Learning Objectives:

1. Describe the rationale, methodology, and proposed biological mechanisms of the Cross-Bracing Protocol for conservative management of acute ACL ruptures, including factors believed to influence ACL healing potential.

2. Critically evaluate the current evidence regarding ACL healing rates, functional outcomes, knee stability, and patient-reported outcomes following Cross-Bracing Protocol management compared with traditional ACL reconstruction and standard nonoperative care.

3. Apply evidence-informed decision-making to determine appropriate patient selection, rehabilitation progression, and return-to-sport considerations for individuals pursuing ACL management with the Cross-Bracing Protocol