Incidence of Osteoarthritis Diagnosis Within 5 Years of Surgery Was Greater Following Partial Meniscectomy Than Meniscus Repair and/or Anterior Cruciate Ligament Reconstruction

Matthew Skinner; Breanna Sullivan; Caitlin Conley; Darren Johnson; Mary Lloyd Ireland; David Landy; Austin Stone; Cale Jacobs

doi:10.1016/j.asmr.2024.100903

Incidence of Osteoarthritis Diagnosis Within 5 Years of Surgery Was Greater Following Partial Meniscectomy Than Meniscus Repair and/or Anterior Cruciate Ligament Reconstruction

Matthew Skinner, Breanna Sullivan, Caitlin Conley, Darren Johnson, Mary Lloyd Ireland, David Landy, Austin Stone, Cale Jacobs

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Purpose: To compare knee osteoarthritis (OA) incidence within 5 years of surgery between 5 common sports medicine procedures: isolated anterior cruciate ligament (ACL) reconstruction, isolated meniscus repair (MR), isolated arthroscopic partial meniscectomy (APM), ACL reconstruction with MR (ACL + MR), and ACL reconstruction with APM (ACL + APM). Methods: The PearlDiver Mariner M157Ortho database was searched. Five cohorts were identified using Current Procedural Terminology (CPT) codes and included those 16 to 60 years old who underwent isolated ACL reconstruction, isolated MR, ACL + MR, isolated APM, or ACL + APM repair. Groups were matched by age, sex, and presence of diagnosis codes for obesity. The incidence of knee OA diagnosis within 5 years of the index procedure was determined for each group, and odds ratios (ORs) were calculated and compared against isolated ACL reconstruction. Results: Each group consisted of 7,672 patients (3,450 females, 4,222 males). A significantly greater proportion of the APM group was diagnosed with knee OA within 5 years of surgery compared to isolated ACL reconstruction (APM = 1,032/7,672 [13.5%] vs ACL = 745/7,672 [9.7%]; P ≤ .001; OR, 1.45; 95% confidence interval [CI], 1.31-1.60). Similarly, a greater proportion of the MR group was diagnosed with OA compared to isolated ACL reconstruction (MR = 826/7,672 [10.7%]; P = .030; OR, 1.12; 95% CI, 1.01-1.25). No differences in OA incidence were noted between the ACL + APM group when compared to isolated ACL reconstruction (P = .81). Patients undergoing ACL + MR demonstrated the lowest OA incidence with reduced odds when compared to isolated ACL reconstruction (ACL + MR = 575/7,672 [7.5%]; P < .001; OR, 0.75; 95% CI, 0.67-0.84). Conclusions: In this analysis using CPT codes, APM was associated with the highest knee OA incidence, and ACL + MR was associated with the lowest OA incidence within 5 years of surgery. Level of Evidence: Level III, retrospective cohort study.

Original language	English
Article number	100903
Journal	Arthroscopy, Sports Medicine, and Rehabilitation
Volume	6
Issue number	2
DOIs	https://doi.org/10.1016/j.asmr.2024.100903
State	Published - Apr 2024

Bibliographical note

Publisher Copyright:
© 2024 The Authors

Funding

The authors report the following potential conflicts of interest or sources of funding: D.J. reports board membership with the American Orthopedic Society for Sports Medicine, Journal of Surgical Orthopedic Advances, Orthopedics Today, SLACK Incorporated, Southern Orthopedic Association, and Sports Medicine and Arthroscopy Review and has received research support from DJ Orthopaedics and Smith & Nephew Endoscopy. M.L.I. reports receiving a consulting fee/honorarium or payment for lectures from an UpToDate publication, the James E. Ireland Foundation, and Smith & Nephew speakers bureau. D.L. reports board membership with the American Journal of Sports Medicine and received payment for lectures from Smith & Nephew. A.S. reports board membership with the American Orthopedic Society for Sports Medicine and Arthroscopy Association of North American; is a consultant for Bioventus, Smith & Nephew, and Allosource; has provided expert testimony for Terumo; and has received research support from Flexion Therapeutics and Surgical Care Affiliates. C.J. reports board membership with the Video Journal of Sports Medicine and has received research support from Flexion Therapeutics and Smith & Nephew. All other authors (M.S., B.S., C.C.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Full ICMJE author disclosure forms are available for this article online, as supplementary material.

