3 ms·
So 90% of patients who wore the knee brace instead of getting a surgery healed properly?
by tomcam 3y ago
So 90% of patients who wore the knee brace instead of getting a surgery healed properly?
- trogdor 3y agoThere is no definition of “healed properly” in relation to ACLs, in part because it is (hopefully soon was) commonly believed that a ruptured ACL has limited healing capacity. Patients were eligible for this study if they presented within one month of acute ACL rupture confirmed on MRI. The MRI had to show full discontinuity of ACL fibers. “After management with the Cross Bracing Protocol, 72 out of 80 (90%) participants with complete discontinuity of the ACL at baseline had signs of ACL healing (ACL continuity) on 3-month MRI.” The paper explains the rating scale they used to evaluate ACL healing on MRI.
- tomcam 3y agoThanks for the closer reading!
- DoingIsLearning 3y agoThey didn't heal, a full rupture is a full rupture. They showed that for younger patients they can, through physical therapy, replace the ACL stability function with overcompensated proprioception and musculature. I wonder what the outcome of this would be as patients get older and start to lose muscle mass.
- silisili 3y agoI had a tear sometime in the 90s, and then not surgery until the 2000s, the good old cut your kneecap in half kind. The doctor I saw once a year prior seemed to imply this. He implored me to do specific weight exercises, and claimed if I did it right 'you wont even need that surgery.' So it must have been at least a working theory for a while?
- trogdor 3y agoThey did heal.
- SketchySeaBeast 3y ago> After management with the Cross Bracing Protocol (CBP), 72 out of 80 (90%) participants with complete discontinuity of the ACL at baseline had signs of ACL healing (ACL continuity) on 3-month MRI. Seems pretty definitive as healing to me.