What question did this study set out to answer?

To provide clinical practice recommendations for diagnosing, managing, and rehabilitating anterior cruciate ligament ruptures to restore long-term function and mitigate secondary complications.

February 1, 2019Best Practice & Research Clinical RheumatologyOpen Access

Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture

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Authors

SFStephanie R. FilbayThe University of Melbourne HGHege GrindemOslo Sports Trauma Research Center

Discussion

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Implication

Clinical review demonstrates optimal management pathways for anterior cruciate ligament rupture in active individuals, highlighting phased rehabilitation and objective return-to-sport criteria.

Key Points

To provide clinical practice recommendations for diagnosing, managing, and rehabilitating anterior cruciate ligament ruptures to restore long-term function and mitigate secondary complications.
Synthesized current clinical evidence guiding diagnosis via physical examination and magnetic resonance imaging alongside patient-specific risk factors.
Evaluated three primary treatment pathways: rehabilitation alone with optional delayed reconstruction, primary reconstruction with rehabilitation, and pre-operative rehabilitation followed by reconstruction.
Defined criteria for selecting between initial non-surgical rehabilitation and surgical reconstruction based on individual knee functional instability, activity demands, and patient goals.
Established phased, milestone-driven rehabilitation guidelines and objective functional criteria to safely govern return-to-sport clearance and reduce rates of re-injury and osteoarthritis.

Cite This Study

Filbay et al. (2019) studied this question.

synapsesocial.com/papers/69dff503bdd89ea531860450 https://doi.org/10.1016/j.berh.2019.01.018

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Implication

Clinical review demonstrates optimal management pathways for anterior cruciate ligament rupture in active individuals, highlighting phased rehabilitation and objective return-to-sport criteria.

Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture

Discussion

Member takes

Implication

Key Points

Cite This Study

Evidence-based recommendations for the management of anterior cruciate ligament (ACL) rupture

Discussion

Member takes

Implication

Key Points

Cite This Study

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