[Long-term outcome of conservative or surgical therapy of anterior cruciate ligament rupture].
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.
Fink
C
C
Universitäts-Klinik für Unfallchirurgie, Innsbruck.
Hoser
C
C
Benedetto
K P
KP
Hackl
W
W
Gabl
M
M
D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery; D000070598:Anterior Cruciate Ligament Injuries; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007537:Isometric Contraction; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000209:etiology; D007718:Knee Injuries / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D012421:Rupture; D013709:Tendon Transfer; D016896:Treatment Outcome
Langzeitergebnisse nach konservativer oder operativer Therapie der vorderen Kreuzbandruptur.