Safe Sport for Kids - Over 50% of ACL knee injuries are preventable


Find a surgeon

The Find a Surgeon directory is a listing of active Fellows of the Royal Australasian College of Surgeons who meet the requirements of the College's Continuing Professional Development (CPD) Program and have opted to be on the list. This list excludes retired or inactive Fellows.


3 May 2016

Australia has the highest incidence of anterior cruciate ligament (ACL) injuries in the world, and sports injuries are now the number one reason for youth admission to hospital, surgeons at the Royal Australasian College of Surgeons (RACS) Annual Scientific Congress (ASC) have been told in Brisbane.

Head of the Musculoskeletal Research Program at Griffith University in Queensland Professor David Lloyd told the conference that the Australian Football League (AFL) had supported research to develop a range of injury prevention strategies.

"Our studies, and those of others, consistently revealed the causes ACL injuries from which we then developed interventions," Prof Lloyd said.

"ACL ruptures commonly occur during non‐contact side stepping or when landing from a mark during AFL and other sports when stepping".

"Our laboratory studies and computer simulations have shown that specific technique and aggressive balance training prevent knee injury".

"Using this evidence we have developed training programs to prevent ACL and lower limb joint injuries in community level Australian Football. In a randomised placebo control trial in over 1600 Australian Football players we were able to reduce the relative risk of these in‐game knee injuries by 50 per cent.

Queensland Orthopaedic Surgeon, Chair of the AOA Youth Sports Injury Prevention Working Group and knee specialist Associate Professor Christopher Vertullo, who is also presenting to the ASC on ACL injuries, told surgeons that ACL injury patients were at risk of developing premature knee osteoarthritis (OA) and resultant later severe disability, despite it being a highly preventable injury.

"Direct health costs from ACL injury include reconstruction surgery, non‐operative osteoarthritis management and eventual knee replacement. The most popular Australian sports such a AFL, Rugby League, Rugby Union, Touch Football and Netball are all high risk for knee injury."

A/Professor Vertullo said that over 50 per cent of ACL injuries were preventable by a regular supervised neuromuscular agility training program, consisting of 20 minutes exposure three times per week.

"A National Youth Sports Injury Prevention Program would be a fantastic health and sports Federal Government initiative that would not only save money, but also prevent kids hurting themselves and getting severe knee osteoarthritis in the future. World-wide, it is increasingly recognised that youth injury is not just bad luck, but in fact highly preventable."

"Our research has suggested that an Australian youth injury prevention program targeting ACL injury via a neuromuscular agility training program targeting all 12‐17 year olds and high risk 17- 25 year olds, will result in future public health cost savings of $120 million over four years. 

"This doesn't include the total society costs of decrease sports participation, and lost work," A/Prof Vertullo said. For more information on Safe Sport for Kids visit

Download full media release (PDF 260KB)