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January 25, 2026The American Journal of Sports Medicine

Return to Sport After Revision Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis

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Authors

VGVarun GopinatthOregon Health & Science UniversityDTDaniel C. TouheyOregon Health & Science UniversityEBEdward M. BarksdaleWashington University in St. Louis

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Implication

Meta-analysis evaluates return to sport outcomes in athletes post-revision ACLR, highlighting key factors influencing success.

Key Points

  • Evaluate return to sport (RTS) outcomes for patients undergoing revision anterior cruciate ligament reconstruction.
  • Systematic review according to PRISMA guidelines
  • Search of 5 databases from inception to January 2025
  • Meta-analysis using random-effects models and odds ratios
  • Overall pooled RTS rate was 77.8%
  • 48.2% returned to previous competitive level
  • Patients with lateral extra-articular procedure had a higher RTS rate (90.6% vs 74.9%)
  • Greater articular cartilage damage associated with lower RTS success
  • Most common reasons for failure included fear of reinjury (28%) and knee pain (12%)

Cite This Study

Gopinatth et al. (2026) studied this question.

synapsesocial.com/papers/6975b36bfeba4585c2d6ee64https://doi.org/10.1177/03635465251405493
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Anterior cruciate ligament (ACL) reconstruction and meniscal repair rates have both increased in the past 20 years in England: hospital statistics from 1997 to 20172019 · 115 citations
  2. 2After revision anterior cruciate ligament reconstruction, who returns to sport? A systematic review and meta-analysis2015 · 95 citations
  3. 3Comparison of the Clinical Outcomes of Revision and Primary ACL Reconstruction: A Matched-Pair Analysis With 3-5 Years of Follow-up2023 · 13 citations
  4. 4Association Between Autograft Choice and Psychological Readiness to Return to Sport After ACL Reconstruction2025 · 3 citations
  5. 5Two-stage revision anterior cruciate ligament reconstruction reduces failure risk but leads to lesser clinical outcomes than single-stage revision after primary anterior cruciate ligament graft failure: a retrospective cohort study2025 · 7 citations