Learning Objectives:

Analyze the patient's surgical and rehabilitation course and contrast it with guideline-based expectations for revision ACL with concomitant meniscal repair. Design a criterion-driven rehabilitation progression that specifies objective checkpoints across strength, hop/functional testing, neuromuscular control, ROM, and patient-reported function, while incorporating meniscal-protection constraints. Appraise contributors to rerupture risk in this case (e.g., residual asymmetries, accelerated timelines, "non-contact" drill dynamics, prior cyclops lesion) and propose targeted prevention strategies for practice integration (stepped field re-entry and enforced non-contact rules). Determine return-to-practice readiness by interpreting objective test results and patient-reported outcomes to justify a pass/fail clearance decision.

Keywords: Graft Selection; Functional Outcomes; Return To Play Criteria