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July 22nd, 2010
03:53 PM ET
Torn ACL may not always mean surgeryTearing an ACL doesn't always mean a trip to the operating room, especially if you're young and active, researchers report in the New England Journal of Medicine. The knee's ACL, or anterior cruciate ligament, acts like a rubber band that connects your thigh bone to your leg bone. It provides stability to the knee especially when playing sports such as soccer, basketball or tennis that call for stopping, planting and pivoting. When it pops or tears it requires a trip to your doctor. Researchers at Lund University in Lund, Sweden wanted to find out whether recovery and use of the knee were more successful depending on when or whether you had surgery. The experts asked 120 young, active adults who had torn an ACL to undergo one of two different treatments. The first group had surgery shortly after the injury while the other patients received rehabilitation with the option of later ACL surgery if needed. Physical therapists supervised rehabilitation sessions for the second group and often advised patients to use a knee brace when playing sports. At the end of two years less than half those in the rehab group had opted for ACL knee surgery. And when patients were asked about how satisfied they were with their knee – measured by function, pain levels, and the ability to return to pre-injury activities – the answers were about the same between patients who had gotten surgery shortly after injury and those who had not. But delaying surgery is not without risks. Elite athletes who plan to continue playing sports requiring quick changes in direction and lots of twisting need a healthy ACL and are usually advised to undergo surgery soon after their injury. Also, the likelihood of developing arthritis increases if an unstable knee gives way leading to a fall. A torn ACL may mean more wear and tear on other knee structures which may mean a trip to your surgeon for a different type of knee operation. Orthopedic Surgeon Bruce Levy with the Mayo Clinic in Rochester, Minnesota, says no one treatment strategy is right for all patients. "It's important that every patient discuss the pros and cons of surgical management and non surgical management with their doctor and that a treatment strategy be individually tailored to the specific knee injury and the specific knee of the patient," says Levy.
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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love. Recent Comments
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Hii.
I Tore my ACLbefore 3 Months falling from bike. My MRI Reports says following Things:
* High grade ACL Injury,
* Depreesed Fracture of postero-medial tibial corner with contusion of posterior tibial condyles.
* Grade II Sprain of MCL
* Mild Joint Effusion.
I Consulted with two doctors, one doc advised surgery, while other suggested me physical therepy.
Please suggest what should i Do.
Thanks
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It is amazing how some people have no idea what they are talking about. Someone sugests get ACL repaired right away because posibility of arthritis later in life. Absolutely wrong. Whether you have your ACL repaired or not you are at the same risk of developing arthritis. The ACL reconstruction brings back stability to your knee but it does not improve your chances of avoiding arthritis that is why most of the people with repaired ACL end up with arthritis 7-8 years after the surgery. On the other hand if you choose not to have surgery you stll might be OK. The most important thing to remember is the level of instability in your knee. If you don't have an ACL but your knee is stable than there is small chance you will injure other parts of your knee. Heck you can have your reconstruction surgery and still unstable knee and you are at higher risk of further injury than someone who did not have surgery but has stable knee. I injured bot of my ACL, first time I had surgery, second time I did not. My knee without ACL feels better than the other one. For those who had surgery 1-2 years ago and feel great wait until you get to 7-8 years from your surgery and then tell us how you feel.
Great response, I had the same ACL events occur and chose surgery on my left knee. On my right knee my ACL was completely torn off and I chose to not have the surgery.. My ACL outcome has the been the same as yours.
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No, Tear of ACL, whether it's partial or complete, it can never heal on its own, neither any medication or exercise can help in healing.It has got only one treatment and that is Surgery.It's ACL reconstruction either by the Open method or by Arthroscopic method followed by knee physiotherapy.
No, Tear of ACL, whether it's partial or complete, it can never heal on its own, neither any medication or exercise can help in healing.It has got only one treatment and that is Surgery.It's ACL reconstruction either by the Open method or by Arthroscopic method followed by knee physiotherapy.
I admit, I have not been on this website in a long time, however it was joy to find it again. It is such an important topic and ignored by so many, even professionals! I cheers for helping to make people more aware of these issues. Just great stuff as per usual!
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