Residual strength deficits, especially in the quadriceps, increase reinjury risk. Strength symmetry between limbs is an important benchmark before return to sport.
Movement quality also matters. Poor landing or cutting mechanics increase knee load. Rehabilitation must address these patterns under fatigue and sport-specific conditions.

Ongoing injury-prevention programs significantly reduce reinjury rates. These programs focus on strength, balance and control and should continue after return to sport.
Education is critical. Understanding that rehabilitation extends beyond return to training helps athletes and families set realistic expectations.
Preventing reinjury protects long-term knee health and supports continued participation in sport.

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