ACL reconstruction for all is not cost-effective after acute ACL rupture.
Vincent EggerdingMax ReijmanDuncan Edward MeuffelsEline van EsEwoud van ArkelIgor van den BrandJoost van LingeJacco ZijlSita Ma Bierma-ZeinstraMarc KoopmanschapPublished in: British journal of sports medicine (2021)
Routine early ACL reconstruction (index) is not considered cost-effective as compared with rehabilitation plus optional reconstruction for a standard ACL population (comparator) given the maximum willingness to pay of 20 000 €/QALY. Early recognition of the patients that have better outcome of early ACL reconstruction might make rehabilitation and optional reconstruction even more cost-effective.