ACL Reconstruction Recovery Rates Trend Lower for Athletes with Additional Knee Damage

Currently, the standard Return to Play (RTP) metrics do not encapsulate the competitive level to which an athlete returns post-injury. This study examines the characteristics and performance of male Tier 4 and higher soccer players, and their ability to RTP following both isolated anterior cruciate ligament (ACL) injuries and ACL injuries with additional structural damage to the knee. Results indicate that the rate of return to Tier 4 leagues or higher trends lower for athletes with Grade 3 or higher chondral lesions or meniscal pathologies