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do you have any advice for someone who just busted ACL and the gain weather the need surgery yeah sure actually on a scale of 1 to four with one being the highest level evidence there level two evidence that suggest that if you cannot straighten your knee before your op youamp;#39;re going to have a problem with not being able to treated after you all thereamp;#39;s also level two evidence to suggest that if you have more than 20% deposit in your court strength side to side youamp;#39;re going to have problems even up to 2 years after your operation would you recommend them to do we have before the surgery yes definitely I think they should do rehab for at least 3 months after their injury this would give us enough time for them to fix their range fix their strength and also decide whether do they actually need the ACL surgery or not and of course donamp;#39;t delay it too long CU if you delate more than 6 months after injury you are going to end up with a few other problems and we