06/11/2026
We often quote that female athletes are 3–5x more likely to tear their ACL, but the more important question is why.
Despite multiple proposed explanations, biomechanics remains the most consistently supported modifiable factor.
That has direct implications for how we manage these patients.
ACL care is not just about reconstruction, it is about risk management:
• Preventing ipsilateral re-tear
• Reducing contralateral ACL injury (≈3% risk within 2 years)
• Addressing underlying movement patterns that persist after surgery
If we ignore biomechanics, we are treating the injury, not the patient.
What is an ACL? Those 3 dreaded letters….ACL. Every athlete fears hearing them but regrettably ACL injury is part of sporting activities. Thankfully techniques to repair and reconstruct the ACL have advanced considerably in the past few years and as such, our ability to return an athlete to sport ...