- Older, female patients with good knee function early after an ACL tear have higher odds of reporting favorable symptoms and function in sports 2 years after injury.
BACKGROUND & OBJECTIVE
Patients can choose between two treatment options following an anterior cruciate ligament (ACL) tear: surgical or non-surgical management. Previous research shows that 52-56% of active patients who manage their ACL tear non-surgically have successful 2-year outcomes, roughly 33-37% eventually undergo delayed ACL reconstruction, and 11% remain ACL deficient and report poor knee function (1). There is a need for more research on what variables are associated with favorable outcomes for patients who choose non-surgical management of an ACL tear.
The primary objective of this longitudinal study was to identify variables that could predict a successful 2-year outcome in patients who managed their ACL tear non-surgically. The study also examined if prediction models would be different before and after a 5-week rehabilitation program.
We should consider a patient’s age, sex, single-leg hop LSI, and self-reported symptoms and function when engaging in the shared-decision making process of choosing surgical or non-surgical ACL management.
This study examined the patients in the Delaware-Oslo ACL Cohort who had not undergone ACL reconstruction by the 6-month follow-up. The study sample included 49 patients from Delaware and 69 from Oslo who sustained a unilateral ACL tear and previously