ACL ruptures remain an important issue in professional football. Even after state-of-the-art surgery and rehabilitation, a long period away from sport, high reinjury rates and the risk of osteoarthritis remains. Moreover, studies on rates of return to sport at the same level have been conflicting.
Male athletes with ACL-rupture and matched controls from the 5 European top leagues were identified. Anthropometrics, injury history, time of RTP, quantity of games, and game-related performance data were retrieved.
A total of 132 ACL injuries resulted in a RTP rate of 98.2% and RTP to the same level of 59.4%. Seventy percent of players were still playing after 5 years, 40.9% of which at the same level.