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Review Question - QID 217948

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QID 217948 (Type "217948" in App Search)
A 23-year-old male presents to your clinic after a twisting knee injury while playing recreational soccer. He has a Grade 3 Lachman on examination, concerning for rupture of the anterior cruciate ligament (ACL). Initial radiographs demonstrate mild patellofemoral chondral wear, posterior slope of 8º, and varus deformity of 10º. MRI confirms a complete rupture of the ACL with associated vertical, peripheral tear of the lateral meniscus. You plan for ACL reconstruction using a BTB autograft with lateral meniscus repair. Which of these findings places this patient at highest rate for re-tear after ACL reconstruction?