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a new study suggests that after failure of revision ACL reconstruction a second revision surgery results in better knee function than non-surgical management although both treatment strategies are associated with a high rate of return to sport the findings are published in the American Journal of sports medicine tearing of the anterior cruciate ligament or ACL is a common Sports Injury its usually treated with ACL reconstruction surgery however in some patients particularly young and active patients the surgical graft ruptures and requires revision ACL reconstruction and a subset of these patients experience another rupture after the revision it has remained unclear whether a second revision ACL reconstruction or non-surgical management results in better outcomes for these patients to find out the new study followed 41 patients with a failed first revision ACL reconstruction 31 of whom underwent a second revision surgery and 10 of whom chose non-surgical management the researchers co