Preoperative expectations for return to sports and outcomes following anterior cruciate ligament reconstruction: a survey of adolescent patients and their parents

Limited data exists on adolescent athletes' and their parents' expectations for return to sport (RTS) and outcomes following anterior cruciate ligament reconstruction (ACLR). This study evaluates and compares these preoperative expectations. Fifty patients (12-18 years) and their parents completed a preoperative questionnaire administered before consultation with a single sports medicine surgeon at a tertiary referral center between June 2019 and December 2021. This 12-question survey assessed knowledge and expectations regarding ACLR. Statistical analysis compared patient-parent responses. The study included 50 patients (44% female, mean age 15.2 ± 2.0 years) and parents (64% female, mean age 46.4 ± 6.5 years). Most participants were Caucasian (68% patients and 72% parents) with private insurance (68%). A total of 36% of consults were for a second opinion. Prior research on ACL injuries was reported by 58% of patients and 76% of parents. Patients were more likely to expect RTS within 6 months (32%) than parents (14%; P = 0.048), while more parents anticipated RTS at greater than or equal to 12 months (38 vs. 20%). Both groups had high expectations for RTS at or above preinjury level (88% patients and 94% parents; P = 0.604). Fear of reinjury was the leading reason for not returning or returning at a lower level (P = 0.733). There was no significant difference regarding perceived risk of contralateral ACL injury (P = 0.195). Adolescent patients anticipate earlier RTS post-ACLR than parents, both having high RTS performance expectations. Improved preoperative education may help align expectations.