Table 1

Details of patient populations, follow-up duration, time from primary to revision ACL reconstruction, objective outcomes at final follow-up (objective IKDC, difference of laxity between indexed and healthy knee and pivot-shift test) and return to sport outcomes for each study

Authors and yearPatientsFollow-up durationAge at revision ACL reconstruction (ACLR)Time from primary to revision ACL reconstruction (ACLR)Final IKDCFinal laxityFinal pivot-shift
n (%)
Return to sport
n (%)
Noyes and Barber-Westin (1996)21653.5 years25 yearsNANA3.4±4.8 mm34 (52%) negative51 (79%) Return to sport
30 (53%) <3 mm24 (37%) grade I
17 (30%) 3–5.5 mm4 (6%) grade II
10 (17%) >5.5 mm3 (5%) grade III
222.3 years27 yearsNANA1.9±4.4 mm12 (60%) negative16 (80%) Return to sport
12 (66%) <3 mm7 (35%) grade I
3 (17%) 3–5.5 mm1 (5%) grade II
3 (17%) >5.5 mm0 (0%) grade III
Johnson et al (1996)22252.3 years25 years30 monthsNA3.7±3.5 mm20 (80%) negative—grade I22 (88%) Return to sport
22 M/3F5 (20%) <2.5 mm5 (20%) grade II
11 (44%) 3–5 mm0 (0%) grade III
9 (36%) 5.5–10 mm
Noyes and Barber-Westin (2001)2352 knees2.8 years27 yearsNANA2.2±4.9 mmNA40 (72%) Return to sport
51 patients
O'Shea and Shelbourne (2002)12114.1 years24 years71 monthsNA1.6±1.2 mmNA11 (100%) Return to sport
11 (100%) <3 mm5.1±2.2 weeks to light sports
5.4±1.5 months to full sport
Taggart et al (2004)24203.4 years30 years49 monthsNA3 (15%) <1 mm3 (15%) negative8 (40%) Same pre-injury sport level
14 M/6F5 (25%) 1–3 mm9 (45%) grade I6 (30%) Lower level
5 (25%) 3–5 mm4 (20%) grade II
7 (35%) >5 mm4 (20%) grade III
Carson et al (2004)2543Minimum 2 yearsNANANA2.9 mm37 (86%) negative12 (28%) Sport without limitation
20 (47%) <3 mm20 (46%) Sport with limitation
13 (30%) 3–4 mm
6 (14%) 4–5 mm
4 (9%) >5 mm
O'Neill (2004)26487.5 years33 years60 months20 (42%) A10 (21%) 0 mmNA36 (75%) Same pre-injury sport level
28 M/20F20 (42%) B22 (46%) 0–2 mm21 (44%) High impact activities
6 (12%) C3 (6%) 2–3 mm
2 (4%) D10 (21%) 3–5 mm
3 (6%) >5 mm
Grossman et al (2005)10295.6 years30.2 years56 months17 (58%) A2.8 mm27 (93%) negative20 (68%) Same pre-injury sport level
22 M/7F8 (28%) B2 (7%) grade I
4 (14%) C0 (0%) grade II
0 (0%) D0 (0%) grade III
Thomas et al (2005)13496.2 years35.4 yearsNA12 (24%) A1.9±2.4 mm43 (88%) negative0 (0%) Same pre-injury sport level
37 M/12F28 (58%) B46 (94%) 0–2 mm5 (10%) grade I
8 (16%) C1 (2%) 3–4 mm1 (2%) grade II
1 (2%) D2 (4%) >5 mm0 (0%) grade III
Ferretti et al (2006)27285.0 years34 years60 months15 (53%) A2.5±1.8 mm15 (54%) negative6 (20%) Same pre-injury sport level
11 (39%) B20 (71%) 0–3 mm11 (39%) grade I9 (30%) Lower level
2 (8%) C6 (21%) 3–5 mm2 (7%) grade II30 (100%) Return to sport
0 (0%) D2 (8%) >5 mm0 (0%) grade III
Garofalo et al (2006)28284.2 years27 years26 months5 (18%) A3.1±2.0 mm21 (75%) negative26 (93%) Same pre-injury sport level
