![]() |
| A new study challenges the common notion that an ACL injury cannot heal. Photo Credit: kinkate |
Anterior cruciate ligament (ACL) ruptures can heal without surgery and this could be key to better patient outcomes, according to new findings challenging the common notion that an ACL injury cannot heal.
Published in the British Journal of Sports Medicine, the study analysed trial data and found some ruptured ACLs healed after exercise-based rehabilitation, and that this healing was associated with better patient-reported outcomes compared with ACL reconstruction surgery.
The study, led by physiotherapist and Senior Research Fellow at the University of Melbourne, Dr Stephanie Filbay, undertook a secondary analysis of data from the KANON randomized controlled trial - the first to randomize people with ACL rupture to either management with early ACL reconstruction, or rehabilitation and optional delayed surgery. Participants in the trial were active adults – not professional athletes - aged 18-35 years.
The study found 53 per cent of trial participants whose ACL ruptures were managed with rehabilitation only, and did not decide to have surgery, had a healed ACL on MRI two years after injury. Signs of ACL healing were observed as early as three months after injury on MRI in this group.
Participants in this group reported better sport and recreational function and quality of life two years post-injury, compared to the non-healed, early ACL reconstruction surgery and delayed ACL reconstruction surgery groups.


.jpg)

.jpg)
.jpg)
.jpg)


