The Physio Pulse Podcast Ep. 2 - ACL Reconstruction versus Rehab
May 28, 2024
Dive into a lively debate about ice kinetic dynamometry and the opinions that shape physiotherapy. Explore the dilemma of choosing between ACL surgery and rehabilitation, backed by intriguing clinical trials. Discover the surprising findings about patient outcomes, showing no significant differences between the two methods over time. Delve into the SNAP trial, revealing patient preferences and the emotional challenges athletes face post-injury. It's a thoughtful discussion emphasizing informed decisions and the evolving landscape of ACL treatment.
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Importance of Pre-Trial Registration
- Pre-trial registration is crucial to ensure academic honesty in clinical trials and avoid data manipulation.
- It prevents researchers from tailoring questions to data, improving research reliability and reproducibility.
KANON Trial Surprising Results
- The KANON trial revealed no significant difference in outcomes between early ACL reconstruction and rehab at 5 years.
- Remarkably, about half in the rehab group avoided surgery entirely, challenging traditional beliefs.
Long-Term Similarities in KANON Results
- The 11-year follow-up of KANON showed similar patient outcomes and arthritis incidence between groups.
- Delayed meniscal surgeries in rehab group equaled early meniscal surgeries in ACL group, suggesting timing differs but volume is alike.