ACL injury is a serious concern for the professional football player.1 Studies about second ACL injury rate and career length after ACL reconstruction (ACLR) in male professional football players are scarce in the current literature. We studied 118 top-level professional football players who sustained an ACL injury and subsequent ACLR over the course of 19 seasons as part of a substudy2 of the Elite Club Injury Study. The players were tracked prospectively for second ACL injuries as well for the career length following ACL injury and related treatment. Analysis of potential predictors of subsequent ACL injury (to either knee) was carried out using a stepwise Cox Regression model. All players returned to training (RTT) following ACLR and were evaluated at a median follow-up of 4.3 (IQR 4.6) years ...
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