
07/21/2025
Navigating ACL Surgery? Swipe to learn more about ACL grafts 👉👉👉
Choosing your graft type isn’t just a surgical detail, it’s a decision that can influence your recovery, reinjury risk, and long-term outcomes. Let’s break it down 👇🏻
Studies show bone-patellar tendon-bone may have one of the lowest graft failure rates, but they come with higher rates of anterior knee pain and longer rehab timelines—up to 4 months longer to return to sport compared to hamstring grafts (HS) in some cases.
 
Hamstring autografts are often linked to easier early rehab, less kneeling pain, and quicker return-to-run milestones, but persistent hamstring weakness can remain 2 years post-op.
 
Quadriceps tendon autografts are gaining popularity due to fewer side effects, low failure rates, and strong functional outcomes, but long-term studies (>5 years) show potentially higher failure rates over time.
 
Allografts avoid donor site morbidity, but carry a significantly higher failure rate in young, active individuals due to slower integration and revascularization.
This decision is nuanced. Graft type, surgeon expertise, and your rehab plan all matter. Get clear on your options and make an informed decision that supports your goals and lifestyle.
Explore our Knee Extension Overhaul Program to support your ACL recovery.
References:
https://pmc.ncbi.nlm.nih.gov/articles/PMC9522752/
https://theprehabguys.com/the-crucial-difference-in-acl-grafts-and-why-this-affects-recovery/ #:~:text=Different%20Types%20of%20ACL%20Grafts,Quadriceps%20Tendon%20Graft%20(QT)