November 2015

AAOS clarifies guidance for ACL injuries

The Rosemont, IL-based American Academy of Orthopaedic Surgeons (AAOS) in October released a new appropriate-use guideline for anterior cruciate ligament (ACL) injury to clarify recommendations from its 2014 ACL injury guidelines.

The AAOS 2014 Clinical Practice Guideline, “Management of Anterior Cruciate Ligament Injuries” recommended that reconstructive surgery occur within five months of ACL injury to protect the knee joint and that, in young adults aged 18 to 35 years, autografts are preferable to allografts for ACL reconstructions.

The new-appropriate use guideline provides more specific guidance based on a patient’s various indications, including age, activity level, presence of advanced arthritis, and status of the ACL tear. The guidelines recommend specific next steps and procedures for optimal recovery.

The AAOS also offers ACL rehabilitation and return-to-play checklists. Get the guidelines and checklists and link to a smartphone app at orthoguide
lines.org/auc.

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