhD, JAPAN Koji Iwasaki, MD, PhD, JAPAN Tomohiro Onodera, MD, PhD, JAPAN Daisuke Momma, PhD, JAPAN Kazunori Yasuda, MD, PhD, Prof., JAPAN Norimasa Iwasaki, MD, PhD, JAPAN
Contribution of Functional Knee Bracing to Joint Stability and Anterior Cruciate Ligament Function ePoster Presentation Sene Polamalu, BS, UNITED STATES Emre Anıl Özbek, MD, TURKEY Ehab M Nazzal, MD, UNITED STATES Gian Andrea Lucidi, MD, ITALY Andrew Sprague, PT, PhD, DPT, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES Richard E Debski, PhD, UNITED STATES
Spin in the Abstracts of Meta-Analyses and Systematic Reviews: Quadriceps Tendon Graft for Anterior Cruciate Ligament Reconstruction ePoster Presentation Matthew T Gulbrandsen, MD, UNITED STATES Taha Taka, BS, UNITED STATES Joshua Peterson, BS, UNITED STATES Jun Ho Chung, MD, UNITED STATES Hasan Syed, MD Austin V Stone, MD, PhD, UNITED STATES John Xerogeanes, MD, UNITED STATES Joseph N. Liu, MD, UNITED STATES
Is Asymmetry of the Medial and Lateral Posterior Femoral Condyles Associated With ACL Rupture? A Case-Control Study of Pediatric Patients ePoster Presentation Nicolas Pascual-Leone, MD, UNITED STATES Danielle E. Chipman, BS, UNITED STATES Danielle S Gorelick, NP, UNITED STATES Peter D. Fabricant, MD, MPH, UNITED STATES Russell F. Warren, MD, UNITED STATES Douglas Mintz, MD, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
Knee Joint Kinematics under Weight Bearing Condition in ACL Injured Knees – An Imaging Study of Upright Computed Tomography ePoster Presentation Yuhei Yoda, MD, JAPAN Kengo Harato, MD, PhD, JAPAN Kazuya Kaneda, MD, PhD, JAPAN Ryo Sasaki, MD, PhD, JAPAN Yoshitake Yamada, MD, PhD, JAPAN Yasuo Niki, MD, PhD, JAPAN Shu Kobayashi, MD, PhD, JAPAN Masaya Nakamura, MD, PhD, JAPAN Masahiro Jinzaki, MD, PhD, Prof., JAPAN Takeo Nagura, MD, JAPAN
The Blumensaat Line on Radiograph as an Accurate Predictor of Native ACL Length ePoster Presentation Jeffrey Simpson, BS, UNITED STATES Joshua Cassinat, BS, UNITED STATES Frederic Baker Mills, MD, UNITED STATES Patrick Wakefield Joyner, MD, MS, UNITED STATES
Fear Of Reinjury Following Primary Anterior Cruciate Ligament Reconstruction (ACLR): A Systematic Review ePoster Presentation Basit Mir, MB, BcH, BAO, LRCP and Si, CANADA Prushoth Vivekanantha, MD, CANADA Saihaj Dhillon, BHSc, CANADA Odette Cotnareanu, BSc, CANADA Dan Cohen, MD, CANADA Kanto Nagai, MD, PhD, JAPAN Darren L. de SA, MD MBA FRCSC, CANADA
Low Revision Risk In Primary Anterior Cruciate Ligament Reconstruction With Allograft In The Masters Athlete ePoster Presentation Ian DeYoe Engler, MD, UNITED STATES Audrey Y. Chang, BA, UNITED STATES Janina Kaarre, MD MSc, UNITED STATES Michael Shannon, BS, UNITED STATES Andrew Curley, MD, UNITED STATES Clair Smith, MSc, UNITED STATES Jonathan D Hughes, MD, PhD, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
