Article review- Filbay et al (2017) Delaying ACL reconstruction

Article review- Filbay et al (2017)  Delaying ACL reconstruction

Filbay et al (2017)

Delaying ACL reconstruction and treating with exercise therapy alone may alter prognostic factors for 5-year outcome: an exploratory analysis of the KANON trial.

 

5year follow up of a prospective RCT comparing 3 groups

1) Exercise therapy plus early ACLR    (Surgery within 10 weeks)-    62 people

2) Exercise therapy with delayed ACLR (Median 867 days to surgery)-  30 people 

3) Exercise therapy alone - 29 people

All participants (age 18-35, males 73%) had injured their ACL <4weeks ago; Excluded professional sports people and those less than moderately active.

Article review - Wellsandt et al (2017) - Limb Symmetry?

Article review - Wellsandt et al (2017) - Limb Symmetry?

Wellsandt et al (2017) Limb Symmetry Indexes Can Overestimate Knee Function After Anterior Cruciate Ligament Injury

Comparison between single leg hop and quad strength – in two different ways.

Who - Non professional cutting athletes, 14-55 yrs old(Excluded other significant injuries).

Limb Symmetry Index (LSI) = comparison between Left and Right during an assessment.

Estimated pre-injury capacity (EPIC) = measuring uninvolved limb pre-operatively then comparing to the involved side at 6 months post-op.

2016 Patellofemoral (Knee cap) consensus statements

2016 Patellofemoral (Knee cap) consensus statements

The International Patellofemoral Pain Research Group consists of expert clinicians and researchers who pool the best available current research on the topic of patellofemoral pain (PFP). The following is a summary of their 2016 consensus statement

Article Review - Frobell et al (2010)

 

Frobell et al (2010) - Early ACL Reco + Rehabilitation compared to  Rehabilitation +Delayed ACL Reco if required (2 and 5 year follow up)

SUMMARY

  • 120 patients between -18-35 yrs  (Sub elite, recreational athletes) 
  • OUTCOME - Early ACLR and Rehab NOT superior to Rehab and Delayed ACLR (if required) at 2 and 5 years for KOOS (a questionnaire that compares pain, function in sport and recreation and knee related quality of life)  

Article Review - Kyritsis et al (2016)

Article Review - Kyritsis et al (2016)

Kyritsis et al (2016) Likelihood of ACL graft rupture: not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture

Summary

  • For every 10% loss of HS/Quads ratio = 10.6 x likelihood of graft rupture  

  • This ratio is increased if quadriceps strength is not fully regained to pre operative level

  • Meeting the 6 criteria - 116 athletes Discharged (73%) – (12/116 had a graft rupture) =  10%