Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial
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OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(16):11 Lancet. 2022 20-Aug;():. 10.1016/S0140-6736(22)01424-6Study Summary
316 patients with non-acute anterior cruciate ligament (ACL) injuries and persistent instability were randomized to receive immediate surgery (n=156) or rehabilitation (n=160). The primary outcome of interest was the Knee Injury and Osteoarthritis Outcome Score - 4 domain (KOOS4). Secondary outcomes of interest included quality of life measures, the Tegner activity score, resource use, complications and patient satisfaction. Primary follow-up occurred at 18 months. The results of this study found that, whilst both groups showed improvement, patients who received immediate surgery had significantly better knee function, pain, patient satisfaction, and Tegner activity scores compared to the rehabilitation group. Surgery was found to have a 72% chance of being cost-effective vs. rehabilitation.
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