Ep31: All about ACL with Dr. Linda Truong (Part 1): Surgery or Not?

In this episode, we talked about

1. Different options after an ACL tear
2. What the current body of evidence say about the outcomes of different options
3. Clarifying research terminologies: statistical vs clinical significance, levels of certainty, what constitute good research

 

Clinician-Scientist | Physical Therapist | Post-doctoral Fellow

Expertise and research focus:

• Qualitative research
• Mixed methods research
• Musculoskeletal (MSK) and sports rehabilitation 
• Digital health implementation
• Models of care in rehabilitation

Current Focus: Postdoctoral research on innovative care models and the integration of digital health solutions for MSK pain management. My work bridges the gap between clinical practice and digital health technology, aiming to improve patient outcomes through evidence-informed strategies. My clinical expertise lies in management and treatment of traumatic knee injuries (e.g., ACL injuries). I currently work part time at a local physiotherapy clinic and teach within the Master of Physical Therapy program at the University of British Columbia in Vancouver Canada. 

 

Resources

1. Owen, P., et al. (2023). Infographic. Primary surgery versus primary rehabilitation for treating anterior cruciate ligament injuries. British Journal of Sports Medicine, 57(13), 882-883.
2. Saueressig, T., et al. (2022). Primary surgery versus primary rehabilitation for treating anterior cruciate ligament injuries: a living systematic review and meta-analysis. British journal of sports medicine, 56(21), 1241-1251.
3. Beard, D. J., et al. & ACL SNNAP Study Group. (2024). Comparison of surgical or non-surgical management for non-acute anterior cruciate ligament injury: the ACL SNNAP RCT. Health technology assessment (Winchester, England), 28(27), 1.
4. Culvenor, A. G.,et al. (2022). Rehabilitation after anterior cruciate ligament and meniscal injuries: a best-evidence synthesis of systematic reviews for the OPTIKNEE consensus. British journal of sports medicine, 56(24), 1445-1453.
5. Beard, D. J., et al. (2022). Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial. The Lancet, 400(10352), 605-615.
6. Frobell, R. B., et al. (2010). A randomized trial of treatment for acute anterior cruciate ligament tears. New England Journal of Medicine, 363(4), 331-342.
7. Reijman, M., et al. (2021). Early surgical reconstruction versus rehabilitation with elective delayed reconstruction for patients with anterior cruciate ligament rupture: COMPARE randomised controlled trial. Bmj, 372.
8. Whittaker, J. L., et al. (2022). OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis. British journal of sports medicine, 56(24), 1393-1405.
9. Kamper, S. J. (2019). Interpreting outcomes 2—statistical significance and clinical meaningfulness: linking evidence to practice. journal of orthopaedic & sports physical therapy, 49(7), 559-560.
10. Kamper, S. J. (2019). Interpreting outcomes 3—clinical meaningfulness: linking evidence to practice. journal of orthopaedic & sports physical therapy, 49(9), 677-678.

 

Social media connection

X @LKTphysio

Instagram @lint.fit

 

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