Abstract
Purpose: Anterior cruciate ligament (ACL) rupture, irrespective of surgical reconstruction (ACLR), contributes to most post-traumatic knee osteoarthritis (OA) cases, evident decades earlier than non-traumatic OA. Returning to high-impact sport following ACLR represents a potential modifiable factor. Surgical success is often judged on a return to sport, and retrospective studies indicate a potential reduction in OA risk in those who return to pivoting sport. There is a need to prospectively investigate the influence of returning to high-impact sport after ACLR on the risk of longitudinal structural OA changes and knee symptoms.
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