ACL Injury and Surgical Treatment

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Questions and Answers

What is the preferred timing for surgical intervention in cases of acute isolated ACL tear?

  • No surgical intervention
  • Delayed reconstruction
  • Depends on the severity of the tear
  • Early reconstruction (correct)

What are the two techniques that can be considered for intraarticular ACL reconstruction?

  • Double and triple bundle
  • Single and quadruple bundle
  • Single and triple bundle
  • Single and double bundle (correct)

What is the strength of evidence for the recommendations provided in the text?

  • Weak
  • Inconclusive
  • Strong (correct)
  • Moderate

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Study Notes

  • A relevant history and musculoskeletal exam should be done to assess for ACL injury.
  • Early reconstruction is preferred for acute isolated ACL tear to avoid additional cartilage and meniscal injury.
  • Surgical timing has strong evidence and recommendation for early reconstruction.
  • Single or double bundle techniques can be considered for intraarticular ACL reconstruction.
  • Measured outcomes for single and double bundle techniques are similar.
  • The strength of evidence for all recommendations is strong.
  • The evidence is based on two or more high quality studies with consistent findings.
  • The recommendations are for or against the intervention.
  • The focus is on ACL injury and surgical treatment.
  • The text provides guidelines for ACL reconstruction.

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