If you have instability and the feeling of knee giving way while you try to run or jog or jump, u need a surgery !!!
As far as meniscus is concerned, it shall be dealt while your arthroscopic acl reconstruction is done.
Your report is suggestive of a high grade tear. Please get yourself examined by an orthopaedic surgeon and take opinion. Early restoration of normal anatomy and kinematics helps in preventing osteoarthritis in the long term.
Next Steps
See your orthopaedic surgeon
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