Funders	Funder number
DJ Orthopaedics and Smith & Nephew Endoscopy
Flexion Therapeutics and Smith & Nephew
Flexion Therapeutics and Surgical Care Affiliates
James E. Ireland Foundation

ASJC Scopus subject areas

Orthopedics and Sports Medicine
Physical Therapy, Sports Therapy and Rehabilitation
Rehabilitation
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.asmr.2024.100903

Cite this

Skinner, M., Sullivan, B., Conley, C., Johnson, D., Ireland, M. L., Landy, D., Stone, A., & Jacobs, C. (2024). Incidence of Osteoarthritis Diagnosis Within 5 Years of Surgery Was Greater Following Partial Meniscectomy Than Meniscus Repair and/or Anterior Cruciate Ligament Reconstruction. Arthroscopy, Sports Medicine, and Rehabilitation, 6(2), Article 100903. https://doi.org/10.1016/j.asmr.2024.100903

@article{f3459c0936964283add67da3d08e814e,

title = "Incidence of Osteoarthritis Diagnosis Within 5 Years of Surgery Was Greater Following Partial Meniscectomy Than Meniscus Repair and/or Anterior Cruciate Ligament Reconstruction",

abstract = "Purpose: To compare knee osteoarthritis (OA) incidence within 5 years of surgery between 5 common sports medicine procedures: isolated anterior cruciate ligament (ACL) reconstruction, isolated meniscus repair (MR), isolated arthroscopic partial meniscectomy (APM), ACL reconstruction with MR (ACL + MR), and ACL reconstruction with APM (ACL + APM). Methods: The PearlDiver Mariner M157Ortho database was searched. Five cohorts were identified using Current Procedural Terminology (CPT) codes and included those 16 to 60 years old who underwent isolated ACL reconstruction, isolated MR, ACL + MR, isolated APM, or ACL + APM repair. Groups were matched by age, sex, and presence of diagnosis codes for obesity. The incidence of knee OA diagnosis within 5 years of the index procedure was determined for each group, and odds ratios (ORs) were calculated and compared against isolated ACL reconstruction. Results: Each group consisted of 7,672 patients (3,450 females, 4,222 males). A significantly greater proportion of the APM group was diagnosed with knee OA within 5 years of surgery compared to isolated ACL reconstruction (APM = 1,032/7,672 [13.5\%] vs ACL = 745/7,672 [9.7\%]; P ≤ .001; OR, 1.45; 95\% confidence interval [CI], 1.31-1.60). Similarly, a greater proportion of the MR group was diagnosed with OA compared to isolated ACL reconstruction (MR = 826/7,672 [10.7\%]; P = .030; OR, 1.12; 95\% CI, 1.01-1.25). No differences in OA incidence were noted between the ACL + APM group when compared to isolated ACL reconstruction (P = .81). Patients undergoing ACL + MR demonstrated the lowest OA incidence with reduced odds when compared to isolated ACL reconstruction (ACL + MR = 575/7,672 [7.5\%]; P < .001; OR, 0.75; 95\% CI, 0.67-0.84). Conclusions: In this analysis using CPT codes, APM was associated with the highest knee OA incidence, and ACL + MR was associated with the lowest OA incidence within 5 years of surgery. Level of Evidence: Level III, retrospective cohort study.",

author = "Matthew Skinner and Breanna Sullivan and Caitlin Conley and Darren Johnson and Ireland, \{Mary Lloyd\} and David Landy and Austin Stone and Cale Jacobs",

note = "Publisher Copyright: {\textcopyright} 2024 The Authors",

year = "2024",

month = apr,

doi = "10.1016/j.asmr.2024.100903",

language = "English",

volume = "6",

number = "2",

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Skinner, M, Sullivan, B, Conley, C , Johnson, D , Ireland, ML, Landy, D, Stone, A & Jacobs, C 2024, 'Incidence of Osteoarthritis Diagnosis Within 5 Years of Surgery Was Greater Following Partial Meniscectomy Than Meniscus Repair and/or Anterior Cruciate Ligament Reconstruction', Arthroscopy, Sports Medicine, and Rehabilitation, vol. 6, no. 2, 100903. https://doi.org/10.1016/j.asmr.2024.100903

Incidence of Osteoarthritis Diagnosis Within 5 Years of Surgery Was Greater Following Partial Meniscectomy Than Meniscus Repair and/or Anterior Cruciate Ligament Reconstruction. / Skinner, Matthew; Sullivan, Breanna; Conley, Caitlin et al.
In: Arthroscopy, Sports Medicine, and Rehabilitation, Vol. 6, No. 2, 100903, 04.2024.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Incidence of Osteoarthritis Diagnosis Within 5 Years of Surgery Was Greater Following Partial Meniscectomy Than Meniscus Repair and/or Anterior Cruciate Ligament Reconstruction

