Professor Richard Frobell (Part 1): ACL management - 5 years follow up to an RCT

Dr Richard Frobell is an associate professor in the Department of Orthopaedics at Lund University in Southern Sweden. His background is in physiotherapy but he’s worked as a specialist in clinical diagnosis for over a decade in a dedicated knee service program. In this podcast he discusses his recent BMJ paper, which is a follow up to the NEJM on ACL injury treatment.

More from Professor Richard Frobell (Part 2): For the experts in ACL management.

In this second of two podcasts for clinicians, associate professor Richard Frobell discusses how his 2010 RCT was received by some members of the clinical community and how he addressed those concerns. His new paper sheds further light on the issues that generated debate.

How to Rapidly Abolish Knee Extension Deficit After Injury or Surgery: A Practice-Changing Video Pearl From the Scientific Anterior

Knee extension deficit is frequently observed after anterior cruciate ligament reconstruction or rupture and other acute knee injuries. Loss of terminal extension often occurs because of hamstring contracture and quadriceps inactivation rather than mechanical intra-articular pathology. Failure to regain full extension in the first few weeks after anterior cruciate ligament reconstruction is a recognized risk factor for adverse long-term outcomes, and therefore, it is important to try to address it. In this Technical Note, a simple, rapid, and effective technique to help regain full knee extension and abolish quadriceps activation failure is described.

Lars Engebretsen’s learning points from the 2018 IOC Paediatric ACL consensus statement. Ep #325.

Professor Lars Engebretsen, MD, PhD, Head of Medicine & Science at the IOC’s Scientific and Medical Department discusses the massive problem that is ACL injuries in children under 12 years of age.

Time to stop menisectomy.

Professor Ewa Roos discusses the lack of evidence to support knee arthroscopy, the need for more exercise intervention, and how Denmark is leading the way with Dr Christian Barton.

Finnish Degenerative Meniscal Lesion Study (FIDELITY)

Arthroscopic partial meniscectomy is the most common orthopedic procedure performed in the United States.

A recent randomized trial showed that arthroscopic partial meniscectomy combined with physical therapy provides no better relief of symptoms than physical therapy alone in patients with a meniscal tear and knee osteoarthritis. We conducted a multicenter, randomized, double-blind, sham-controlled trial to assess the efficacy of arthroscopic partial meniscectomy in patients who have a degenerative tear of the medial meniscus without knee osteoarthritis.

Returning to play in 2019 with Dr Clare Ardern.

• Tips for clinicians when approaching RTP with athletes (and here is the link to the free Return to Play Consensus paper https://bjsm.bmj.com/content/50/14/853)

• Three key psychological challenges for athletes when they suffer injury. She shares how to address these in the context of RTP and shared decision making

• As an added feature, and as we near the 10 year anniversary of the classic Richard Frobell 2010 paper Dr Ardern answered a question about non-operative management of ACL injuries

• Finally what to do when faced with a 10-16 year old who has ruptured her or his ACL. Here’s the link to the free Consensus statement that has had over 92,000 reads.

Surgical Placebo - Professor Ian Harris.

Professor Ian Harris from the Institute for Musculoskeletal Health, talks about the need for higher quality evidence in surgery, at the Sydney Innovation and Research Symposium.

Extended Fox Sports Interview:
ACL Non-surgical Management Mr. Kieran Richardson (FACP).

Specialist Physiotherapist, Kieran Richardson (FACP) discusses the latest evidence in ACL rehabilitation and worlds best practice.