Optimal Timing of Anterior Cruciate Ligament Reconstruction in Patients With Anterior Cruciate Ligament Tear

Key Points Question Is the timing of anterior cruciate ligament reconstruction (ACLR) associated with clinical outcomes in patients with ACL tears? Findings This systematic review and meta-analysis of 11 randomized clinical trials involving 972 participants found that, compared with elective delayed ACLR, early ACLR was not associated with improved functional outcomes nor fewer complications, regardless of the follow-up duration. Meaning These findings suggest that the timing of ACLR surgery may not influence functional outcomes and postoperative complications; this information should be available to patients with ACL deficiency and their surgeons as part of the shared decision-making process of treatment selection.