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Return to Sport Following ACL Repair: A Systematic Review.

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  • 1Charles E. Schmidt College of Medicine at Florida Atlantic University, Boca Raton, Florida, United States.

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|December 26, 2025
PubMed
Summary
This summary is machine-generated.

Athletes undergoing anterior cruciate ligament (ACL) repair show high rates of return to sport (RTS) and return to previous level (RPL), typically between 5.9-11.9 months. ACL repair is a viable option for athletes seeking to resume competition.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Regenerative Medicine

Background:

  • Anterior cruciate ligament (ACL) injuries are common in athletes.
  • ACL repair is an increasingly popular surgical option.
  • Understanding return to sport (RTS) and return to previous level (RPL) after ACL repair is crucial.

Purpose of the Study:

  • To systematically review recent literature on RTS, RPL, and timing of return after ACL repair.
  • To analyze outcomes based on different ACL repair techniques.

Main Methods:

  • Systematic review following PRISMA guidelines.
  • Searched PubMed, Embase, Scopus, and SportsDISCUS databases.
  • Included 16 studies (2000-present) with ≥12 month follow-up and RTS data.

Main Results:

  • RTS rates ranged from 36% to 100% across 614 athletes.
  • RPL rates ranged from 60% to 81% in 342 athletes.
  • Return to sport timing averaged 5.9 to 11.9 months post-surgery.

Conclusions:

  • Most patients achieve RTS and RPL after ACL repair, with return occurring between 4-11.9 months.
  • ACL repair techniques are effective treatment options for select patient populations.