Based on your MRI, this is a partial ACL sprain not a complete tear along with a Grade-II meniscus signal mild fluid and no ligament discontinuity in such cases, surgery is usually not required especially if there is no knee giving-way locking or repeated instability during daily activities persistent pain over a year often comes from incomplete rehabilitation muscle weakness or meniscal irritation rather than a surgical problem surgery is considered only if you have frequent instability knee buckling or failure to improve despite adequate conservative care with the findings shown continued non-surgical management remains appropriate

Need a fresh mri, if instability then surgery. Orthobiologics for soft tissue healing

Any instability is there? If yes- surgery If no - no surgery