AU - Skinner, Matthew

AU - Sullivan, Breanna

AU - Conley, Caitlin

AU - Johnson, Darren

AU - Ireland, Mary Lloyd

AU - Landy, David

AU - Stone, Austin

AU - Jacobs, Cale

PY - 2024/4

Y1 - 2024/4

N2 - Purpose: To compare knee osteoarthritis (OA) incidence within 5 years of surgery between 5 common sports medicine procedures: isolated anterior cruciate ligament (ACL) reconstruction, isolated meniscus repair (MR), isolated arthroscopic partial meniscectomy (APM), ACL reconstruction with MR (ACL + MR), and ACL reconstruction with APM (ACL + APM). Methods: The PearlDiver Mariner M157Ortho database was searched. Five cohorts were identified using Current Procedural Terminology (CPT) codes and included those 16 to 60 years old who underwent isolated ACL reconstruction, isolated MR, ACL + MR, isolated APM, or ACL + APM repair. Groups were matched by age, sex, and presence of diagnosis codes for obesity. The incidence of knee OA diagnosis within 5 years of the index procedure was determined for each group, and odds ratios (ORs) were calculated and compared against isolated ACL reconstruction. Results: Each group consisted of 7,672 patients (3,450 females, 4,222 males). A significantly greater proportion of the APM group was diagnosed with knee OA within 5 years of surgery compared to isolated ACL reconstruction (APM = 1,032/7,672 [13.5%] vs ACL = 745/7,672 [9.7%]; P ≤ .001; OR, 1.45; 95% confidence interval [CI], 1.31-1.60). Similarly, a greater proportion of the MR group was diagnosed with OA compared to isolated ACL reconstruction (MR = 826/7,672 [10.7%]; P = .030; OR, 1.12; 95% CI, 1.01-1.25). No differences in OA incidence were noted between the ACL + APM group when compared to isolated ACL reconstruction (P = .81). Patients undergoing ACL + MR demonstrated the lowest OA incidence with reduced odds when compared to isolated ACL reconstruction (ACL + MR = 575/7,672 [7.5%]; P < .001; OR, 0.75; 95% CI, 0.67-0.84). Conclusions: In this analysis using CPT codes, APM was associated with the highest knee OA incidence, and ACL + MR was associated with the lowest OA incidence within 5 years of surgery. Level of Evidence: Level III, retrospective cohort study.

AB - Purpose: To compare knee osteoarthritis (OA) incidence within 5 years of surgery between 5 common sports medicine procedures: isolated anterior cruciate ligament (ACL) reconstruction, isolated meniscus repair (MR), isolated arthroscopic partial meniscectomy (APM), ACL reconstruction with MR (ACL + MR), and ACL reconstruction with APM (ACL + APM). Methods: The PearlDiver Mariner M157Ortho database was searched. Five cohorts were identified using Current Procedural Terminology (CPT) codes and included those 16 to 60 years old who underwent isolated ACL reconstruction, isolated MR, ACL + MR, isolated APM, or ACL + APM repair. Groups were matched by age, sex, and presence of diagnosis codes for obesity. The incidence of knee OA diagnosis within 5 years of the index procedure was determined for each group, and odds ratios (ORs) were calculated and compared against isolated ACL reconstruction. Results: Each group consisted of 7,672 patients (3,450 females, 4,222 males). A significantly greater proportion of the APM group was diagnosed with knee OA within 5 years of surgery compared to isolated ACL reconstruction (APM = 1,032/7,672 [13.5%] vs ACL = 745/7,672 [9.7%]; P ≤ .001; OR, 1.45; 95% confidence interval [CI], 1.31-1.60). Similarly, a greater proportion of the MR group was diagnosed with OA compared to isolated ACL reconstruction (MR = 826/7,672 [10.7%]; P = .030; OR, 1.12; 95% CI, 1.01-1.25). No differences in OA incidence were noted between the ACL + APM group when compared to isolated ACL reconstruction (P = .81). Patients undergoing ACL + MR demonstrated the lowest OA incidence with reduced odds when compared to isolated ACL reconstruction (ACL + MR = 575/7,672 [7.5%]; P < .001; OR, 0.75; 95% CI, 0.67-0.84). Conclusions: In this analysis using CPT codes, APM was associated with the highest knee OA incidence, and ACL + MR was associated with the lowest OA incidence within 5 years of surgery. Level of Evidence: Level III, retrospective cohort study.

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U2 - 10.1016/j.asmr.2024.100903

DO - 10.1016/j.asmr.2024.100903

M3 - Article

AN - SCOPUS:85185804590

VL - 6

JO - Arthroscopy, Sports Medicine, and Rehabilitation

JF - Arthroscopy, Sports Medicine, and Rehabilitation

IS - 2

M1 - 100903

ER -

Incidence of Osteoarthritis Diagnosis Within 5 Years of Surgery Was Greater Following Partial Meniscectomy Than Meniscus Repair and/or Anterior Cruciate Ligament Reconstruction

Abstract

Bibliographical note

Funding

ASJC Scopus subject areas

UN SDGs

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