지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 11 - 11 (1page)
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To evaluate the result of implementing an initial non-operative treatment program for an acute ACL injury and to find if the timing of initiating the non-operative treatment is significant.This study included a prospective cohort of 85 consecutive patients with acute ACL injury who were treated according to the above strategy for the initial 3?months with 1-year follow-up. Clinical evaluations were made by Lysholm score, Tegner activity score, Lachman test (LT), pivot-shit test (PST), and the side to side difference (SSD) by KT-2000 arthrometer. The results were analyzed according to the timing of initiating the non-operative treatment. Initially, 84% of the patients showed LT and PST?≤?grade 1, and 16% with ≥grade 2. At 1-year follow-up, 77 patients (91%) with LT and PST?≤?grade 1 did not receive reconstruction as copers and 8 patients with LT or PST?≥?grade 2 required reconstruction (six patients received the operation and two refused). The patients with LT and PST?≤?grade 1 showed average Lysholm score 91.2, average SSD 2.5?mm, and mean Tegner score decreased from 6.9 (pre-injury) to 6.2. Patients who started the non-operative treatment within 2?weeks after injury revealed superior rates of grade 0 or 1 instability than those who commenced the treatment later than 2?weeks after injury ( P?=?0.043 ). Implementing a non-operative treatment with brace in acute phase of ACL injury appears to be an effective and viable option to achieve a reasonable clinical outcome. We recommend earlier initiation of the non-operative treatment to obtain a better result in patients with acute ACL injury.
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