{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T15:15:26Z","timestamp":1789398926267,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,4,9]],"date-time":"2015-04-09T00:00:00Z","timestamp":1428537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,4,9]],"date-time":"2015-04-09T00:00:00Z","timestamp":1428537600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Aim of this study was to record and compare the functional and activity level as well as the manifestations of osteoarthritis after isolated ACL ruptures between patients with conservative treatment and ACL reconstruction with hamstrings tendon graft.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010two patients diagnosed with ACL rupture were recorded. Clinical examination included the Tegner and Lysholm activity scale, the International Knee Documentation Committee Subjective Form and KT\u20101000 arthrometer. Narrowing of the medial and lateral joint spaces was assessed using the IKDC knee examination score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median follow\u2010up was 10.3 years (range 10\u201311). Fifteen patients were conservatively treated (median age 33 years, range 25\u201339). Seventeen patients were operated (median age 31 years, range 20\u201336). There was significant difference between the mean values of IKDC scores in favour of the ACL\u2010reconstruction group of patients, 86.8 (SD 6.5) versus 77.5 (SD 13.8), respectively (<jats:italic>p<\/jats:italic> = 0.04). The mean value of anteroposterior tibial translation was 1.5\u00a0mm (SD 0.2) for ACL\u2010reconstruction group of patients, while the corresponding mean value for ACL\u2010conservative group was 4.5\u00a0mm (SD 0.5), <jats:italic>p<\/jats:italic> = 0.03. Four patients in ACL\u2010reconstruction group had radiological findings of grade C or D according to IKDC form. In ACL\u2010conservative group, five patients presented similar signs (n.s.).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ACL reconstruction using hamstrings autograft resulted in better functional outcome and laxity measurements than ACL\u2010conservative management. However, the incidence of radiological osteoarthritis was similar between the two groups and independent on the pre\u2010operative grade of laxity and functional status of the patients. Equally, bone bruises were not found as a risk factor for the development of osteoarthritis after ACL rupture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Prospective randomized study, Level II.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-015-3593-9","type":"journal-article","created":{"date-parts":[[2015,4,8]],"date-time":"2015-04-08T10:37:31Z","timestamp":1428489451000},"page":"2953-2959","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":86,"title":["No difference in osteoarthritis after surgical and non\u2010surgical treatment of ACL\u2010injured knees after 10 years"],"prefix":"10.1002","volume":"24","author":[{"given":"Dimitrios","family":"Tsoukas","sequence":"first","affiliation":[{"name":"Orthopaedic Sports Medicine Clinic 1\u20103 Distomou Street, Maroussi 15125 Athens 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