CLINICAL READING
What the review found
The review did not find higher return-to-sport rates after ACL reconstruction compared with exercise-based rehabilitation.
What it may mean clinically
The decision is not a one-size-fits-all answer. Stability, associated injuries, sport demands, preferences and functional progress require individual discussion.
Important limitations
Certainty of evidence was low or very low. Randomised evidence was limited, and patient selection could affect observational studies. The absence of a detected difference does not establish equivalence for every patient.
This is a plain-language evidence summary, not an individual recommendation. Decisions follow history, examination, goals and clinical judgement.