Cost-Effectiveness Analysis of Early Reconstruction versus Rehabilitation and Delayed Reconstruction for ACL Tears

摘要

BackgroundAn initial anterior cruciate ligament (ACL) tear can be treated with surgical reconstruction or focused rehabilitation. The KANON (Knee Anterior cruciate ligament, NON-surgical versus surgical treatment) randomized control trial compared rehabilitation plus early ACL reconstruction (ACLR) to rehabilitation plus optional delayed ACLR and found no difference at two years by intention to treat analysis of total KOOS scores. The purpose of this study was to compare the cost-effectiveness of early versus delayed ACLR.