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General Discussion1879Return to sportsRespect the psychological influence of ACL injury and reconstructionApply simple cognitive behavioural therapies during ACL rehabilitationExplain about compensatory mechanisms and altered knee biomechanicsRecognise and respect the individual ACL anatomy during ACL reconstruction Compose an individual rehabilitation programme Think of different sports and loadingBe aware that dynamic knee biomechanics on the field differ distinctively from passive knee biomechanics on the exam tableClinical implications: a modern patient journey• In the preoperative consultations it is important to emphasise that full recovery after anterior cruciate ligament surgery takes longer than a year. One year after ACL reconstruction, compensatory patterns and altered knee biomechanics will still be present in sport-related activities. These altered biomechanics in the knee are related to reduced subjective knee function.• Orthopaedic surgeons must be aware that dynamic knee biomechanics on the field differ distinctively from passive knee biomechanics on the exam table. It is essential to evaluate patients in sport-specific circumstances.• It is important to recognise and respect the individual ACL anatomy when performing an ACL reconstruction. In current practice, preoperative MRI images and remnant preservation can be helpful, but patient-specific instrumentation could be the way to go for the future.• Involving patients in composing their individual rehabilitation programme according to their personal sports track record and Mark Zee.indd 187 03-01-2024 08:56