ACL Nonoperative Mx - Simon Richards 10/10/2000

Author

Casteleyn and Handelberg

Reference

JBJS. 78B.No.3, 1996. 446-451

Title

Non-Operative Management of ACL injuries in the general Pop.

Summary

12 yr prospective follow up on 228 patients treated with rehab. 82% felt knee was normal, 55% no change in activity level, 76% normal xrays, only 15% pivot shift

Critique

11% lost to f.u.   Change in rehab programme during trial

Author

Giove et al

Reference

JBJS. 65A.No.2, 1983. 184-191

Title

Non-Operative Treatment of the Torn ACL

Summary

24 pts. F.U of 32/12. Treated with rehab programme based on hamstring strengthening. 22 out of 24 returned to sport

Critique

Small numbers, short follow up, only comparing with opp knee

Author

Ciccotti et al

Reference

JBJS. 76A. No.9, 1994. 1315-1321

Title

Non-Operative Treatment of ruptures of the ACL in Middle aged people

Summary

52 patients. 40 - 60 yrs F.U 5-18 yrs. 73% returned to normal activity. 83% satisfied with knee after rehab.

Critique

Small numbers. Not all underwent rehab programme

Author

Kannus et al

Reference

JBJS. 69A.No.7, 1987. 1007-1011

Title

Conservatively treated tears of the ACL

Summary

49 pts complete , 41 partial tears. F.U 8 yrs.

Complete; 40% needed recon, 80% decrease activity, 70% OA

Partial; 0% ops, 70% same activity, 15% OA

Critique

Treated in pop 4-6/52