Torn ACLs may heal with therapy instead of surgery, though some surgeons aren’t convinced

The NBC News article discusses groundbreaking research indicating that nonsurgical treatments might be as effective as surgery for ACL (anterior cruciate ligament) injuries, common in both professional and amateur athletes. Traditionally, ACL tears were thought to require surgery for proper healing. However, the study published in the British Journal of Sports Medicine reveals that a new bracing protocol, coupled with physical therapy, led to significant healing in 90% of the 80 participants. This treatment involves wearing a brace that maintains the knee at a 90-degree angle, promoting the natural healing of the torn ligament.

The research challenges the long-held belief that surgery is the only viable option for ACL injuries. Surgery typically involves replacing the torn ligament with a graft, but it can have complications like chronic instability, stiffness, or even more severe issues like infection or blood clots. The nonsurgical approach, on the other hand, offers a less invasive option, potentially reducing these risks. This method is particularly advantageous for individuals who are not professional athletes or who cannot undergo surgery due to financial or health reasons.

Despite the promising results, some experts remain cautious. They argue that the long-term stability and effectiveness of nonsurgical healing need further investigation, especially in preventing future injuries. The study also found that a small percentage of patients experienced re-injury. However, for many patients, including those who underwent both surgical and nonsurgical treatments for different injuries, the nonsurgical approach led to faster recovery and better knee function. This research opens up new possibilities for treating ACL injuries, potentially shifting the standard approach away from surgery.