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Review Question - QID 213997

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QID 213997 (Type "213997" in App Search)
A previous patient of yours, a female soccer player, presents to your office 2 years following ACL reconstruction. You review your operative report and find that she was 23-years-old at the time of surgery and that you used a 9mm bone-patellar-bone autograft for her reconstruction. Following surgery, she did well and was able to return to sport at 11-months. She recently sustained a non-contact injury while playing soccer, and is concerned with the stability of her knee. You subsequently diagnose her with a re-rupture of her ACL. Which of the following is the biggest risk factor for re-rupture in this patient?