Study Design Systematic literature review. Objectives To summarize and evaluate research on factors predictive of progression to surgery after nonoperative treatment for an anterior cruciate ligament (ACL) @entity397 . Background Anterior cruciate @entity397 is a common injury among young, active individuals. Surgical reconstruction is often required for @entity1 who do not regain satisfactory knee function following nonsurgical rehabilitation. Knowledge of factors that predict the need for surgical reconstruction of the ACL would be helpful to guide the decision-making process in this population. Methods A search was performed for studies predicting the need for surgery after nonoperative treatment for @entity6151 in the Embase, MEDLINE (OvidSP), Web of Science, CINAHL, Cochrane Central Register of Controlled Trials, PubMed, and Google Scholar digital databases from inception to October 2013. Two reviewers independently selected the studies and performed a quality assessment. Best-evidence synthesis was used to summarize the evidence of factors predicting the need for surgical reconstruction after nonoperative treatment for an @entity6151 . Results Seven studies were included, 3 of which were of high quality. Based on these studies, neither sex (strong evidence) nor the severity of @entity14884 (moderate evidence) can predict whether, soon after ACL injury, a @entity1 will need ACL reconstruction following nonoperative treatment. All other factors identified in this review either had conflicting or only minimal evidence as to their level of association with the need for surgical reconstruction. Noteworthy is that 1 high-quality study reported that the spherical shape of the femoral condyle was predictive of the need for ACL reconstruction. Conclusion Sex and @entity14884 tests do not predict the need for ACL reconstruction soon after an @entity6151 . Independent validation in future research will be necessary to establish whether knee shape is a predictive factor. Level of Evidence Prognosis, level 1a-. J Orthop Sports Phys Ther 2015;45(1):37-44. Epub 13 Nov 2014. doi:10.2519/jospt.2015.5183.

Factors related to the need for surgical reconstruction after anterior cruciate XXXX : a systematic review of the literature.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity397 :: ('MESH:D012421', 'Disease') :: ['ligament rupture', 'rupture'] @entity14884 :: ('MESH:D007593', 'Disease') :: ['knee joint laxity'] @entity6151 :: ('MESH:D057971', 'Disease') :: ['ACL rupture']
@entity397 :: (MESH:D012421,Disease) :: ['ligament rupture']
