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)
- NEGATIVE CONSIDERATIONS
- Exclusion criteria - full thickness associated collateral ligament injury, chrondral defects and past medical history to that knee i.e WORSE KNEE INJURIES
- GREATER number of meniscal injuries 50 (delayed group) compared to 40 (early group). Number of partial resections 26 (delayed) compared to 5 (early group) - THEREFORE a potential increased risk of meniscal injury in the delayed group
- Delayed group - you will have to participate in rehabilitation twice thus more costly in Australian private system
- POSITIVE CONSIDERATIONS
- 50% at 5 years avoided surgery
- No unnecessary risk of surgery and complications
- ? % of clinical adapters post surgery i.e. playing sport at a lower level or not competing in change of direction sport
- Surgical expense - 80% private in Australia
- For no significant outcome in functional scores or radiographic osteoarthritis
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