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Abstract

The treatment of meniscus tears and anterior cruciate ligament (ACL) injuries are mainly considered as symptomatic. Meniscus tears can be divided into traumatic and degenerative tears, with different outcomes. A displaced meniscus with a locked knee constitutes an acute indication for arthroscopic surgery. A degenerative tear with mechanical symptoms also represents an indication for surgery. The main principle for treating an acute ACL injury is non-surgical treatment with a well-controlled muscular rehabilitation program for 3-4 months. If symptomatic instability remains, ACL reconstruction is considered. In highly active patients and also if there is a repairable associated meniscus tear, a subacute ACL reconstruction is recommended. Both meniscus tears and ACL injuries increase the risk of developing early osteoarthritis. Surgical procedures such as meniscus fixation or ACL reconstruction have not been shown to reduce the risk of osteoarthritis. Thus, prevention of osteoarthritis does not constitute an indication for surgical treatment of these injuries.

Details

Authors
  • Harald Roos
  • Magnus Forssblad
  • Jon Karlsson
Organisations
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Orthopedics

Keywords

  • Anterior Cruciate Ligament: injuries, Age Factors, Menisci, Tibial: injuries, Anterior Cruciate Ligament: surgery, Tibial: surgery, Humans, Arthroscopy, Evidence-Based Medicine, Reconstructive Surgical Procedures: methods, Risk Factors, Rupture, Suture Techniques, Treatment Outcome
Original languageEnglish
Pages (from-to)1509-13
JournalLäkartidningen
Volume104
Issue number19
Publication statusPublished - 2007
Publication categoryResearch
Peer-reviewedYes