Discipline of Physiotherapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
Discipline of Physiotherapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
Musculoskelet Sci Pract. 2022 Jun;59:102555. doi: 10.1016/j.msksp.2022.102555. Epub 2022 Mar 12.
Most people who suffer an anterior cruciate ligament (ACL) injury search for information online.
Summarise the proportion of webpages on ACL rupture management that present evidence-based information.
Content analysis.
We examined webpage information on ACL ruptures identified through (1) Google searches using terms synonymous with 'anterior cruciate ligament rupture' and searching 'knee surgeon' linked to each Australian capital city, and (2) websites of professional associations. The primary outcome was the proportion of webpages that suggest people can return to at least some form of sport with non-surgical management. Secondary outcomes included webpage information on return to sport with ACL reconstruction (ACLR) and non-surgical management, benefits, harms, and risk of osteoarthritis related to these options, and activity modification.
Out of 115 webpages analysed, 48% suggested people can return to at least some form of sport with non-surgical management. Almost half of webpages suggested most people will return to some form of sport following ACLR (41%) and mentioned benefits of ACLR (43%). Fewer webpages mentioned benefits of non-surgical management (14%), approximately two in three people return to pre-injury level of sport following ACLR (4%), risk of re-injury following ACLR (23%), most people return to sport within 9 months of ACLR (27%), activity modification as a management approach (20%), and ACLR will reduce the risk of osteoarthritis (23%).
Most online information on ACL rupture management isn't aligned with the best available evidence. Inaccurate information could mislead patients' treatment choices and create unrealistic expectations for return to sport.
大多数前交叉韧带（ACL）损伤患者会上网搜索信息。
总结 ACL 断裂管理网页中提供循证信息的比例。
内容分析。
我们通过以下两种方式检查了 ACL 断裂的网页信息：（1）使用同义词“前交叉韧带断裂”的术语进行谷歌搜索，并搜索与每个澳大利亚首府城市相关联的“膝关节外科医生”；（2）专业协会的网站。主要结局是建议人们可以通过非手术治疗至少恢复某种形式运动的网页比例。次要结局包括 ACLR 和非手术治疗、益处、危害以及与这些选择相关的骨关节炎风险、活动调整等方面的网页信息。
在分析的 115 个网页中，48%的网页建议人们可以通过非手术治疗至少恢复某种形式的运动。近一半的网页建议大多数人在接受 ACLR 后可以恢复某种形式的运动（41%），并提到 ACLR 的益处（43%）。较少的网页提到非手术治疗的益处（14%），大约三分之二的人在接受 ACLR 后可以恢复到受伤前的运动水平（4%），ACLR 后的再损伤风险（23%），大多数人在 ACLR 后 9 个月内恢复运动（27%），活动调整作为一种管理方法（20%），ACLR 将降低骨关节炎的风险（23%）。
ACL 断裂管理的大多数在线信息与最佳现有证据不一致。不准确的信息可能会误导患者的治疗选择，并对恢复运动产生不切实际的期望。
