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Surgery Is Overvalued and Rehabilitation Undervalued Following Anterior Cruciate Ligament Injury

  • Christian J. BartonEmail author
Chapter

Abstract

Rupturing an anterior cruciate ligament (ACL) has undoubted significance to an individual’s athletic pursuits and remaining life. Early surgical management is commonly encouraged and supported by health system funding. The recovery period is long and arduous. The two primary surgical approaches are hamstring- and patellar-tendon autografts, but the more effective of the two, along with the potential value of many other surgical approaches, remains unclear.

References

  1. 1.
    Weiler R, Monte-Colombo M, Mitchell A, Haddad F. Non-operative management of a complete anterior cruciate ligament injury in an English premier league football player with return to play in less than 8 weeks: applying common sense in the absence of evidence. BMJ Case Rep. 2015;2015.Google Scholar
  2. 2.
    Marx RG, Jones EC, Angel M, Wickiewicz TL, Warren RF. Beliefs and attitudes of members of the American Academy of Orthopaedic surgeons regarding the treatment of anterior cruciate ligament injury. Arthroscopy. 2003;19(7):762–70.CrossRefGoogle Scholar
  3. 3.
    Ardern CL, Taylor NF, Feller JA, Webster KE. Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med. 2014;48(21):1543–52.CrossRefGoogle Scholar
  4. 4.
    Wiggins AJ, Grandhi RK, Schneider DK, Stanfield D, Webster KE, Myer GD. Risk of secondary injury in younger athletes after anterior cruciate ligament reconstruction: a systematic review and meta-analysis. Am J Sports Med. 2016;44(7):1861–76.CrossRefGoogle Scholar
  5. 5.
    Feucht MJ, Cotic M, Saier T, et al. Patient expectations of primary and revision anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2016;24(1):201–7.CrossRefGoogle Scholar
  6. 6.
    von Porat A, Roos EM, Roos H. High prevalence of osteoarthritis 14 years after an anterior cruciate ligament tear in male soccer players: a study of radiographic and patient relevant outcomes. Ann Rheum Dis. 2004;63(3):269–73.CrossRefGoogle Scholar
  7. 7.
    Frobell RB, Roos HP, Roos EM, Roemer FW, Ranstam J, Lohmander LS. Treatment for acute anterior cruciate ligament tear: five year outcome of randomised trial. Br J Sports Med. 2015;49(10):700.CrossRefGoogle Scholar
  8. 8.
    Grindem H, Risberg MA, Eitzen I. Two factors that may underpin outstanding outcomes after ACL rehabilitation. Br J Sports Med. 2015;49(22):1425.CrossRefGoogle Scholar
  9. 9.
    Ebert JR, Edwards P, Yi L, et al. Strength and functional symmetry is associated with post-operative rehabilitation in patients following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2018;26(8):2353–61.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2020

Authors and Affiliations

  1. 1.La Trobe Sport and Exercise Medicine Research Centre, School of Allied HealthLa Trobe UniversityBundooraAustralia
  2. 2.Department of SurgerySt Vincent’s Hospital, University of MelbourneFitzroyAustralia

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