AI Article Synopsis
- ACL ruptures are common in young, active individuals and are usually treated with reconstruction, but current UK Armed Forces policy restricts applicants with this surgery due to concerns about long-term issues like osteoarthritis.
- Recent evidence indicates that, 20 years post-reconstruction, individuals with an isolated ACL injury have a similar risk of developing osteoarthritis compared to those without an injury.
- It is recommended that applicants who have had an ACL reconstruction without serious meniscal or bone defects and completed 18 months of rehab be classified as medically fully deployable in line with military guidelines.
Article Abstract
Anterior cruciate ligament (ACL) rupture is a common injury that affects young, active individuals, normally managed with reconstruction in this age group. Current UK Armed Forces policy precludes prospective applicants from joining with an anterior cruciate ligament reconstruction (ACLR). This isdue to the perceived risk of premature osteoarthritis (OA), graft rupture or clinical failure, all of which could make the service person medically non-deployable.The most recent evidence shows that an ACL rupture without associated significant meniscal or osteochondral defect has a similar likelihood of developing OA as to that of the uninjured knee after reconstruction at 20 years postoperatively.Applicants should be considered for service following an ACL rupture without significant concurrent meniscal or osteochondral defect who have undergone ACLR and 18 months of rehabilitation. We recommend these applicants to be graded P2 Medically Fully Deployable (MFD) as per the Joint Service Publication (JSP) guidance for service personnel who undergo ACLR.
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| http://dx.doi.org/10.1136/military-2022-002261 | DOI Listing |
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