JOURNAL ARTICLE

Knee osteoarthritis, joint laxity and PROMs following conservative management versus surgical reconstruction for ACL rupture: a meta-analysis.

  • Published In: British Medical Bulletin, 2023, v. 145, n. 1. P. 72 1 of 3

  • Database: Food Science Source 2 of 3

  • Authored By: Migliorini, Filippo; Oliva, Francesco; Eschweiler, Joerg; Torsiello, Ernesto; Hildebrand, Frank; Maffulli, Nicola 3 of 3

Abstract

This article focuses on comparing surgical reconstruction versus conservative management for primary anterior cruciate ligament (ACL) ruptures, analyzing joint laxity, patient-reported outcome measures (PROMs), and the rate of knee osteoarthritis (OA). The meta-analysis of 24 clinical studies involving 2,340 patients found that ACL reconstruction results in significantly lower joint laxity but is associated with a higher incidence of early-onset knee OA compared to conservative treatment, while PROMs showed no significant difference between the two approaches. The findings suggest that systematic ACL reconstruction is not recommended for all patients, and treatment decisions should be individualized based on symptoms and activity goals, with patients informed about the risks and benefits of each option.

Additional Information

  • Source:British Medical Bulletin. 2023/03, Vol. 145, Issue 1, p72
  • Document Type:Article
  • Subject Area:Health and Medicine
  • Publication Date:2023
  • ISSN:0007-1420
  • DOI:10.1093/bmb/ldac029
  • Accession Number:162916431
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