ACL

ACL INJURY - RETURNING TO SPORT WITHOUT SURGERY

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A subset of people who suffer an ACL rupture can successfully return to sport without surgery.

We refer to them as copers or responders.

How do we identify them and have a successful return to sport?

  1. Screen for suitability - this isn't for everyone
  2. Systematically rehab - progression is key
  3. Test against objective criteria with minimum standards

84% decrease in ACL re-injury risk using simple decision rules

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A recent study outlines simple decision rules that may decrease re-injury risk by up to 84% after ACL reconstruction.

The main take-aways from the study were:

  1. Patients who returned to pivoting and cutting sports had a 4.32 times higher re-injury rate than those who did not

  2. Re-injury rate was significantly reduced by 51% for each month return to sport was delayed until 9-months after surgery

  3. Almost 40% of those who failed return to sport criteria suffered re-injuries versus 5% of those who passed

  4.  More symmetrical quads strength prior to return significantly reduced knee injury rate

SEE STUDY HERE