Anterior cruciate ligament patellar tendon autograft fixation at 0 degrees versus 30 degrees results in improved activity scores and a greater proportion of patients achieving the MCID for KOOS Pain - A randomized controlled trial

Author(s):  
Jaskarndip Chahal ◽  
Daniel B. Whelan ◽  
Graeme Hoit ◽  
John Theodoropoulos ◽  
Prabjit Ajrawat ◽  
...  
2017 ◽  
Vol 52 (11) ◽  
pp. 1079-1083
Author(s):  
Courtney E. Gray ◽  
Chris Hummel ◽  
Todd Lazenby

Background:  A collegiate women's soccer player sustained an isolated anterior cruciate ligament (ACL) tear and expressed a desire to continue her season without surgical intervention. Design:  Case report. Intervention(s):  Using the results of a randomized controlled trial and published clinical guidelines, the clinicians classified the patient as an ACL-deficient coper. The patient completed her soccer season without incident, consistent with the findings of the established clinical guidelines. However, 6 months later, she sustained a meniscal tear, which was not unexpected given that 22% of ACL-deficient copers in the randomized controlled trial incurred a meniscal tear within 24 months of ACL injury. Conclusion:  The external evidence was helpful in making informed clinical decisions regarding patient care.


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