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The Journal of Bone and Joint Surgery 80:1200-3 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Spontaneous Healing of a Tear of the Anterior Cruciate Ligament. A Report of Two Cases*

MASAHIRO KUROSAKA, M.D.{dagger}, SHINICHI YOSHIYA, M.D.{ddagger}, TOSHIYUKI MIZUNO, M.D.{dagger} and KOSAKU MIZUNO, M.D.{dagger}, KOBE, JAPAN

Investigation performed at the Department of Orthopaedic Surgery, Kobe University School of Medicine, Kobe


    Introduction
 
The primary healing potential of the anterior cruciate ligament has been reported to be extremely poor in both clinical and experimental studies2,7,9,11,13. This inferior healing capability has led surgeons to reconstruct the anterior cruciate ligament rather than to attempt non-operative treatment involving bracing and muscle-strengthening exercises or to perform a primary suture repair after an acute injury in an athletically active patient12. We report the cases of two patients who had an acute injury of the anterior cruciate ligament that healed spontaneously, as confirmed by arthroscopy and evaluation of stability, after non-operative treatment consisting of early bracing and prolonged restriction of sports activity.

Fifty patients who had an acute tear of the anterior cruciate ligament were managed at our institution between May 1991 and April 1993. We recommended delayed reconstruction after diagnostic arthroscopy and rehabilitation for twenty-nine patients and non-operative treatment with modification of activity for twenty-one. At . . . [Full Text of this Article]


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