The indications for surgical treatment of the ACL tear are the following:
A young competitive pivotal athlete who wants to return to sports.
The failure of a nonoperative program, with persistent pain, swelling, and giving way.
A desire to increase the level of athletic activity without the use of a brace.
A repairable meniscal tear in a young athlete. The meniscus repair has a high failure rate unless the knee is stabilized with an ACL reconstruction.
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