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Better long-term results seen in patients with ACL rupture who undergo reconstruction

Mihelic R. Int Orthop. 2011. doi: 10.1007/s00264-011-1206-x.

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This long-term, retrospective follow-up found significantly better Lysholm, Tegner and subjective IKDC scores in patients with arthroscopically-proven ruptures who underwent ACL reconstruction compared with those who received nonoperative treatment.

Researchers conducted a 17- to 20-years follow-up of 33 patients who had an ACL reconstruction using bone-patellar tendon-bone graft, and 18 nonoperatively-treated patients who sustained ACL ruptures and had rehabilitation and activity modification.

The study revealed that 84% of patients in the conservatively-treated group had abnormal or severe knee laxity, while 83% of patients in the reconstructed group had normal or nearly normal IKDC graded knees.

“We can conclude that 94% of patients who underwent ACL reconstruction had stable knees after 15 to 20 years, and there was a significantly lower percentage of osteoarthritis in comparison to conservatively-treated patients,” the authors wrote.