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Review paper
Received: 25.07.2022. >> Accepted: 08.11.2022. >> Published: 01.12.2022. Biochemistry
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https://doi.org/10.17392/1517-22

Risk of anterior cruciate ligament injury in population with elevated body mass index

By
Hasan N. Alsayed Orcid logo ,
Hasan N. Alsayed

Department of Orthopaedic Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

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Mohammed Abdulrahman Alkhateeb ,
Mohammed Abdulrahman Alkhateeb
Contact Mohammed Abdulrahman Alkhateeb

Department of Plastic Surgery, Dammam Medical Complex, Dammam, Saudi Arabia

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Asma Abdulaziz Aldossary ,
Asma Abdulaziz Aldossary

Department of Dermatology, Dammam Medical Complex, Dammam, Saudi Arabia

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Khalid Mohsen Houbani ,
Khalid Mohsen Houbani

Department of Family Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia

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Yousef Mohammed Aljamaan ,
Yousef Mohammed Aljamaan

Department of Orthopaedic Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

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Yousef A. Alrashidi
Yousef A. Alrashidi

Department of Orthopaedics, College of Medicine, Taibah University, Al Madinah Al Munawara, Saudi Arabia

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Abstract

Aim
Anterior cruciate ligament (ACL) injury is among the most common orthopaedic injuries. The elevated body mass index
(BMI) can contribute to non-contact ACL injury. This study aims to assess the risk of ACL injury among elevated BMI population people (BMI ≥25 Kg\m2).
Methods
This is a cross sectional study that was conducted in a tertiary care centre in the Kingdom of Saudi Arabia. A total of 302
patients, who had an ACL reconstruction surgery in a ten-year-period (January 2008 to December 2018) were included.
Results
 Sport related injury is significantly higher among the overweight and obese groups (p=0.002). Moreover, the combined ACL tear was higher among the overweight and obese groups (p=0.001). In univariate regression analysis for the selected baseline characteristics, it was found that individuals with higher BMI have chance to develop combined (ACL) injury 2
times higher when compared to those with isolated ACL injury (p=0.003). Also, the ACL type, mode of injury, types of injury
and type of sports were statistically significant in univariate regression analysis. However, only the mode of injury was statistically significant after controlling the confounding factors. Other selected variables like type of sport, type of injury and
ACL type were not significant.
Conclusion
Elevated BMI was associated with a higher risk of developing combined ACL tear as well as reinjured individuals.

Keywords:

anterior cruciate ligament reconstruction,
BMI,
knee injury,
obesity,
sport injury

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