Biomechanical Study of the Elastic Fixation of the Posterolateral Fracture of the Tibial Plateau: Arrow Technique ePoster Presentation Oscar Ares, PhD, SPAIN David Gutierrez Medina, MD, SPAIN Carlos Andres Morales-Marin, MD, SPAIN Salvador Madariaga, MD, SPAIN Andrea Sallent, MD, PhD, SPAIN Jose Alonso Zumbado, MD, SPAIN Manuel Llusà, SPAIN
“It’s Just My Knee”: The Role of Resilience and Reframing on Young Athlete’s Quality of Life Following ACL Injury ePoster Presentation Hana Marmura, MPT, PhD, UNITED STATES Dianne M. Bryant, PhD, CANADA Alan Getgood, MD, FRCS(Tr&Orth), DipSEM, QATAR Fiona Webster, PhD, CANADA
Preoperative Templating of Bone-Patellar Tendon-Bone Graft for ACL Reconstruction: An Individualised Morphometry-Based Graft Harvest Method ePoster Presentation Prakash Ayyadurai, MS, INDIA Arumugam Sivaraman, MS(Orth), AB(IM)(USA), FRCS(Glasg), INDIA Suresh Perumal, MS(Orth), INDIA Janani Gopalakrishnan, MD (Sports Medicine), INDIA
Time From ACL Injury Time To Surgery: Evaluating A Multifaceted Set of Potential Predictors ePoster Presentation Claire Giachino, BA, UNITED STATES Hannah Rossing, BS, UNITED STATES David Howell, PhD, UNITED STATES Curtis D. Vandenberg, MD, UNITED STATES Jay C. Albright, MD, UNITED STATES
A Comparison of Return to Sport Rates Between Male and Female Athletes After Anterior Cruciate Ligament Reconstruction in an Australian Context ePoster Presentation Haydn Klemm, BFSc&Nutr (Hons), AUSTRALIA Kate E. Webster, PhD, AUSTRALIA Julian A. Feller, FRACS, FAOrthA, AUSTRALIA
Quadrupled Semitendinosus vs. Semitendinosus-Gracilis Graft for ACL Reconstruction:a Randomized Controlled Trial ePoster Presentation Juan Pablo Martinez-Cano, MD, MSc, PhD, COLOMBIA Laura Zamudio, MD, COLOMBIA Julian Chica, MD, COLOMBIA Juan José Martinez Arboleda, MD, COLOMBIA Fernando M. Mejia, MD, COLOMBIA Alfredo Martinez Rondanelli, MD, COLOMBIA
Factors Associated with Knee Extension Strength Symmetry Following Anterior Cruciate Ligament Reconstruction with Quadriceps Tendon Autograft ePoster Presentation Justin James Greiner, MD, UNITED STATES Nicholas P Drain, MD, UNITED STATES Joshua C Setliff, BA, UNITED STATES Romano Sebastiani, BS, UNITED STATES Zachary J Herman, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Jonathan D Hughes, MD, PhD, UNITED STATES
Failure Rates and Complications with Multiple-Revision Anterior Cruciate Ligament Reconstruction: Comparison of Anatomic Femoral Tunnel and Over The Top Technique ePoster Presentation Emre Anıl Özbek, MD, TURKEY Philipp W. Winkler , MD , AUSTRIA Ehab M Nazzal, MD, UNITED STATES Balint Zsidai, HUNGARY Nicholas P Drain, MD, UNITED STATES Janina Kaarre, MD MSc, UNITED STATES Andrew Sprague, PT, PhD, DPT, UNITED STATES Bryson P. Lesniak, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES
Reliability of the KNEELAX3 Arthrometer for Anterior Knee Laxity Measurement in Healthy Female Subjects ePoster Presentation Azusa Saito, PT,BSc, JAPAN Shota Mashimo, PT, BSc, JAPAN Junya Kubota, PT, BSc, JAPAN Hiroyuki Sato, PT, BSc, JAPAN Fumiya Naonaga, PT,BSc, JAPAN Keita Tanaka, PT, BSc, JAPAN Erina Murosaki, PT,BSc, JAPAN Nobuto Kitamura, MD, PhD, JAPAN
