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This protocol is intended to guide clinicians through the non-operative course for ACL injuries. This protocol is time based as well as criterion based. Specific intervention should be based on the needs of the individual and should consider exam findings and clinical decision making.
The main objective of ACL reconstruction is to restore the anterior-posterior and rotational joint stability for successful a return to sports, prevention of instability and long-term joint degeneration. The majority of ACL-deficiencies undergo surgical treatment [1].
20 Αυγ 2022 · This study examined clinical effectiveness and cost-effectiveness of two treatment strategies (surgery or rehabilitation) for 167 patients with ACL injury and showed better self-reported outcomes in the surgery group compared with in the non-surgical group.
Indications for non-operative management include patients with partial tears, young children with wide-open physes, and patients with low-risk activity levels, isolated ACL injuries, and mild pathologic laxity.
Scandinavian health-care models require patients to go to a non-surgical orthopedic specialist first. After a thorough examination, the majority of the patients undergo the “physio first”-route, which leads to fewer surgeries.
8 Μαρ 2012 · More than 200 000 anterior cruciate ligament (ACL) injuries occur each year in the United States, and approximately 65% of these injuries are treated with reconstructive surgery. 8 A consistent approach to rehabilitation after ACL reconstruction can yield predictably good outcomes, such as a return to previous levels of activity and normal knee ...
9 Νοε 2021 · Does surgery reduce knee osteoarthritis, meniscal injury and subsequent complications compared with non-surgery after ACL rupture with at least 10 years follow-up? A systematic review and meta-analysis.
