Return to Sport and Risk of Second Anterior Cruciate Ligament (ACL) Injury in Elite Male Footballers: 10-Year Experience From a Single Center

Almost all patients returned to play after ACLR using hamstrings graft with over-the-top techniques, typically regaining preinjury performance by the second season after the injury. RTP time was shorter for isolated ACL injuries and longer when associated with meniscal or cartilage injury. Given the high risk of a second ACL injury on either knee and the high reoperation rate, RTP before 5 months should be discouraged, particularly in athletes <21 years.

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Publication Details

Journal
Orthopaedic Journal of Sports Medicine
Published
2025-12-01
DOI
https://doi.org/10.1177/23259671251391362
Primary Topic
Knee injuries and reconstruction techniques
Type
article
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article

Return to Sport and Risk of Second Anterior Cruciate Ligament (ACL) Injury in Elite Male Footballers: 10-Year Experience From a Single Center

Stefano Zaffagnini, Tommaso Bonanzinga, Federico Maria Adravanti, Maurilio Marcacci et al.
Orthopaedic Journal of Sports Medicine
Knee injuries and reconstruction techniques
article

Return to Sport and Risk of Second Anterior Cruciate Ligament (ACL) Injury in Elite Male Footballers: 10-Year Experience From a Single Center

Stefano Zaffagnini, Tommaso Bonanzinga, Federico Maria Adravanti, Maurilio Marcacci, Alberto Grassi, Gian Andrea Lucidi, Emanuele Altovino
article en

Abstract

Almost all patients returned to play after ACLR using hamstrings graft with over-the-top techniques, typically regaining preinjury performance by the second season after the injury. RTP time was shorter for isolated ACL injuries and longer when associated with meniscal or cartilage injury. Given the high risk of a second ACL injury on either knee and the high reoperation rate, RTP before 5 months should be discouraged, particularly in athletes <21 years.

Orthopaedic Journal of Sports MedicineVol. 13(12)
Humanitas University (IT), Istituto Ortopedico Rizzoli (IT), IRCCS Humanitas Research Hospital (IT), University of Bologna (IT)
Openalex Percentile: Top 43%
Knee injuries and reconstruction techniques
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Return to Sport and Risk of Second Anterior Cruciate Ligament (ACL) Injury in Elite Male Footballers: 10-Year Experience From a Single Center — Stefano Zaffagnini, Tommaso Bonanzinga, et al. · Orthopaedic Journal of Sports Medicine (2025) | TGRS Research Map | TGRS