Travis
140 posts


Associations Between Graft Choice and Return to Sports After Primary Anterior Cruciate Ligament (ACL) Reconstruction in Athletes pmc.ncbi.nlm.nih.gov/articles/PMC12…
ACL-HS retear rate was 38% but cleared at 25 weeks RTS
ACL-QT retear rate was 10.7% and cleared at 37.6 weeks
ACL-PTG retear rate was 9.6% and cleared at 41.1 weeks after surgery
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Every QT graft I start with or inherit has struggled big time with strength. Yeah, it may be an easier surgery (so I hear) but please temper patient expectations and don’t even think they’ll be ready any time before 9 months. I’d say they’re easily 2-4 months behind PTG patients.
Dan Lorenz@kcrehabguy
Two bangers in @ArthroscopyJ recently. Docs, what do you like to do w/ QT grafts? All soft tissue or bone block? Either way, I don't like QT grafts one bit. MCL one good stuff too! Either way, get ROM back before surgery or you make my life a lot harder. 😀
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@kcrehabguy @ArthroscopyJ No difference because they are both pretty rough 🤷♂️
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Two bangers in @ArthroscopyJ recently. Docs, what do you like to do w/ QT grafts? All soft tissue or bone block? Either way, I don't like QT grafts one bit. MCL one good stuff too! Either way, get ROM back before surgery or you make my life a lot harder. 😀


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@GregLehman So what would be your advice on clearing for return to sport?
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Been done rather than being shown to be superior.
Recent reviews doesn’t even seem to show it’s that great either for clearing return to sport and reinjury risk
pubmed.ncbi.nlm.nih.gov/38699196/
jospt.org/doi/10.2519/jo…
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@Kenanstweets @Hewett1Tim @ForelliFlorian @snaggs100 @TimothyHewett1 @TimHewett5 I think that’s just BFR in a nutshell. BFR in the meantime until heavier loads are tolerated. Sprinkle in BFR late stage when workloads get higher and quads need a good burn
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@EliTheNinja “Shock rifle up in 15” while you over there doing the most lol
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On this election day, I wanted to discuss ACL graft choice amongst sports medicine surgeons. Interesting that most still like the gold standard PTG despite what social media says.
bone-patellar tendon-bone autograft (58.6%)
quadriceps autograft (14.6%)
hamstring tendon autograft (14.0%)
allograft (11.8%)
...more LET's than ALL's to augment the stability too.
Matches my practice for sure
pubmed.ncbi.nlm.nih.gov/39421046/
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