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Surgical Versus Non-surgical Treatment for ACL Injury

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May 16, 2023

Surgical Versus Non-surgical Treatment for ACL Injury

Vol: 6| Issue: 3| Number:1| ISSN#: 2563-559X

Authored By: Ali Shahabi, Steve Phillips, Ellen Scholl, Selina Bains and Mohit Bhandari on Behalf of OrthoEvidence

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Highlights

As of our updated search performed in April 2023, OE M.I.N.D. contains data from nearly 3,944 RCTs related to knee conditions with over 1,747,858 patients.

 

  • For patients with anterior cruciate ligament (ACL) injury, early reconstruction was associated with superior outcomes in Tegner activity score, stability, re-injury and revision surgery compared to rehabilitation alone either up to 2 years or longer than 2 years follow-up.
  • There was no significant difference between surgical and non-surgical treatment in composite clinical outcomes, pain, and incidence of return to preinjury activity level during follow-up periods of either up to 2 years or 2 to 15 years post treatment.
  • In terms of either reconstruction or rehabilitation for ACL injury, a total of 47 studies were found to be currently ongoing around the world, aiming to recruit over 12,000 patients based on data from clinicaltrials.gov.
  • Since 2005, the manufacturers that have published the most research associated with reconstruction for ACL are Smith & Nephew, Arthrex, DePuy Synthes, Ethicon and Mitek.
Anterior cruciate ligament (ACL) injury is a common orthopaedic condition that affects knee joint stability and is associated with time lost from sports and an increased risk of osteoarthritis (Hewett et al., 2006; Lien-Iversen et al., 2020). Studies have reported an annual incidence of ACL injuries between 0.15% and 3.7% among professional athletes, while this incidence continues to increase (Moses et al., 2012; Secrist et al., 2016). Treatment of ACL injury includes both surgical reconstruction and non-surgical options of rehabilitation, bracing and activity modification (Bogunovic & Matava, 2013). Over 130,000 ACL reconstructions
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