High Prevalence Of Injuries Associated With ACL Tears: A Detailed Analysis Of 253 Patients From A National Multi-center Cohort Study ePoster Presentation Riccardo Cristiani, MD, PhD, SWEDEN Fabian Van de Bunt, MD, PhD, SWEDEN Joanna Kvist, Professor, SWEDEN Anders Stalman, MD, PhD, Professor, SWEDEN
Social Media Content Related to ACL Recovery: An Analysis ePoster Presentation Sabreena Moosa, HBSc, CANADA Isabel Thomas, HBSc, CANADA Darren L. de SA, MD MBA FRCSC, CANADA
Simultaneous Reconstruction of the Anterior Cruciate Ligament and Medial Collateral Ligament Using Semitendinosus and Gracilis Autografts: A Minimum 2-Year Follow-Up Study ePoster Presentation Miten Rajendra Sheth, MBBS, MS, DNB (Orth), INDIA
Clinical Outcomes and Return to Sport After Quadriceps Tendon Autograft ACL Reconstruction: Comparison to Bone-Patellar Tendon-Bone Autograft at a Minimum 2-Year Follow-Up ePoster Presentation Evan W. James, MD, UNITED STATES Dakota Adamec , BS , UNITED STATES Per-Henrik Randsborg, MD, PhD, NORWAY Joseph T. Nguyen, MPH, UNITED STATES Robert G. Marx, MD, UNITED STATES Answorth A. Allen, MD, UNITED STATES Frank A. Cordasco, MD, MS, UNITED STATES Benedict U. Nwachukwu, MD, MBA, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES
Novel Arthrometer Provides Quantitative and Objective Measures of Uniplanar and Multiplanar Knee Laxity ePoster Presentation Erin Berube, MS, BS, UNITED STATES Akinola E Oladimeji, MD, UNITED STATES David Shamritsky, MEng, UNITED STATES Deborah Jones, PT, OCS, SCS, UNITED STATES Michael Parides, PhD, UNITED STATES Andrew D. Pearle, MD, UNITED STATES Danyal H. Nawabi, MD, FRCS(Orth), UNITED STATES Thomas L. Wickiewicz, MD, UNITED STATES Carl W Imhauser, PhD, UNITED STATES
Comparative Results Of Anterior Cruciate Ligament Reconstruction With Full Tibial Tunnel: Quadrupled Semitendinosus Suspensory Femoral And Tibial Fixation Versus Quadrupled Semitendinosus and Gracilis Suspensory Femoral and Tibial Screw & Staple Fixation ePoster Presentation Mahir Mahirogullari, MD, Prof., TURKEY Lokman Kehribar, MD, TURKEY Serkan Surucu, MD, UNITED STATES Mahmut Enes Kayaalp, MD, TURKEY Ali Kerim Yılmaz, PhD, TURKEY Mahmud Aydın, MD, TURKEY
Trends in Revision Anterior Cruciate Ligament Reconstruction and Return to Sport: A Survey of the Herodicus Society ePoster Presentation Michael Andrew Fox, MD, UNITED STATES Ian DeYoe Engler, MD, UNITED STATES Andrew Curley, MD, UNITED STATES Damaris Susana Mohr, PA-C, UNITED STATES Justin W. Arner, MD, UNITED STATES Volker Musahl, MD, Prof., UNITED STATES James P. Bradley, MD, UNITED STATES
Effectiveness of Fibrin Clot Implantation for Reduction Of Bone Tunnel Enlargement In Bundle-Bundle ACL Reconstruction Using Autogenous Hamstring Tendon Grafts ePoster Presentation Nobuyoshi Suzuki, MD, JAPAN Tomoya Iseki, MD, PhD, JAPAN Shintaro Onishi, MD, PhD, JAPAN Ryo Kanto, MD, JAPAN Hiroshi Nakayama, MD., Ph.D., JAPAN Shinichi Yoshiya, MD, JAPAN Toshiya Tachibana, MD, PhD, JAPAN
