Cochrane · systematic review · CD011166
Surgical versus conservative interventions for treating anterior cruciate ligament injuries
Monk, AP, Davies, LJ, Hopewell, S, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 14.3%Very low 1 · 14.3%Low 5 · 71.4%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Comparison
Population: Adults with acute anterior cruciate ligament (ACL) injuries (young, active individuals)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Subjective knee score ‐ KOOS‐4 score (mean score of 4 components) at 2 years: score from 0 (extreme symptoms) to 100 (no symptoms) | no estimate extracted | 1 study · 121 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Serious adverse events (such as donor site morbidity, failure of graft including re‐rupture) at 2 years | no estimate extracted | 1 study · 121 participants | Ungraded |
Treatment failure (graft rupture or ACL reconstruction) at 2 years5 | RR 0.12 [0.04, 0.34] | 1 study · 121 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Treatment failure (meniscal surgery) at 5 years5,7 | RR 0.88 [0.62, 1.25] | 1 study · 120 participants | Low Downgraded: risk of bias, imprecision, indirectness |
General health‐related quality of life: SF‐36 physical component score (range 0 to 100; higher score = better health state) at 2 years | no estimate extracted | 1 study · 121 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Return to activity or level of sport at 2 years | RR 1.22 [0.78, 1.91] | 1 study · 121 participants | Low Downgraded: risk of bias, imprecision, indirectness |
Osteoarthritis at 5 years | RR 1.8 [0.92, 3.52] | 1 study · 113 participants | Very low Downgraded: risk of bias, imprecision, indirectness |