Evidence map›Paper›PMID 42008192›Full record

SynthesisSports medicine - open2026

Return-to-Sport Outcomes and Psychological Readiness to Return to Sport After Revision Compared to the Primary Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis.

Marko Manojlovic, Vukadin Milankov, Roberto Roklicer, Tatjana Trivic, Aleksander Veraksa, Antonino Bianco, Patrik Drid

Abstract readSystematic Review
In one paragraph

Synthesis in Sports medicine - open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Marko ManojlovicFaculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia. markomanojlovic1995@gmail.com.ORCID http://orcid.org/0000-0003-2373-1028
Vukadin MilankovFaculty of Medicine, University of Novi Sad, Novi Sad, Serbia.ORCID https://orcid.org/0000-0001-5009-0372
Roberto RoklicerFaculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia.ORCID https://orcid.org/0000-0003-1119-8326
Tatjana TrivicFaculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia.ORCID https://orcid.org/0000-0001-7790-062X
Aleksander VeraksaFaculty of Psychology, Lomonosov Moscow State University, Moscow, Russia.ORCID https://orcid.org/0000-0002-7187-6080
Antonino BiancoSport and Exercise Sciences Research Unit, University of Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0001-8334-6581
Patrik DridFaculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia.ORCID https://orcid.org/0000-0002-2075-6038

Funding

Provincial Secretariat for Higher Education and Scientific Research, Autonomous Province of Vojvodina 142-451-3098
6 · The paper itself

Abstract

backgroundThe existing body of evidence referring to the return-to-sport (RTS) outcomes and psychological readiness to return to sport after revision compared to the primary anterior cruciate ligament (ACL) reconstruction has not yet been comprehensively synthesized.

objectiveTo examine RTS outcomes and psychological readiness to return to sport after revision compared to the primary ACL reconstruction.

methodsA comprehensive search of Web of Science, EMBASE, and PubMed was carried out up to November 15, 2024. Observational studies that compared revision and primary ACL reconstruction regarding RTS outcomes and psychological readiness to return to sport were considered adequate for inclusion. The Methodological Index for Non-Randomized Studies and Grading of Recommendations Assessment, Development, and Evaluation were used to assess methodological quality as well as the overall strength and quality of evidence of involved studies, respectively.

resultsA total of 19 studies fulfilled the eligibility criteria and were included in the quantitative analysis. There were 3209 athletes with a history of revision and primary ACL reconstruction (mean age: 26.0 ± 6.5 years; 78% males). The main findings indicated that individuals who were subjected to revision ACL reconstruction had slightly lower odds of RTS (-6%; odds ratio (OR) = 0.66 [95% confidence interval (CI) 0.49 to 0.89]), slightly lower odds of RTS at the preinjury level of competition (-5%; OR = 0.52 [95% CI 0.36 to 0.76]), slightly prolonged RTS time (1.2 months; standardized mean differences (SMD) = 0.38 [95% CI 0.12 to -0.63]), and moderately lower psychological readiness to return to sport (-14.2 points; SMD = -0.75 [95% CI -1.14 to -0.36]) relative to their counterparts who were subjected to the primary ACL surgery.

conclusionsAthletes who underwent the revision ACL surgery had a 6% reduced rate of RTS, 5% lower rates of RTS at the preinjury level of competition, 1.2 months extended RTS time, and 14.2 points decreased psychological readiness to return to sport relative to the respondents with a history of the primary ACL reconstruction. PROSPERO registration number CRD42024600347.

Indexed as

Exercise psychologyKnee injuryReturn to playReturn to play timeSurgery

Identifiers

PMID42008192
PMCPMC13096450

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.