Journal article

Healing of acute anterior cruciate ligament rupture on MRI and outcomes following non-surgical management with the Cross Bracing Protocol

SR Filbay, M Dowsett, M Chaker Jomaa, J Rooney, R Sabharwal, P Lucas, A Van Den Heever, J Kazaglis, J Merlino, M Moran, M Allwright, DEK Kuah, R Durie, G Roger, M Cross, T Cross

British Journal of Sports Medicine | BMJ PUBLISHING GROUP | Published : 2023

Abstract

Objective Investigate MRI evidence of anterior cruciate ligament (ACL) healing, patient-reported outcomes and knee laxity in patients with acute ACL rupture managed non-surgically with the Cross Bracing Protocol (CBP). Methods Eighty consecutive patients within 4 weeks of ACL rupture were managed with CBP (knee immobilisation at 90° flexion in brace for 4 weeks, followed by progressive increases in range-of-motion until brace removal at 12 weeks, and physiotherapist-supervised goal-oriented rehabilitation). MRIs (3 months and 6 months) were graded using the ACL OsteoArthritis Score (ACLOAS) by three radiologists. Mann-Whitney U tests compared Lysholm Scale and ACL quality of life (ACLQOL) sc..

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University of Melbourne Researchers