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Centre for Evidence-
Based Medicine

Prognosis: Clinical Scenario

Anita Gross, Ted Haines, Diane Hartley.
Contact Details: Bert Chesworth, Mary Ann O'Brien

You are a newly graduated physiotherapist working in an out-patient clinic. Your client, a 22 year old male university student, had an open surgical repair of his torn left anterior cruciate ligament 8 weeks ago. In your discussion of treatment goals, he tells you he hopes to be able to return to intramural basketball. You decide that you need more information so you plan to search MEDLINE on-line at the end of the day. Prior to searching, you form the following question: "In people who have had an open surgical repair to the anterior cruciate ligament, what are the chances of returning to strenuous sport?"

Search Terms
Knee injuries (MeSH), anterior cruciate ligament repair (text word) combined with randomized controlled trials (MeSH), random allocation (MeSH) searched from 1988-1998

Citation
Andersson C, Gillquist J. Treatment of acute isolated and combined ruptures of the anterior cruciate ligament. Am J Sports Med 1992;20:7-12.

Read the article and decide:

  1. Is the evidence about prognosis valid?
  2. Is this valid evidence about prognosis important?
  3. Can you apply this valid and important evidence about prognosis in caring for your client?

Continue to completed worksheet

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