Operative Versus Nonoperative Treatment of Anterior Cruciate Ligament Rupture in Patients Aged 40 Years or Older: An Expected-Value Decision Analysis

Seng, Khemarin; Appleby, David; Lubowitz, James H.

doi:10.1016/j.arthro.2008.01.021

Cited by 48 publications

(39 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast, the choice of treatment was not associated with age, gender or arthrometer examination (KT-1000). These findings are supported by an expected-value decision analysis, which investigated that individuals aged 40 years or older prefer ACL surgery despite the risk of surgical complications and are extremely averse to accepting knee instability 8. Additionally, the operative treatment is more cost-effective in this population.…”

Section: Discussionmentioning

confidence: 86%

High rate of return to activity after ACL reconstruction in patients over 40 years of age: a systematic review

et al. 2017

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 86%

High rate of return to activity after ACL reconstruction in patients over 40 years of age: a systematic review

et al. 2017

View full text Add to dashboard Cite

“…Using expected-value decision analysis, Seng et al [35] determined that operative intervention was the optimal treatment strategy in patients aged 40 years or older with an ACL tear. They found that this population was reluctant to accept a risk of possible re-injury, instability, or modified return to activity.…”

Section: Discussionmentioning

confidence: 99%

Management of anterior cruciate ligament rupture in patients aged 40 years and older

Legnani

Terzaghi

Borgo

et al. 2011

J Orthopaed Traumatol

View full text Add to dashboard Cite

The aim of anterior cruciate ligament (ACL) reconstruction is essentially to restore functional stability of the knee and to allow patients to return to their desired work and activities. While in the young and active population, surgery is often the best therapeutic option after an ACL tear, ACL reconstruction in middle-aged people is rather more controversial due to concerns about a higher complication rate. The purpose of our article is to establish, through a systematic review of the literature, useful decision-making criteria for the management of anterior cruciate ligament rupture in patients aged 40 years and older, guiding surgeons to the most appropriate therapeutic approach. Various reports have shown excellent results of ACL reconstruction in patients over the age of 40 in terms of subjective satisfaction, return to previous activity level, and reduced complication and failure rates. Some even document excellent outcomes in subjects of 50 years and older. Although there are limited high-level studies, data reported in the literature suggest that ACL reconstruction can be successful in appropriately selected, motivated older patients with symptomatic knee instability who want to return to participating in highly demanding sport and recreational activities. Deciding factors are based on occupation, sex, activity level of the subject, amount of time spent performing such highly demanding activities, and presence of associated knee lesions. Physiological age and activity level are more important than chronological age as deciding factors when considering ACL reconstruction.

show abstract

“…For competitive athletes such as S.K., this algorithm may allow an expedited return to full play (faster than the minimum of 9 months with reconstruction). If she is unsatisfied with the results, then there is always an option for future reconstruction [9‐15].…”

Section: Resultsmentioning

confidence: 99%

Anterior Cruciate Ligament Tear: Surgical Reconstruction Versus Nonsurgical Management

Vyas

Semakula

Elson

et al. 2012

PM&R

View full text Add to dashboard Cite

Operative Versus Nonoperative Treatment of Anterior Cruciate Ligament Rupture in Patients Aged 40 Years or Older: An Expected-Value Decision Analysis

Cited by 48 publications

References 14 publications

High rate of return to activity after ACL reconstruction in patients over 40 years of age: a systematic review

High rate of return to activity after ACL reconstruction in patients over 40 years of age: a systematic review

Management of anterior cruciate ligament rupture in patients aged 40 years and older

Anterior Cruciate Ligament Tear: Surgical Reconstruction Versus Nonsurgical Management

Contact Info

Product

Resources

About