Evidence brief
Return to Sport After ACL Reconstruction: Criteria and Outcomes
Passing return-to-sport criteria reduces reinjury by 84%
Time-based return alone is insufficient
Quadriceps strength >90% LSI critical
Hop tests, psychological readiness important
Returning before 9 months increases reinjury risk
Return to sport should be criteria-based, not time-based. Comprehensive testing including strength, hop tests, and psychological readiness significantly reduces reinjury risk.
Know return to sport battery: quad strength >90% LSI, single-leg hop tests >90% LSI, no effusion, full ROM, psychological readiness (ACL-RSI score). Minimum 9 months before return. Discuss graduated return to sport protocol.
Level II
Lesser quality RCT or prospective comparative study