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Der Unfallchirurg

, Volume 99, Issue 12, pp 964–969 | Cite as

Langzeitergebnisse nach konservativer oder operativer Therapie der vorderen Kreuzbandruptur

  • C. Fink
  • C. Hoser
  • K. P. Benedetto
  • W. Hackl
  • M. Gabl
Originalien

Schlüsselwörter Vordere Kreuzbandruptur Konservative Therapie Operative Therapie 

The treatment of anterior cruciate ligament (ACL) rupture continues to be a controversial subject. This study was undertaken to compare long-term results of different therapy regimens A total of 52 patients (mean age: 34.7±3.2 years) who underwent ACL reconstruction using the central one third of the patellar tendon and 32 patients (mean age: 38.3±5.2 years) treated conservatively were evaluated 5–7 years clinically, radiologically and with respect to their sports activities. In all, 25% of the patients operated on subjectively rated their knees as ``excellent'', 40.4% as ``very good'', 22.2% ``good'', 12.5% ``fair'' and 0% as ``poor''. The ratings for the conservatively treated group were: 12.9%, 19.4%, 29%, 25.8% and 12.5%, respectively. The results of the OAK score were significantly better for the surgically treated group (87.5±7.1 points compared with 77.1±13.4). An increasing number of degenerative changes were found on radiographs in both groups at follow-up as compared with their pre-injury status.

Key words Anterior cruciate ligament reconstruction Conservative treatment Surgery 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • C. Fink
    • 1
  • C. Hoser
    • 1
  • K. P. Benedetto
    • 1
  • W. Hackl
    • 1
  • M. Gabl
    • 1
  1. 1.Universitäts-Klinik für Unfallchirurgie (Vorstand: Prof. Dr. E. Beck), InnsbruckXX

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