There is a lack of knowledge on clinical outcomes and prognosis after surgical and non-surgical treatment of anterior cruciate ligament injury. It is of particular interest to compare long-term outcomes and early prognostic factors in the two treatment groups. Increased knowledge on this area can improve the knowledge base for treatment and thus patient outcomes.
Prognostic factors and knee function in surgically and non-surgically treated patients with anterior cruciate ligament rupture
The objectives of this PhD project is to:
1. Compare patient-reported outcomes and describe radiographic features present at 5 years after surgical and non-surgical treatment of individuals with ACL rupture.
2. Conduct a systematic review of prognostic factors for PROMs and physical activity level ≥ 2 and < 10 years after ACL injury both in those treated surgically and those treated non-surgically.
3. Identify prognostic factors for 5-year outcomes in surgically and non-surgically treated patients with ACL-rupture
4. Asses return to pivoting sports as a risk factor for 5-year presence of radiographic features in surgically and non-surgically treated patients with ACL-rupture
The project is a 5-year follow-up of the 300 participants in the "Delaware-Oslo ACL Cohort Study", which is a prospective cohort study. Patients were included between 2007 and 2012 and 5-year data collection was completed in 2017. Patients underwent a 5-week rehabilitation period before a surgical or non-surgical treatment choice were made. Everyone underwent high quality rehabilitation programs. All patients were tested with a comprehensive test battery at inclusion and after the rehabilitation period. Further follow-ups were performed at 6 months, 1 year, 2 years and 5 years after inclusion/surgery depending on treatment choice. Activity level was recorded monthly during the first two years.