Is it worth to perform initial non-operative treatment for patients with acute ACL injury?: a prospective cohort prognostic study
DC Field | Value | Language |
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dc.contributor.author | Park, Yong-Geun | - |
dc.contributor.author | Ha, Chul-Won | - |
dc.contributor.author | Park, Yong-Beom | - |
dc.contributor.author | Na, Sang-Eun | - |
dc.contributor.author | Kim, Manyoung | - |
dc.contributor.author | Kim, Tae Seon | - |
dc.contributor.author | Chu, Yong Yeon | - |
dc.date.accessioned | 2021-07-27T01:52:53Z | - |
dc.date.available | 2021-07-27T01:52:53Z | - |
dc.date.issued | 2021-04 | - |
dc.identifier.issn | 2234-2451 | - |
dc.identifier.issn | 2234-2451 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/47870 | - |
dc.description.abstract | Purpose To evaluate the result of implementing an initial non-operative treatment program for an acute ACL injury and to find if the timing of initiating the non-operative treatment is significant. Methods This study included a prospective cohort of 85 consecutive patients with acute ACL injury who were treated according to the above strategy for the initial 3 months with 1-year follow-up. Clinical evaluations were made by Lysholm score, Tegner activity score, Lachman test (LT), pivot-shit test (PST), and the side to side difference (SSD) by KT-2000 arthrometer. The results were analyzed according to the timing of initiating the non-operative treatment. Results Initially, 84% of the patients showed LT and PST <= grade 1, and 16% with >= grade 2. At 1-year follow-up, 77 patients (91%) with LT and PST <= grade 1 did not receive reconstruction as copers and 8 patients with LT or PST >= grade 2 required reconstruction (six patients received the operation and two refused). The patients with LT and PST <= grade 1 showed average Lysholm score 91.2, average SSD 2.5 mm, and mean Tegner score decreased from 6.9 (pre-injury) to 6.2. Patients who started the non-operative treatment within 2 weeks after injury revealed superior rates of grade 0 or 1 instability than those who commenced the treatment later than 2 weeks after injury (P = 0.043). Conclusions Implementing a non-operative treatment with brace in acute phase of ACL injury appears to be an effective and viable option to achieve a reasonable clinical outcome. We recommend earlier initiation of the non-operative treatment to obtain a better result in patients with acute ACL injury. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | SPRINGERNATURE | - |
dc.title | Is it worth to perform initial non-operative treatment for patients with acute ACL injury?: a prospective cohort prognostic study | - |
dc.type | Article | - |
dc.identifier.doi | 10.1186/s43019-021-00094-3 | - |
dc.identifier.bibliographicCitation | KNEE SURGERY & RELATED RESEARCH, v.33, no.1 | - |
dc.identifier.kciid | ART002719496 | - |
dc.description.isOpenAccess | Y | - |
dc.identifier.wosid | 000637797200001 | - |
dc.identifier.scopusid | 2-s2.0-85103943599 | - |
dc.citation.number | 1 | - |
dc.citation.title | KNEE SURGERY & RELATED RESEARCH | - |
dc.citation.volume | 33 | - |
dc.type.docType | Article | - |
dc.publisher.location | 영국 | - |
dc.subject.keywordAuthor | Non-operative treatment | - |
dc.subject.keywordAuthor | Time of starting treatment | - |
dc.subject.keywordAuthor | Acute injury | - |
dc.subject.keywordAuthor | ACL | - |
dc.subject.keywordAuthor | Knee | - |
dc.subject.keywordPlus | ANTERIOR CRUCIATE LIGAMENT | - |
dc.subject.keywordPlus | KNEE | - |
dc.subject.keywordPlus | RUPTURE | - |
dc.subject.keywordPlus | LAXITY | - |
dc.subject.keywordPlus | TEAR | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | esci | - |
dc.description.journalRegisteredClass | kci | - |
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