27/05/2022
We need to change the narrative around ACL healing vs repairs. For so long the belief was that ruptured ACL'S HAD to have surgery to enable recovery and the evidence simply doesn't back this up anymore. Thanks to Kieren Richardson for this great summary via Physio Network. Link for the full article below.
"A systematic review showed that ACL full thickness ruptures CAN heal, with strategies including bracing, rehabilitation and strengthening and even no management at all (8, 9).Shifting the burden of proof, the authors highlighted the revelation there are in fact no high-quality studies showing the ligament CAN’T heal! In a national debate on ACL tear management which I was a part of at the end of 2021, Physiotherapists, Surgeon researchers and expert clinicians agreed ACL tears can heal. Pilot data from Australia due to be released in 2022 was discussed, with over 90% of fully ruptured ACL’s healing with a novel bracing protocol, and long-term return-to-play achieved."
https://www.physio-network.com/blog/can-acl-heal/