An ACL rupture is a common injury among athletes that often sees their season cut short with a long rehabilitation process. ACL tear management commonly leads to reconstructive surgery despite the growing body of evidence that many people can return to normal and fully functional after ACL injury without surgery.
In fact, it has been shown that many ACL ruptures can recover and heal on their own without surgery. Filbay et al (2022) found that nearly 60% of torn ACL’s spontaneously heal themselves without surgical intervention. This percentage can be further increased if athletes are placed on a restricted movement protocol.
Even if the ACL does not heal itself spontaneously, many can still function at very high levels with good rehabilitation. If however, there are feelings of instability that limit function during the rehabilitation process, surgery may be indicated. Fitzgerald et al (2000) proposed a screening tool to help with the decision of needing surgery. It states by 2 months post-injury you must have:
- A confirmed ACL rupture without other ligament or meniscal injury
- Full, pain-free range of motion
- No joint swelling
- 70% quad strength to your other side
- Be able to tolerate hopping.
If you’re confused about which direction to take post-ACL injury, contact our physiotherapists to discuss and help you make an informed and educated decision.
Source: Health Direct
Title: ACL Reconstruction
Read time: 7 mins