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in this video im going to discuss how its possible for some individuals to manage an acl tear without surgery ill frame the discussion around three of the most commonly held beliefs and provide you with information that hopefully helps you with your final decision this is not medical advice or meant to replace a consultation with an orthopedic surgeon belief number one acl reconstruction guarantees long-term success although surgery has contributed to many success stories its not the case for everyone so i want to mention some of the potential drawbacks a systematic review and meta-analysis by ardernital in 2014 concluded that 81 of people returned to some form of sport after surgery 65 returned to their previous level of sport and 55 percent returned to competitive sport a different systematic review and meta-analysis by wiggins at home in 2016 demonstrated that the rate of a second acl injury after surgery was 15 for all patients 21 if you are younger than 25 and 23 if you are y