Despite advances in modern surgical techniques, return-to-play (RTP) rates after revision anterior cruciate ligament reconstruction (R-ACLR) often fall short of patients' expectations. There is growing awareness that a patient's psychological recovery is as important as the functional recovery of their knee.

The primary purpose of this study was to determine the RTP rate and identify the barriers to RTP after R-ACLR. Secondarily, we compared the progression of psychological readiness (using the Anterior Cruciate Ligament-Return to Sport after Injury [ACL-RSI] scale) throughout rehabilitation between those who achieved RTP and those who did not. Finally, we assessed if RTP could be predicted for patients aged <23 years and patients aged ≥23 years based on their ACL-RSI scores at different time points during rehabilitation.