O efeito do tratamento cirúrgico comparado com tratamento conservador na função após lesão de LCA: umas revisão narrativa de estudos controlados randomizados

Abstract

Introduction: The ACL is an important ligament of the knee that stabilizes the anterior movement of the Tibia in relation to the Femur, especially in physical activities that require rapid changes in direction, and rupture may occur in moments of overload. Decision-making about the treatment to be carried out is a point of great discussion among professionals, which must be studied for better guidance to the patient and rehabilitation focused on each person's profile. Objective: The objective of this narrative review of randomized clinical trials is to compare the effect of surgical versus conservative treatment on function after ACL rupture. Methods: The literature search was carried out on October 31, 2023 in the PEDro database (Physiotherapy Evidence Database), without language restrictions, only with randomized studies published in the last 10 years with patients between 16 and 65 years old. Results: Three randomized controlled studies were included in this review. The three studies compared surgical treatment with some other type of treatment maintained through exercise. Conclusion: The main findings of randomized studies provided evidence that the option for surgical treatment after ACL rupture was more effective than conservative treatment in active adults, however these results did not demonstrate a clinically significant difference in the physical function of the knee.

Key-words: “clinical trial”; “anterior cruciate ligament”.