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Because ACL reconstruction does not automatically lead to successful outcomes and return to play,1 ,2 active rehabilitation is a realistic option that is being adopted by an increasing number of patients.3 In the Delaware-Oslo ACL Cohort Study, we found no differences in 2-year knee function, sports participation or new knee injuries between patients treated with ACL reconstruction followed by progressive preoperative and postoperative active rehabilitation, and patients treated with active rehabilitation alone.4 In our 2015 paper, we found that 86–94% of our ACL reconstruction and active rehabilitation group reported 2-year Knee injury and Osteoarthritis Outcome Score (KOOS) within …
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.