Understanding the demands of sports based on the type of sport and the level to which it’s played is a major contributing factor when considering having surgery. Sports such as soccer, rugby, and basketball require a great amount of stability due to cutting, pivoting and change of direction movements. This level of stability is difficult to replicate with strengthening and stability exercises. Hence surgery is typically the best option to allow you to return back to sports of these physical demands.
If you want to return to everyday life, running, cycling and the occasional weekend hike, then rehabilitation without an ACL will allow you to achieve these goals. There is also evidence to show that living without an ACL does not increase the likelihood of osteoarthritis (Van Yrepen et al 2018).