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so for our patients who have an acl injury should they be having surgery or not are they more susceptible to other injuries like meniscal tears are they more susceptible to osteoarthritis in the future thatamp;#39;s whatamp;#39;s coming up letamp;#39;s dive in hey guys khalid here welcome back to clinical physio so one of the most common questions we get asked about the knee if a patient has an acl injury should they have surgery or is physiotherapy alone enough to get them back to their activities and sport happy and healthy well in this video weamp;#39;re going to try and dive into some of the key pieces of evidence to answer that question so letamp;#39;s start with a piece of evidence which is pro-physio pro-conservative management very famous in the physio world fro bella tile 2013 treatment for acute acl tear five-year outcome of a randomized control trial so the authors separated 121 patients into two groups the first group of 62 people had an early acl reconstructio