Mizuta H, Kubota K, Shiraishi M, Otsuka Y, Nagamoto N, Takagi K
Department of Orthopaedic Surgery, Kumamoto University School of Medicine, Japan.
J Bone Joint Surg Br. 1995 Nov;77(6):890-4.
We describe the results of conservative treatment for complete midsubstance tears of the anterior cruciate ligament (ACL) in 18 skeletally immature patients, followed for a minimum of 36 months. Six patients had an ACL reconstruction during the follow-up period and were assessed immediately before their operation. The average time from initial injury to evaluation was 51 months. All patients had symptoms when reviewed. The modified Lysholm knee score showed one excellent result, one good, eight fair, and eight poor with a mean score of 64.3. Only one patient had returned to her preinjury level of athletics. Secondary meniscal tears were confirmed in six patients, and three more had the clinical signs of a tear at follow-up. Radiological evidence of degenerative changes was found in 11 of the 18 patients. We conclude that the results of non-operative treatment for ACL injuries in this age group are poor and not acceptable.
我们描述了18例骨骼未成熟患者前交叉韧带（ACL）完全实质中部撕裂的保守治疗结果，随访至少36个月。6例患者在随访期间接受了ACL重建，并在手术前立即进行了评估。从初始损伤到评估的平均时间为51个月。所有患者复查时均有症状。改良Lysholm膝关节评分显示，1例优秀，1例良好，8例中等，8例差，平均评分为64.3。只有1例患者恢复到了受伤前的运动水平。6例患者确诊有继发性半月板撕裂，另外3例在随访时有撕裂的临床体征。18例患者中有11例有退行性改变的影像学证据。我们得出结论，该年龄组ACL损伤的非手术治疗结果较差，不可接受。
