There are many factors that go into return time for ACL surgery. Nine to 12 months is average for an NFL player...............with return to maximum performance not occurring before 12 months. Trying to shorten this time frame has been consistently shown to result in an increased risk of reinjury. Ultimate percentage of NFL players returning and return level of performance in a recent study published March 2022 in the
Orthopaedic Journal of Sports Medicine has been shown to be very dependent on the NFL position played.
Interesting that NFL QBs were most likely to return to play (92.9% vs 53.7%) and to return to preinjury performance (2% vs 50% decrease) compared with the other positions.
Some additional interesting details in the referenced study:
| Returned to Play (n = 174) | Did Not Return to Play (n = 138) | P |
---|
Player characteristics | | | |
Body mass index | 30.94 ± 4.35 | 30.30 ± 4.20 | .134 |
Time in the NFL, y | 2.89 ± 2.92 | 2.99 ± 2.69 | .455 |
Injury characteristics | | | |
Preseason/offseason injury | 66 | 95 | <.001 |
In-season injury | 107 | 44 | |
Player draft status | | | |
Drafted, n (%) | 131 (75) | 74 (54) | |
Drafted in rounds 1-3 | 82 | 29 | <.001 |
Drafted in rounds 4-7 | 49 | 45 | .027 |
Player position group | | | |
Quarterback | 12 | 2 | >.99 |
Running backs (RB, FB) | 15 | 13 | .041 |
Receivers (WR, TE) | 30 | 37 | .012 |
Offensive linemen (OL, LS) | 35 | 11 | .605 |
Defensive linemen (DE, DT) | 23 | 20 | .576 |
Linebacker | 27 | 22 | .343 |
Defensive backs (CB, FS, SS, S) | 31 | 31 | .009 |
Punter or kicker | 1 | 2 | .293 |
aData presented as mean ± SD or No. of players (%). Bolded
P values indicate statistically significant difference between groups (
P < .05). ACLR, anterior cruciate ligament reconstruction; CB, cornerback; DE, defensive end; DT, defensive tackle; FB, fullback; FS, free safety; LS, long snapper; NFL, National Football League; OL, offensive lineman; RB, running back; S, safety; SS, strong safety; TE, tight end; WR, wide receiver.
*******************************************
The study findings indicated that NFL players are severely affected by ACL injury, with only 28.5% still active in the league 3 years after the injury. Running backs, defensive linemen, and linebackers performed the worst after injury. Quarterbacks were most likely to return to play and had superior postinjury performance compared with the other positions.