ACL: Conservative vs surgical management

• ACL: Conservative vs surgical management

  • Increased risk of OA following knee injuries:
  • ACL rupture - 7 times likely to have a total knee replacement
  • Meniscal injury - 15 times more likely
  • Surgical treatment of ACL does not reduce OA prevalence in the long term compared with non-surgical treatment
• Conservative vs surgical management - Considerations:

  • Age
  • Symptom severity
  • Co-injury
  • Suitability for surgery
  • Patient’s goals – short vs long term
  • Patient’s motivation and preferences