Comparison of Surgical Repair Versus Functional Treatment in Patients With Proximal ACL Tear

Isolated ruptures of the anterior cruciate ligament (ACL) can be proximal, distal or occur in the middle of the ACL. Treatment of patients with proximal lesions should be graded. Functional treatment can be reserved for low-demanding patients in whom the practice level is limited and the risk of progression to a knee functionally unstable less marked. In athletes, the risk of a new sprain must be explained and the patient will choose a functional treatment or a surgical treatment. Few studies exist in the literature on the superiority of surgical treatment compared to functional treatment. In this context, this study is based on the hypothesis that patients undergoing ACL surgical repair have better functional scores and more intense sport activity than patients with functional treatment.

Inclusion Criteria: * Patient, male or female, aged ≥ 18 years * Patient with no history of knee surgery except meniscal surgery * Patient whose period is less than 3 months between the date of the accident and the surgery * Patient with an isolated proximal Sherman 1 or 2 ACL tear * Patient with a proximal Sherman 1 or 2 ACL tear associated to a stable meniscal lesion or to an MCL or LCL lesion grade 1 or 2 but not grade 3 * Patient practicing a non-contact pivot sport (sliding sports, board sports,racket) Exclusion Criteria: * Patient with contralateral ACL tear * Patient practicing a pivot sport with contacts * Patient presenting external rotary jumps ++ and +++ * Patient with an ACL tear Sherman 3 or 4 * Patient with meniscal lesions in the shape of a bucket handle or tabs unstable meniscals * Patient with a surgical history on the knee concerned