Is anterior cruciate reconstruction superior to conservative treatment?

Dawson, A. G., Hutchison, J. D. and Sutherland, A. G. 2015, Is anterior cruciate reconstruction superior to conservative treatment?, Journal of knee surgery, no. 1, pp. 1-6, doi: 10.1055/s-0034-1396017.

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Title Is anterior cruciate reconstruction superior to conservative treatment?
Author(s) Dawson, A. G.
Hutchison, J. D.
Sutherland, A. G.
Journal name Journal of knee surgery
Issue number 1
Start page 1
End page 6
Total pages 6
Publisher Thieme Medical Publishers
Place of publication New York, N.Y.
Publication date 2015
ISSN 1938-2480
Summary Not all patients who have a rupture of the anterior cruciate ligament (ACL) elect to have surgical reconstruction. The aim of this study was to assess the short-to-medium-term results of patients who chose conservative management in comparison to patients who had reconstructive surgery within the same time period. Sixty-three patients with an ACL injury were retrospectively studied. Forty patients were managed, according to patient choice, with ACL reconstruction and 23 conservatively. Four validated questionnaires were used to assess general and knee-specific function in a cohort with a median age of 32 years and a median follow-up period of 38 months. Patients were matched on demographic variables except for gender. There were no statistically significant differences in the outcome measures, and the majority of patients would proceed with the same treatment in the event the control leg became injured. Patients who elect to have conservative management of an ACL rupture can achieve similar function and satisfaction to those who elect to have reconstruction. Until a large randomized controlled trial is conducted, patients need to be made aware of the merits of both management strategies and the lack of evidence of superiority of one over the other.
Language eng
DOI 10.1055/s-0034-1396017
Field of Research 110314 Orthopaedics
Socio Economic Objective 920116 Skeletal System and Disorders (incl. Arthritis)
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Thieme Medical Publishers
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Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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