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Updated: Apr 26, 2026
Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
Return to play following ACL reconstruction: a systematic review about strength deficits
Wolf Petersen1, Pouria Taheri, Phillip Forkel
1Department of Trauma and Orthopaedic Surgery, Martin Luther Hospital, Caspar Theyss Straße 27-31, 14193, Berlin, Grunewald, Germany, w.petersen@mlk-berlin.de.
Purpose:
There is a lack of consensus regarding appropriate criteria attesting patients' unrestricted sports activities after ACL reconstruction. Purpose of this study was to perform a systematic review about strength deficits to find out if a strength test might be a return to play criterion.
Data Source:
Pubmed central, Google Scholar.
Study Eligibility Criteria:
English language articles.
Interventions:
Strength tests after ACL reconstruction with autologous tendon grafts.
Methods:
A systematic search for articles about muscle strength after ACL reconstruction was performed.
Results:
Forty-five articles could be identified. All articles identified reported strength deficits after ACL reconstruction in comparison to control subjects. Some of these deficits persisted up to 5 years after surgery. Knee flexor strength is more impaired after ACL reconstruction with hamstring grafts and quadriceps strength after BPTB ACL reconstruction.
Conclusion:
Strength deficits of hip, knee and ankle muscles are reported after ACL reconstruction. Muscular strength test may be an important tool to determine if an athlete can return to competitive sports after ACL reconstruction.
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