Long-term outcome of anterior cruciate ligament tear without reconstruction: a longitudinal prospective study

2016 ◽  
Vol 40 (11) ◽  
pp. 2325-2330 ◽  
Author(s):  
Christian Konrads ◽  
Stephan Reppenhagen ◽  
Daniel Belder ◽  
Sascha Goebel ◽  
Maximilian Rudert ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Prospective Study ◽  
Cruciate Ligament ◽  
Anterior Cruciate Ligament Tear ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Ligament Tear ◽  
Anterior Cruciate

Long-term outcome of MacIntosh reconstruction of chronic anterior cruciate ligament insufficiency using fascia lata

2003 ◽  
Vol 8 (6) ◽  
pp. 789-795 ◽  
Author(s):  
David R. Johnston ◽  
Andrew Baker ◽  
Christian Rose ◽  
Thomas R. Scotland ◽  
Nicola Maffulli
Keyword(s):  
Anterior Cruciate Ligament ◽  
Cruciate Ligament ◽  
Fascia Lata ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Anterior Cruciate

scholarly journals Review and Long-Term Outcomes of Cruciate Ligament Reconstruction versus Conservative Treatment in Siblings with Congenital Anterior Cruciate Ligament Aplasia

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Diego Davanzo ◽  
Paolo Fornaciari ◽  
Geoffroy Barbier ◽  
Mauro Maniglio ◽  
Daniel Petek
Keyword(s):  
Anterior Cruciate Ligament ◽  
Conservative Treatment ◽  
Cruciate Ligament ◽  
Patient Counseling ◽  
Long Term Outcomes ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Anterior Cruciate

There is no consensus on the best treatment for anterior cruciate ligament hypoplasia or aplasia. To our knowledge, no comparative study between operative and conservative treatment of this condition has ever been performed. Conservative treatment is a viable alternative to surgery for ACL aplasia. Two siblings were examined at our outpatient clinic. The male patient underwent bilateral ACL reconstruction, while his sister was treated conservatively. Our results show a worse long-term outcome for the operative patient. At her last follow-up, the female patient treated conservatively showed subjective improvement in stability and gait. A review of the literature shows inconsistent outcomes after reconstruction in contrast to reports with cruciate ligament agenesis that did not undergo reconstruction with acceptable to good outcomes. Cruciate reconstruction should be reserved for cases of impaired articular instability, objectively manifest in the frequency of giving-way episodes. Treatment depends on the patient’s condition and expectations. Surgery should therefore only be suggested after proper patient counseling.

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