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Knee Rehabilitation on Skates1658Limitations and future perspectivesDuring the course of this study, the world had been affected by the covid pandemic. In the Netherlands, this has led to a lockdown, which has also led to the closing of facilities where large groups of people can come together. The Thialf ice rink was also among the facilities that were closed. To this end, only 5 of the 15 participants were actually able to rehabilitate according to the KROS protocol. Nevertheless, in these few subjects we have seen excellent results in terms of compliance, satisfaction and safety. Future studies are needed to confirm our results in a larger population. Due to the design of the study, there may be a selection bias present. Only patients who are actually interested in rehabilitation on skates have participated in the study. However, the underlying goal has not been to offer the KROS programme to all patients, but rather to look for an alternative for the current standard rehabilitation. Tailoring the rehabilitation after anterior cruciate ligament reconstruction is of great importance. One size does not fit all, patient-specific rehabilitation is the path we will have to take to improve compliance, and with that improve outcome, after ACL injury. ConclusionRehabilitation on skates after ACL reconstruction is feasible and safe, shows high compliance and seems to lead to excellent objective and patient reported outcomes. Future research is needed in a large group of patients to determine whether objective outcomes like strength and functional capabilities are at least non-inferior to current common practice.AcknowledgementsWe would like to thank the Thialf Ice stadium in Heerenveen and Fitaal Fysiotherapie, formerly known as TIGRA Fysiotherapie for their participation in the study. Mark Zee.indd 165 03-01-2024 08:56