Non-operative Treatment of ACL Injury
Original Editor - Mariam Hashem
Top Contributors - Mariam Hashem, Kim Jackson, Jess Bell, Simisola Ajeyalemi and Tarina van der Stockt
Description[edit | edit source]
The main objective of ACL reconstruction is to restroe the normal joint mechanics for successful return to sports. The majority of ACL-deficiency undergo surgical treatment[1].
Despite the wide use of reconstruction, the rate of recurrence is still high particularly in the first 24 months following the operation[2]. A systematic review investigated the rate of return to sports after reconstruction and reported 82% of participants return to sports participation, 63% returning to pre-injury level with only 44% had returned to competitive sport[3] despite successful outcome in on knee impairment-based function scales.
For these reasons and due to other surgical complications some patients elict to undergo conservative treatment but due to the complexity and complications of ACL-deficiency there should be some crietria to identify the right candidate for nonoperative treatment.
The “rule of thirds” was described by Noyes et al. in 1983, stating that at least 1/3 of patients will benefit from nonoperative treatment without instability ''giving way''
Indications of Non-operative treatment
Screening to identify copers
Rehaabilitation
Neuromuscular training
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Sub Heading 3[edit | edit source]
Conclusion
ACL reconstruction is superior to conservative treatment in the evidence[4].
