Physio Edge podcast with David Pope

163. ACL treatment options and cross-bracing with Clare Walsh

17 snips
Apr 17, 2024
Orthopedic specialist Clare Walsh discusses ACL injury management, focusing on the innovative Cross bracing protocol as a non-surgical alternative for suitable patients. The podcast explores MRI criteria, challenges of brace treatment, patient preferences for different brace options, and the effectiveness of conservative approaches in ACL treatment.
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INSIGHT

Spontaneous Healing

  • A study from the KANON trial revealed over 50% of participants who avoided ACL reconstruction showed spontaneous ACL healing.
  • This raises questions about the potential for healing in those who underwent early reconstruction.
ANECDOTE

Cross-Bracing Origin

  • Dr. Merv Cross overheard a patient distraught over an ACL tear and adamant about avoiding surgery.
  • This led him to pioneer the cross-bracing protocol.
ADVICE

Suitability Assessment

  • Assess ACL tear suitability for cross-bracing via MRI within the first three weeks of injury.
  • Consider patient factors like driving needs, concomitant injuries, and psychological factors.
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