16 M/12F21 (75%) B18 (65%) <3 mm7 (25%) grade I18 (64%) High competitive
2 (7%) C9 (32%) 3–5 mm0 (0%) grade II6 (21%) Recreational
0 (0%) D1 (3%) 6–10 mm0 (0%) grade III2 (7%) Light sport
0 (0%) >10 mm
Noyes and Barber-Westin (2006)29214.1 years33 yearsNA5 (24%) A2.1±2.2 mm10 (48%) negative15 (71%) Return to sport
15 M/6F11 (52%) B8 (38%) <3 mm7 (33%) grade I
3 (14%) C7 (33%) 3–5 mm3 (14%) grade II
2 (10%) D4 (19%) >5 mm1 (5%) grade III
Salmon et al (2006)30507.4 years27 years36 months33 (73%) A/B2.5 mm31 (69%) negative26 (58%) Return to level I-II activity
12 (27%) C/D17 (50%) <3 mm14 (31%) grade I
17 (50%) 3–5 mm0 (0%) grade II
0 (0%) >5 mm0 (0%) grade III
Battaglia et al (2007)31636.1 years31 years61 monthsNA3.9±2.4 mmNA42 (66%) Return to sport
36 M/27F30 (48%) <3 mm
20 (31%) 3–5 mm
10 (21%) >5 mm
Denti et al (2008)32603.5 years31 yearsNA18 (36%) A28 (56%) <3 mmNA47 (78%) Same pre-injury sport level
23 (46%) B17 (34%) 3–5 mm8 (14%) Lower level
9 (18%) C5 (10%) 6–10 mm30 (50%) High competitive activities
0 (0%) D0 (0%) >10 mm
Diamantopoulos et al (2008)331076.0 years39 years60 months79 (74%) A0.9±1.1 mm (KT)79 (74%) negative39 (36%) Same pre-injury sport level
64 M/43F17 (16%) B17 (16%) grade I
11 (10%) C11 (10%) grade II
0 (0%) D0 (0%) grade III
Wegrzyn et al (2009)34103.2 years30 years26 months4 (40%) A1.3±1.9 mmNA1st revision:
8 M/2F5 (50%) B9 (90%)<5 mm5 (50%) Same pre-injury sport level
1 (10%) C1 (10%) >5 mm4 (40%) Lower level
0 (0%) D
2nd revision:
2 (20%) Same pre-injury sport level
4 (40%) Lower level
Muneta et al (2010)35213.3 years27 yearsNANA1.7±1.8 mm14 (78%) negative13 (76%) Same pre-injury sport level
14 M/7F3 (17%) grade I18 (86%) Return to sport
1 (5%) grade II
0 (0%) grade III
Reinhardt et al (2012)36213.0 years16.9 yearsNANANA20 (95%) negative11 (52%) Same pre-injury sport level
1 (5%) grade I20 (95%) Return to sport
0 (0%) grade II
0 (0%) grade III
Franceschi et al (2013)37306.8 years29.1 years34 months27 (90%) A/B3.1 mm25 (83%) Negative20 (67%) Same pre-injury sport level
19 M/11F3 (10%) C5 (17%) grade I7 (25%) Lower activity
0 (0%) D0 (0%) grade II
0 (0%) grade III
Gifstad et al (2013)11567.5 years26.5 years38 monthsNA3.3±2.7 mm45 (80%) negative—grade I7 (13%) Same pre-injury sport level
25 M/31F28 (52%) <3 mm11 (20%) grade II-III
17 (23%) 3–5 mm
8 (15%) >5 mm
Buda et al (2013)38243.3 yearsNANA4 (17%) A3.1±1.1 mm4 (17%) negative17 (71%) Same pre-injury sport level
24 M/0F16 (67%) B18 (75%) grade I3 (13%) Lower level
2 (8%) C2 (8%) grade II
2 (8%) D0 (0%) grade III
Shelbourne et al (2014)392597.2 years22.4 yearsNANA2.3±1.8 mmNA178 (69%) Same pre-injury sport level
  • Pre-injury level is referred to the initial injury before primary ACL reconstruction. Values are expressed as the mean or absolute number and percentage, according to variable.

  • F, females; M, males; IKDC, International Knee Documentation Committee; NA, not applicable.