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Division of Orthopaedics, Department of Surgery, St. Joseph's Hospital, University of Western Ontario, London, Ontario, Canada
Division of Orthopaedics, Department of Surgery, St. Joseph's Hospital, University of Western Ontario, London, Ontario, Canada
Division of Orthopaedics, Department of Surgery, St. Joseph's Hospital, University of Western Ontario, London, Ontario, Canada
This report is an attempt to analyze what happens to an isolated ACL tear that is treated nonoperatively. The results of 40 patients treated initially by nonoperative means for this injury and followed an average of 4 years are reported. A very small percentage of these patients had associated meniscal pathology. Secondary recon structive surgery was necessary in 12 patients (30%). Primary meniscal tears were present in 4 of 25 knees (16%) and secondary meniscal tears occurred in an additional four of the patients. Giving way was a prob lem for 36 (86%) of the nonoperated patients, but pain and swelling were not significant problems for most. Full return to unlimited athletic activities was possible for only four (14%) of the patients. Objective signs of ACL insufficiency could be demonstrated on all patients upon clinical examination at followup. Overall grading of the knees revealed 87.5% fair or poor results.
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M. G. Ciccotti, R. K. Kerlan, J. Perry, and M. Pink An Electromyographic Analysis of the Knee During Functional Activities: II. The Anterior Cruciate Ligament-deficient and -reconstructed Profiles Am. J. Sports Med., September 1, 1994; 22(5): 651 - 658. [Abstract] [PDF]
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J. R. McCarroll, K. D. Shelbourne, D. A. Porter, A. C. Rettig, and S. Murray Patellar Tendon Graft Reconstruction for Midsubstance Anterior Cruciate Ligament Rupture in Junior High School Athletes: An Algorithm for Management Am. J. Sports Med., July 1, 1994; 22(4): 478 - 484. [Abstract] [PDF]
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R. F. LaPrade and Q. M. Burnett II Femoral Intercondylar Notch Stenosis and Correlation to Anterior Cruciate Ligament Injuries: A Prospective Study Am. J. Sports Med., March 1, 1994; 22(2): 198 - 203. [Abstract] [PDF]
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K. D. Shelbourne and G. E. Johnson Locked bucket-handle meniscal tears in knees with chronic anterior cruciate ligament deficiency Am. J. Sports Med., December 1, 1993; 21(6): 779 - 782. [Abstract] [PDF]
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K. D. Shelbourne and J. H. Wilckens Intraarticular anterior cruciate ligament reconstruction in the symptomatic arthritic knee Am. J. Sports Med., September 1, 1993; 21(5): 685 - 689. [Abstract] [PDF]
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S. M. Lephart, M. S. Kocher, C. D. Harner, and F. H. Fu Quadriceps strength and functional capacity after anterior cruciate ligament reconstruction: Patellar tendon autograft versus allograft Am. J. Sports Med., September 1, 1993; 21(5): 738 - 743. [Abstract] [PDF]
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S. A. Wasilewski, D. J. Covall, and S. Cohen Effect of surgical timing on recovery and associated injuries after anterior cruciate ligament reconstruction Am. J. Sports Med., June 1, 1993; 21(3): 338 - 342. [Abstract] [PDF]
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P. Neyret, S. T. Donell, D. Dejour, and H. Dejour Partial meniscectomy and anterior cruciate ligament rupture in soccer players: A study with a minimum 20-year followup Am. J. Sports Med., June 1, 1993; 21(3): 455 - 460. [Abstract] [PDF]
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R. R. Wroble, E. S. Grood, J. S. Cummings, J. M. Henderson, and F. R. Noyes The role of the lateral extraarticular restraints in the anterior cruciate ligament-deficient knee Am. J. Sports Med., March 1, 1993; 21(2): 257 - 263. [Abstract] [PDF]
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M. S. Schickendantz and G. G. Weiker The predictive value of radiographs in the evaluation of unilateral and bilateral anterior cruciate ligament injuries Am. J. Sports Med., January 1, 1993; 21(1): 110 - 113. [Abstract] [PDF]
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M. J. Cross, J.R. Wootton, D. J. Bokor, and S. J. Sorrenti Acute repair of injury to the anterior cruciate ligament: A long-term followup Am. J. Sports Med., January 1, 1993; 21(1): 128 - 131. [Abstract] [PDF]
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H. Gauffin and H. Tropp Altered movement and muscular-activation patterns during the one-legged jump in patients with an old anterior cruciate ligament rupture Am. J. Sports Med., March 1, 1992; 20(2): 182 - 192. [Abstract] [PDF]
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P. F. Holmes, S. L. James, R. L. Larson, K. M. Singer, and D. C. Jones Retrospective direct comparison of three intraarticular anterior cruciate ligament reconstructions Am. J. Sports Med., December 1, 1991; 19(6): 596 - 600. [Abstract] [PDF]
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K. D. Shelbourne and P. A. Nitz The O'Donoghue triad revisited: Combined knee injuries involving anterior cruciate and medial collateral ligament tears Am. J. Sports Med., September 1, 1991; 19(5): 474 - 477. [Abstract] [PDF]
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K. Sommerlath, J. Lysholm, and J. Gillquist The long-term course after treatment of acute anterior cruciate ligament ruptures: A 9 to 16 year followup Am. J. Sports Med., March 1, 1991; 19(2): 156 - 162. [Abstract] [PDF]
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J. J. Bonamo, C. Fay, and T. Firestone The conservative treatment of the anterior cruciate deficient knee Am. J. Sports Med., December 1, 1990; 18(6): 618 - 623. [Abstract] [PDF]
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K. D. Shelbourne, H. J. Whitaker, J. R. McCarroll, A. C. Rettig, and L. D. Hirschman Anterior cruciate ligament injury: Evaluation of intraarticular reconstruction of acute tears without repair: Two to seven year followup of 155 athletes Am. J. Sports Med., September 1, 1990; 18(5): 484 - 489. [Abstract] [PDF]
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N. Kaplan, T. L. Wickiewicz, and R. F. Warren Primary surgical treatment of anterior cruciate ligament ruptures: A long-term follow-up study Am. J. Sports Med., July 1, 1990; 18(4): 354 - 358. [Abstract] [PDF]
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S. Kalund, T. Sinkjaer, L. Arendt-Nielsen, and O. Simonsen Altered timing of hamstring muscle action in anterior cruciate ligament deficient patients Am. J. Sports Med., June 1, 1990; 18(3): 245 - 248. [Abstract] [PDF]
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G. A. Pattee, J. M. Fox, W. Del Pizzo, and M. J. Friedman Four to ten year followup of unreconstructed anterior cruciate ligament tears Am. J. Sports Med., June 1, 1989; 17(3): 430 - 435. [Abstract] [PDF]
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P. Aglietti, R. Buzzi, and P.B. Bassi Arthroscopic partial meniscectomy in the anterior cruciate deficient knee Am. J. Sports Med., December 1, 1988; 16(6): 597 - 602. [Abstract] [PDF]
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P. J. Fowler and W. D. Regan The patient with symptomatic chronic anterior cruciate ligament insufficiency: Results of minimal arthroscopic surgery and rehabilitation Am. J. Sports Med., July 1, 1987; 15(4): 321 - 325. [Abstract] [PDF]
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