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Comment by trogdor

The highlights, as I understand them:

-In November 2022, the principal investigator on this study published the results of a different study which found MRI evidence of ACL healing in 30% of patients who were randomized to physical therapy with optional delayed ACL reconstruction. [0]

-When an ACL is fully torn, the gap between the ruptured ends inhibits healing. Since the ruptured ends are in closest proximity at 90°-135° of knee flexion, this study investigated whether bracing the knee at 90° would facilitate ACL healing.

-This study lasted five years and involved 80 patients. All participants had full-thickness ACL tears (complete discontinuity of the ACL on MRI). The protocol involved four weeks of bracing the knee at 90°, followed by progressive brace adjustments that slowly increased knee range of motion. The brace was removed at 12 weeks.

-At three months, 90% of patients showed evidence of ACL healing on MRI. Moreover, MRI evidence of ACL healing was associated with better outcomes.

This is monumental.

[0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9872245/

parent trogdor 3 years ago

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