Best Practice & Research Clinical Rheumatology· 2019Q1
Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture
- 429citations
- Q1SCImago
- 2019year
Short summary
Management of ACL rupture focuses on restoring knee function, addressing psychological barriers, preventing further injury and osteoarthritis, and optimizing quality of life, with rehabilitation and surgical reconstruction as key treatment options.
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Key points
- ACL rupture management aims to restore function, prevent further injury and osteoarthritis, and improve quality of life.
- Treatment options include rehabilitation alone, immediate ACL reconstruction with rehabilitation, or pre-operative rehabilitation followed by reconstruction.
- The paper offers practical recommendations for discussing management options with patients and identifies factors associated with poorer outcomes.
- Evidence-based rehabilitation protocols and criteria for return-to-sport decisions are presented.
AI-generated from the title and abstract; the full text is not read.
Abstract
Anterior cruciate ligament (ACL) rupture occurs most commonly in young and active individuals and can have negative long-term physical and psychological impacts. The diagnosis is made with a combination of patient's history, clinical examination, and, if appropriate, magnetic resonance imaging. The objectives of management are to restore knee function, address psychological barriers to activity participation, prevent further injury and osteoarthritis, and optimize long-term quality of life. The three main treatment options for ACL rupture are (1) rehabilitation as first-line treatment (followed by ACL reconstruction (ACLR) in patients, who develop functional instability), (2) ACLR and post-operative rehabilitation as the first-line treatment, and (3) pre-operative rehabilitation followed by ACLR and post-operative rehabilitation. We provide practical recommendations for informing and discussing management options with patients, and describe patient-related factors associated with a worse ACL-rupture outcome. Finally, we define evidence-based rehabilitation and present phase-specific rehabilitation recommendations and criteria to inform return to sport decisions.
The authors' abstract, as published at the source. Best Practice & Research Clinical Rheumatology, 2019 · DOI ↗
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Field: Surgery
SurgeryMedicine