Table 3.
Risk Factors for Subsequent Ipsilateral Surgery After Bucket-Handle Surgery a
| Any Knee Surgery | Meniscal Repair | Meniscectomy | |
|---|---|---|---|
| Unadjusted | OR (95% CI) | OR (95% CI) | OR (95% CI) |
| Meniscal repair group (reference, meniscectomy) | 3.01 (2.39-3.78) | 4.61 (2.60-8.16) | 4.11 (2.97-5.69) |
| Age (5-year decrement) | 1.22 (1.17-1.28) | 1.27 (1.19-1.36) | 1.68 (1.45-1.96) |
| Age groups, years (reference, 12-29) | |||
| 30-50 | 0.47 (0.38-0.60) | 0.18 (0.10-0.35) | 0.42 (0.31-0.57) |
| 51-65 | 0.33 (0.21-0.52) | - d | 0.30 (0.16-0.57) |
| Male | 0.89 (0.71-1.11) | 1.25 (0.75-2.09) | 1.07 (0.79-1.44) |
| Race/ethnicity (reference, White) b | |||
| Black | 1.39 (0.93-2.07) | 1.40 (0.62-3.16) | 1.00 (0.57-1.74) |
| Asian | 0.73 (0.50-1.06) | 0.74 (0.33-1.67) | 0.48 (0.27-0.85) |
| Hispanic/Latinx | 0.90 (0.69-1.18) | 0.84 (0.46-1.53) | 0.86 (0.60-1.22) |
| Other | 1.50 (0.99-2.27) | 0.92 (0.33-2.60) | 1.44 (0.86-2.44) |
| BMI, kg/m2 (reference, ≥30) | |||
| <25 | 2.08 (1.55-2.81) | 4.33 (1.92-9.75) | 2.48 (1.67-3.68) |
| 25-29.9 | 1.45 (1.07-1.96) | 2.50 (1.07-5.80) | 1.32 (0.87-2.01) |
| Unknown | 2.44 (1.34-4.44) | 5.53 (1.58-19.31) | 2.56 (1.18-5.54) |
| Low-income residence c | 1.01 (0.71-1.45) | 1.15 (0.55-2.42) | 0.64 (0.37-1.12) |
| Charlson Comorbidity Index score ≥1 | 0.98 (0.69-1.37) | 0.70 (0.30-1.62) | 1.10 (0.72-1.69) |
| Current smoker | 1.07 (0.77-1.50) | 0.85 (0.39-1.87) | 1.14 (0.74-1.75) |
| Ipsilateral ACLR | 1.01 (0.81-1.26) | 1.11 (0.69-1.79) | 0.94 (0.70-1.26) |
| Multivariable modeling | aOR (95% CI) | aOR (95% CI) | aOR (95% CI) |
| Meniscal repair group (reference, meniscectomy) | 2.29 (1.79-2.93) | 2.23 (1.27-3.93) | 2.96 (2.10-4.17) |
| Age (5-year decrement) | 1.15 (1.09-2.21) | 1.59 (1.36-1.86) | 1.18 (1.10-1.27) |
| Male | 0.86 (0.68-1.08) | 1.21 (0.73-2.02) | 1.06 (0.78-1.44) |
| Race/ethnicity (reference, White) | |||
| Black | 1.13 (0.75-1.72) | 0.85 (0.38-1.91) | 0.80 (0.45-1.41) |
| Asian | 0.64 (0.44-0.94) | 0.64 (0.29-1.39) | 0.43 (0.24-0.75) |
| Hispanic/Latinx | 0.81 (0.61-1.08) | 0.62 (0.34-1.14) | 0.80 (0.55-1.16) |
| Other | 1.33 (0.87-2.05) | 0.73 (0.27-1.96) | 1.29 (0.76-2.21) |
| BMI, kg/m2 (reference, ≥30) | |||
| <25 | 1.55 (1.13-2.12) | 2.22 (1.01-4.85) | 1.73 (1.14-2.61) |
| 25-29.9 | 1.37 (1.01-1.88) | 2.04 (0.92-4.55) | 1.19 (0.78-1.82) |
| Unknown | 1.35 (0.72-2.52) | 1.70 (0.50-5.74) | 1.28 (0.58-2.84) |
| Low-income residence | 1.05 (0.73-1.53) | 1.27 (0.61-2.64) | 0.68 (0.39-1.19) |
| Charlson Comorbidity Index score ≥1 | 1.11 (0.78-1.58) | 0.84 (0.38-1.89) | 1.28 (0.83-1.99) |
| Current smoker | 1.27 (0.90-1.80) | 1.26 (0.58-2.73) | 1.39 (0.90-2.17) |
| Ipsilateral ACLR | 0.82 (0.65-1.03) | 0.87 (0.54-1.40) | 0.78 (0.57-1.05) |
ACLR, anterior cruciate ligament reconstruction; aOR, adjusted odds ratio; BMI, body mass index; OR, odds ratio.
Race/ethnicity data were patient self-reported: White was defined as non-Hispanic/Latinx Caucasian; Black was defined as non-Hispanic/Latinx African Americans; Asian was defined as non-Hispanic/Latinx Asian including Pacific Islanders and Native Hawaiian; Hispanic/Latinx included any races; Other was defined as non-Hispanic/Latinx American Indians, Alaskan Natives, more than 1 race, and unknown (n = 45).
Low-income residence, address of residence in a census block with ≥20% households with income below the federal poverty level.
No cohort aged 51 to 65 years experienced meniscal repair of the same knee during follow-up.