The fundamental reason for surgical treatment of ACL rupture is to stop symptomatic instability which can produce recurrent injury- especially meniscal tears. 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).
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Timing of ACL reconstruction is a clinical decision. We have to make sure that we have full motion, the swelling is gone, the effects of the acute injury are gone, and most importantly that we have a really good muscle contraction. I think that if you ask 90 percent of orthopaedic surgeons they would tell you that that’s at least four to six weeks.
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