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high risk of injury recurrence. 1 , 5 However, understanding the optimal management of rectus femoris injuries is challenging, as existing reports on non-operative and operative management of these injures have combined proximal and distal muscle
Hospital Sotero del Rio, Santiago, Chile
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Hospital Sotero del Rio, Santiago, Chile
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Orthopaedics Department of Minho University, Portugal
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the anatomy and biomechanics, coupled with poor patient outcomes with non-operative management, resulted in the PLC often being labelled as the ‘dark side’ of the knee. 5 In the last two decades, extensive research 6 – 9 has resulted in a
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related to the patient and the lesion. 26 Non-operative management Non-operative management is useful for the initial treatment for acute knee trauma and as a first-line treatment method in degenerative meniscal tears. In the former situation
These authors contributed equally to this work
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management for MRL repair. It was adopted from protocols applied in other types of surgeries. This has led to doctors advocating different post-operative management plans based on their experience, knowledge exchange with other orthopaedicians, etc. Generally
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considered the ‘gold standard’ of care. The non-operative management of ACL-deficient knees has been proposed in the past as an alternative, but has been associated with poor functional outcome. 14 - 18 Specifically, non-operative treatment resulted in
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-up of 34 months, a significantly better functional outcome following operative compared with non-operative management. 21 Wojtys and Nelson 22 suggest a treatment strategy based on the levels of shoulder strength or endurance, underlying the
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. Kovachevich R , Shah JP , Arens AM , Stuart MJ , Dahm DL , Levy BA . Operative management of the medial collateral ligament in the multi-ligament injured knee: an evidence-based systematic review . Knee Surg
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R Shah JP Arens AM Stuart MJ Dahm DL Levy BA . Operative management of the medial collateral ligament in the multi-ligament injured knee: an evidence-based systematic review . Knee Surg Sports Traumatol
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Arens AM Stuart MJ Dahm DL Levy BA . Operative management of the medial collateral ligament in the multi-ligament injured knee: an evidence-based systematic review . Knee Surg Sports Traumatol Arthrosc 2009 ; 17 : 823
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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combined with simultaneous arthroscopic anterior cruciate ligament reconstruction . Arthroscopy 1999 ; 15 : 864 – 866 . 26. Hegyes MS Richardson MW Miller MD . Knee dislocation: complications of nonoperative and operative management