Tuesday, March 26, 2013

Treatment for acute anterior cruciate ligament tear

BACKGROUND: anterior cruciate ligament (ACL) tears are common. Treatment can consist of either early rehab followed by optional surgical repair, or early surgical repair followed by rehab.

METHODS:  121 young adults with acute ACL injury to a previously uninjured knee were evaluated. Follow-up was 5 years. About half underwent early surgical repair, and the other half given the option of delayed ACL reconstruction after rehab. Both groups underwent a similar structured rehabilitation.

RESULTS: about half of the patients offered delayed ACL reconstruction eventually did get the surgery. Overall, there was no significant difference in clinical outcome between early surgical repair and delayed optional repair.

CONCLUSION: early surgical reconstruction after an acute ACL tear does not result in better clinical outcomes at 5 years compared to a strategy of early rehab therapy with optional delayed surgical reconstruction.

BMJ. 2013; 346: f232.  Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial.Frobell RB, Roos HP, Roos EM, Roemer FW, Ranstam J, Lohmander LS.
Department of Orthopaedics, Clinical Sciences Lund, Lund University, SE-22185 Lund, Sweden. [email protected] PMID: 23349407

2013 ICD-10-CM Diagnosis Code M23.6