What this review ACTUALLY says is this:
The indication for ACL reconstruction is not "ACL injury".
Rather, the indication for ACL reconstruction is "instability after ACL injury, in spite of a period of good rehab"
Which is how I have treated ACL injuries for years. And about ⅔ of the patients that I see with ACL injuries end up having surgery. So, very much still needed, just not by everyone.
You can read the full review here www.physio-network.com/acl-surgery-no-longer-kneeded/