Predicting the need for ACL reconstruction

The fundamental reason for surgical treatment of ACL rupture is to stop symptomatic instability which can produce recurrent injury - especially meniscal tears.

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Not all patients with ACL rupture have this instability pattern especially if they modify their activites. Hence predicting instability and need for early surgery is important to understand both by the patient and healthcare professionals (GP, Physiotherapist and orthopaedic surgeon).