No difference in XXXX after surgical and non-surgical treatment of ACL-injured knees after 10  years.

@entity1 @entity397 @entity571
PURPOSE: Aim of this study was to record and compare the functional and activity level as well as the manifestations of @entity571 after isolated @entity397 between @entity1 with conservative treatment and ACL reconstruction with hamstrings tendon graft. METHODS: Thirty-two @entity1 diagnosed with @entity397 were recorded. Clinical examination included the Tegner and Lysholm activity scale, the International Knee Documentation Committee Subjective Form and KT-1000 arthrometer. Narrowing of the medial and lateral joint spaces was assessed using the IKDC knee examination score. RESULTS: Median follow-up was 10.3  years (range 10-11). Fifteen @entity1 were conservatively treated (median age 33  years, range 25-39). Seventeen @entity1 were operated (median age 31  years, range 20-36). There was significant difference between the mean values of IKDC scores in favour of the ACL-reconstruction group of @entity1 , 86.8 (SD 6.5) versus 77.5 (SD 13.8), respectively (p  =  0.04). The mean value of anteroposterior tibial translation was 1.5  mm (SD 0.2) for ACL-reconstruction group of @entity1 , while the corresponding mean value for ACL-conservative group was 4.5  mm (SD 0.5), p  =  0.03. Four @entity1 in ACL-reconstruction group had radiological findings of grade C or D according to IKDC form. In ACL-conservative group, five @entity1 presented similar signs (n.s.). CONCLUSIONS: ACL reconstruction using hamstrings autograft resulted in better functional outcome and laxity measurements than ACL-conservative management. However, the incidence of radiological @entity571 was similar between the two groups and independent on the pre-operative grade of laxity and functional status of the @entity1 . Equally, bone bruises were not found as a risk factor for the development of @entity571 after @entity397 . LEVEL OF EVIDENCE: Prospective randomized study, Level II.
