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Non-operative
The ACL does not reliably heal well
on its own. Although
this is true, about one-third of all patients will do well
without surgery. A patient who does well without surgery
is:
-
older
or less active
-
one
who decreases his or her activity level
-
one
who avoids pivoting sports
These patients can expect a fair to good outcome just by learning
to cope with their injury.
Patients
who do not do well with non-operative treatment are usually described
as:
-
younger or active patients
-
those
who like to participate in pivoting sports
These
patients are more at risk for reinjury. For these people,
the likelihood of further damage to other ligaments or cartilage is quite
high. A common reinjury is tearing a meniscus, which can lead to degenerative
arthritis in the years to come.
Patients who are less active and do not participate in pivoting sports
can continue to have a high quality of life with a good
rehabilitation program. A partial tear to the ACL is usually treated
in this manner.
 
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