Hamstring Allograft versus Autograft in Primary Anterior Cruciate Ligament Reconstruction ePoster Presentation Paul Ruckenstuhl, MD, Msc, AUSTRIA Patrick Sadoghi, MD, AUSTRIA Gerald Gruber, MD, Prof., AUSTRIA Andreas Leithner, MD, Prof., AUSTRIA Stefan Fischerauer, MD, MSc, PhD, AUSTRIA
Changes in Cross-Sectional Area After the Anatomic ACL Reconstruction with Hamstring Tendon or Bone-atellar tendon autografts. ePoster Presentation Kazutaka Kinugasa, MD, PhD, JAPAN Masayuki Hamada, MD, JAPAN Yasukazu Yonetani, MD, PhD, JAPAN Akira Tsujii, MD, PhD, JAPAN Tomohiko Matsuo, MD, PhD, JAPAN Yoshinari Tanaka, MD, PhD, JAPAN Yuta Tachibana, M.D., Ph.D., JAPAN Ryohei Uchida, MD, PhD, JAPAN Konsei Shino, MD, PhD, JAPAN
Adductor Canal Block is Superior to Femoral Nerve Block for Early Postoperative Pain Relief after Single Bundle Anterior Cruciate Ligament Reconstruction with Hamstring Autograft ePoster Presentation Takeshi Oshima, MD, PhD, JAPAN Junsuke Nakase, MD, PhD, JAPAN Kengo Shimozaki, MD, JAPAN Rikuto Yoshimizu, JAPAN Mitsuhiro Kimura, JAPAN Tomoyuki Kanayama, MD, JAPAN Yusuke Yanatori, MD, JAPAN Hiroyuki Tsuchiya, JAPAN
Adverse Events And Complications Reported In Prospective Versus Retrospective Investigations Of ACLR with BTB Autograft: A Systematic Review ePoster Presentation Garrett Jackson, MD, UNITED STATES Harkirat Jawanda, BS, UNITED STATES Enzo Salviato Mameri, MD, MSc, BRAZIL Zeeshan Khan, BA, UNITED STATES Johnathon Robert Mccormick, MD, UNITED STATES Derrick Michael Knapik, MD, UNITED STATES Nikhil N. Verma, MD, UNITED STATES Jorge Chahla, MD, PhD, UNITED STATES
Sex-Based Difference of the Most Common Autograft Sources for ACL Reconstruction Measured on Knee MRI ePoster Presentation Giovanna Medina, MD, MSc, PhD, UNITED STATES Maria Virginia Velasquez-Hammerle, MD, UNITED STATES Miho J. Tanaka, MD, PhD, UNITED STATES
Changing the ACL Reconstruction Algorithm from Transtibial Hamstring to Transportal Patellar Tendon Is Associated With a More Physiological Knee Laxity At 5-To-10 Year Follow-Up, But Maintaining Activity Levels Remains A Greater Challenge ePoster Presentation Iftach Hetsroni, MD, Associate Prof., ISRAEL Eyal Arami, MD, ISRAEL Guy Maoz, MD, ISRAEL Niv Marom, MD, ISRAEL Nissim Ohana, MD, ISRAEL Gideon Mann, MD, Prof., ISRAEL
Morphological Evaluation Of The Quadriceps Tendon Using Preoperative Ultrasound In Anterior Cruciate Ligament Reconstruction ePoster Presentation Satoshi Takeuchi, MD, PhD, JAPAN Kevin J Byrne, MD, UNITED STATES Ryo Kanto, MD, JAPAN Kentaro Onishi, DO, UNITED STATES
Isolated Anatomic Reconstruction of Anterior Cruciate Ligament in Sportsmen with High Pivot Shift Grade: Is it Enough for Rotational Stability? ePoster Presentation Mohamed Amine Gharbi , MD, TUNISIA Moatassem Belleh Jelassi, MD, TUNISIA Houssem Eddine Chahed, MD, TUNISIA Ahmed Zendeoui, MD, TUNISIA Anis Tebourbi, MD, TUNISIA Ramzi Bouzidi, PhD, TUNISIA Khelil Ezzaouia, PhD, TUNISIA Mouadh Nefiss, MD, TUNISIA
