Revolutionising ACL Recovery

 The Cross Bracing Protocol (CBP)

Receiving a diagnosis of an ACL rupture can be concerning, but surgery may not be the only option. 

The latest research has highlighted a new approach that doesn’t involve surgical intervention, but a non-invasive protocol whereby the knee is immobilized at 90 degrees in a brace for 4 weeks, and range of motion is increased progressively, until the brace is removed at 12 weeks.

Advantages 

  • May eliminate the need for surgery and the potential risks associated.
  • Preserves the native ligament and its proprioceptive properties.
  • Preserves the tendons of the hamstrings or quadriceps, which are commonly used for the graft sites. 

Disadvantages

  • Further research is needed on re-injury rates, return-to-sport, patient-reported outcomes, functional stability, and long-term knee osteoarthritis prevalence.
  • There is limited evidence of the CBP in the performing arts population.
  • Agility-dependent sports present specific limitations.
  • Non-weight-bearing protocols may lead to deconditioning and compliance issues.

Currently, the CBP is in its early stages and is likely to undergo further refinement in the future. 

The ability of the ACL to naturally heal may play a significant role in the decision-making process when determining whether to opt for surgical or non-surgical intervention.

If you have any questions or require additional information, please don’t hesitate to reach out to us or make an appointment to discuss your unique needs with one of the senior or sports physios at either our clinics.

~ Steph Zamoyski