Hawkins R J, Misamore G W, Merritt T R
Am J Sports Med. 1986 May-Jun;14(3):205-10. doi: 10.1177/036354658601400305.
This report is an attempt to analyze what happens to an isolated ACL tear that is treated nonoperatively. The results of 40 patients treated initially by nonoperative means for this injury and followed an average of 4 years are reported. A very small percentage of these patients had associated meniscal pathology. Secondary reconstructive surgery was necessary in 12 patients (30%). Primary meniscal tears were present in 4 of 25 knees (16%) and secondary meniscal tears occurred in an additional four of the patients. Giving way was a problem for 36 (86%) of the nonoperated patients, but pain and swelling were not significant problems for most. Full return to unlimited athletic activities was possible for only four (14%) of the patients. Objective signs of ACL insufficiency could be demonstrated on all patients upon clinical examination at followup. Overall grading of the knees revealed 87.5% fair or poor results.
本报告旨在分析非手术治疗孤立性前交叉韧带撕裂后的情况。报告了40例最初采用非手术方法治疗该损伤且平均随访4年的患者结果。这些患者中只有极少数伴有半月板病变。12例患者（30%）需要进行二次重建手术。25个膝关节中有4个（16%）存在原发性半月板撕裂，另有4例患者出现继发性半月板撕裂。36例（86%）未手术患者存在打软腿问题，但疼痛和肿胀对大多数患者来说并非严重问题。只有4例（14%）患者能够完全恢复无限制的体育活动。随访时临床检查发现，所有患者均有前交叉韧带功能不全的客观体征。膝关节总体评分显示，87.5%的结果为一般或较差。
