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High Return to Sport, Low Rerupture Rates After Augmented QT Autograft ACLR

Summary:
Outcomes following all‑inside QT autograft ACLR augmented with bone marrow aspirate concentrate (BMAC), demineralized bone matrix (DBM), and suture tape augmentation (InternalBrace).

Key Takeaways:

  • Biologic plus mechanical augmentation – The combination of BMAC, DBM, and InternalBrace may enhance graft healing and protect the reconstruction during early rehabilitation.
  • Early return to sport – Despite clearance at 6 months, rerupture rates remained low, contrasting with historical concerns around early RTS in young athletes.
  • Quad continues to perform well – QT  provided strong functional outcomes in a high‑risk population.
  • Contralateral injury remains a challenge – A 9.2% contralateral ACL tear rate reinforces the importance of rehab strategies.

Authors:
Chad Lavender, et al.

DOI: 10.1002/ars2.70023 

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