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the overall goals of treatment following an acl tear are to avoid occurrences of instability where the knee buckles or gives way and to prevent the bones from shifting as mentioned earlier an unstable and poorly aligned knee can lead to further injury and degeneration there are two general approaches to treating an acl injury one approach is non-surgical such as physical therapy modifying activities or using a knee brace the other approach is surgical reconstruction of the torn ligament your doctor will discuss your options with you taking into account your activity level willingness or ability to modify activities your age general health and other factors most people with a torn acl who want to return to sporting or strenuous physical activities will require surgery a torn acl cannot just be stitched back together because it will not heal instead the damaged ligament must be replaced with a graft along its entire length activity level is more important than age when considerin
