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so we finally have some true evidence for patients who have ongoing instability following their acl tear should they have surgery or not lets find out hey guys khalid here welcome back to clinical physio so weve just had this brilliant research paper published in the lancet one of the most prestigious medical journals in the world its called the acl snap trial snap snnap and it stands for acl surgery necessity in non-acute patients so the research was conducted by beer detal in 2022 involving over 25 researchers a massive piece of work so the researchers looked at patients who had an acl injury and ongoing instability in 29 different orthopedic units in the national health service in the uk and the key question whats the better option for them surgery or simple rehabilitation so they involved 316 patients over a three year period from 2017 to 2020. they randomly assigned each of those patients into a group who had surgery to reconstruct their acl or a group who had rehabilitation o
