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AAOS updates practice guideline for treatment of ACL injury

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September 08, 2022

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The American Academy of Orthopaedic Surgeons has announced an update to its clinical practice guideline for the management and treatment of ACL injuries, according to a press release.

This clinical practice guideline (CPG), which was last updated in 2014, provides recommendations for the treatment of both skeletally mature and skeletally immature patients with ACL injuries. The guideline also highlights areas where more research is needed, according to the release.

ACL Sports Injury
Source: Adobe Stock

“Since 2014, we have better information about ACL injuries, treatment and outcomes,” Kent Jason Lowry, MD, FAAOS, co-chair of the CPG workgroup and member of the AAOS Committee on Evidence-Based Quality and Value, said in the release. “These updates represent key learnings that are better understood through the recent literature and can serve as guidelines to care based on the specific patient and the situation,” Lowry added.

Two new recommendations in the updated CPG included a strong recommendation favoring ACL reconstruction over ACL repair due to a lower rate of revision surgery and

a moderate recommendation that anterolateral ligament and lateral extraarticular tenodesis should be considered for hamstring autograft reconstruction to reduce graft failure and improve short-term function in select patients.

“There’s still a lot to learn when it comes to optimizing the timing of intervention, rehabilitation, the ideal time to return to sport and interventions to reduce risk of injury, both in people who have never had an ACL injury, as well as those who have already experienced it,” Robert Brophy, MD, FAAOS, co-chair of the CPG workgroup and member of the AAOS Committee on Evidence-Based Quality and Value, said in the release. “The evidence in these areas of focus is evolving and we look forward to following future research to provide orthopedic surgeons and patients with continued guidance for patient care,” Brophy said.

For the full CPG on ACL injuries, visit: For more information on the latest AAOS CPGs, visit:

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