Comparable Primary Stability Between Current-Generation Adjustable Loop Cortical Buttons for Anterior Cruciate Ligament Reconstruction – A Biomechanical Study ePoster Presentation Adrian Deichsel, MD, GERMANY Lara Leibrandt, cand. med., GERMANY Michael J. Raschke, MD, Prof., GERMANY Matthias Klimek, M. Sc., GERMANY Jens Wermers, MD, GERMANY Christian Peez, MD, GERMANY Thorben Briese, MD, GERMANY Elmar Herbst, MD, PhD, GERMANY Christoph Kittl, MD, MD(res), GERMANY Johannes Glasbrenner, MD, GERMANY
Does Delaying First Revision ACLR Result in Poorer Outcomes? Evaluation of Association Between Surgical Timing and Outcomes ePoster Presentation Bryce Dzubara, BS, UNITED STATES Parker Cavendish, BS, UNITED STATES Eric Milliron, BS, UNITED STATES James C. Kirven, BS, UNITED STATES Spencer E. Talentino, MD, UNITED STATES Ryan H. Barnes, MD, UNITED STATES Charles Qin, MD, UNITED STATES David C. Flanigan, MD, UNITED STATES Robert A. Duerr, MD, UNITED STATES Christopher C. Kaeding, MD, UNITED STATES Robert A Magnussen, MD, MPH, UNITED STATES
The Effect of Laterality on Patient Outcomes in Mulitligamentous Knee Injury ePoster Presentation Thomas M. Geissler, BS, UNITED STATES Jacob T. Hall, MD, UNITED STATES Jonathan Campbell, MD, UNITED STATES
Tibial Tunnel Aperture Migration After Anatomical Rectangular Tunnel ACL Reconstruction using Bone-Patellar Tendon-Bone Autografts ePoster Presentation Ryo Murakami, MD, JAPAN Shuji Taketomi, MD, PhD, JAPAN Ryota Yamagami, MD, JAPAN Kenichi Kono, MD, PhD, JAPAN Kohei Kawaguchi, MD, PhD, JAPAN Tomofumi Kage, JAPAN Takahiro Arakawa, MD, JAPAN Sakae Tanaka, MD, PhD, JAPAN
A Retrospective Study of Prevalence of Intra-Articular Comorbidities Associated with ACL Tear and its Relationship with Patient-Age and Chronicity of the ACL Tear ePoster Presentation Vishwesh Devendrasinh Chudasama, M.S. (ORTHO), INDIA Vishvas Modi, M.S. (ORTHO), INDIA Deepak Goyal, MBBS, MS(Ortho), DNB(Ortho), Prof, INDIA

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Lower Socioeconomic Status Adversely Affects Timing of Care and Rate of Re-Injury Following Anterior Cruciate Ligament Reconstruction

Lower Socioeconomic Status Adversely Affects Timing of Care and Rate of Re-Injury Following Anterior Cruciate Ligament Reconstruction

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Objective

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Results

Conclusion

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Lower Socioeconomic Status Adversely Affects Timing of Care and Rate of Re-Injury Following Anterior Cruciate Ligament Reconstruction

Lower Socioeconomic Status Adversely Affects Timing of Care and Rate of Re-Injury Following Anterior Cruciate Ligament Reconstruction

Introduction

Objective

Methods

Results

Conclusion