Episode 2: Evidence Based ACL management with the 'Rockstar Researcher' Stephanie Filbay

The Knee Gurus

There is probably no one on the planet who has researched the best practice management of ACL injuries as extensively as Dr Stephanie Filbay.

Stephanie is a physiotherapist graduate from La Trobe University in Melbourne in 2010 and was awarded her Ph.D. in 2016 on Longer-Term Outcomes after ACL injuries with a specific focus on quality of life. Stephanie was also based in Oxford University in the UK where she was a Senior Research Associate in Orthopaedics, Rheumatology and Musculoskeletal Sciences. She is currently a senior research associate and NHMRC fellow at the University of Melbourne and her research focuses on optimising outcomes for people with ACL injury and knee osteoarthritis.

In this episode we speak with Stephanie about all aspects of ACL management.

We delve into the research behind the common beliefs around ACL reconstructive surgery (ACLR)

Does ACLR reduce osteo-arthritis?
Does ACLR reduce the chance of meniscus tears on return to sport ?
What are the impacts of quality of life post ACL rupture?
Psychological aspects of ACL healing.
Can the ACL Heal?
Optimal timing of the ACL surgery post injury. Shared decision making process for ACL management and how to choose a surgeon.
See the links below to read the papers we discuss in the interview.
https://www.sciencedirect.com/science/article/pii/S1521694219300191?via%3Dihub
https://bjsm.bmj.com/content/bjsports/early/2017/05/17/bjsports-2016-097124.full.pdf
https://bjsm.bmj.com/content/49/16/1033.long
https://bjsm.bmj.com/content/53/8/459
https://www.sciencedirect.com/science/article/pii/S1836955316000205

Chapters

1. Intro (00:00:00)

2. Stephanie Filbay introuduction (00:04:06)

3. Discussion: Early-onset Arthritis (00:07:00)

4. Discussion: Risk of further meniscus injury without ACL surgery (00:10:30)

5. Meniscal tears and ACL reconstructive surgery (00:14:00)

6. Discussion: Instability in ACL reconstruction patients VS the latter (00:16:00)

7. Discussion: Panther Symposium (00:18:45)

8. Ad (00:24:26)

9. Discussion: You need ACL reconstruction in order to return to high-level sports (00:26:20)

10. Quality of life after ACL Injury (00:30:45)

11. Evidence-based recommendation for the management of ACL Rupture (00:33:05)

12. Discussion: Psychological aspect of ACL tear (00:35:45)

13. Minamising Psychological damage of ACL injury (00:39:15)

14. From non-copper to coper (00:45:00)

15. ACL Ability to heal (00:49:35)

16. Discussion: When is the best time for surgery? (00:53:40)

17. Decision-making process on surgery (00:59:40)

18. Pros and cons in conservative management (01:03:30)

19. Words of advice on ACL surgery and rehabilitation (01:08:45)

20. Outro (01:10:55)