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Br J Sports Med. 2015 May;49(10):700. doi: 10.1136/bjsports-2014-f232rep.

Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial.

Author information

1
Department of Orthopaedics, Clinical Sciences Lund, Lund University, Sweden.
2
Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
3
Department of Radiology, University of Erlangen, Erlangen, Germany Quantitative Imaging Center (QIC), Department of Radiology, Boston University School of Medicine, Boston, MA, USA.
4
Department of Orthopaedics, Clinical Sciences Lund, Lund University, Sweden Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark Department of Orthopaedics and Traumatology, University of Southern Denmark, Odense, Denmark.

Abstract

STUDY QUESTION:

In young active adults with an acute anterior cruciate ligament (ACL) rupture, do patient reported or radiographic outcomes after five years differ between those treated with rehabilitation plus early ACL reconstruction and those treated with rehabilitation and optional delayed ACL reconstruction?

SUMMARY ANSWER:

At five years, patients assigned to rehabilitation plus early ACL reconstruction did not differ significantly in patient reported or radiographic outcomes from those assigned to initial rehabilitation with the option of having a later reconstruction if needed.

WHAT IS KNOWN AND WHAT THIS PAPER ADDS:

The relative efficacy of surgical reconstruction and rehabilitation for short and long term outcomes of ACL rupture is debated. Clinicians and young active adult patients should consider rehabilitation as a primary treatment option following an acute ACL tear.

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