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 + mechanical augmentation may matter – The combination of BMAC, DBM, and InternalBrace may enhance graft healing and protect the reconstruction during early rehabilitation.
- Early return to sport without penalty – 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 autograft provided strong functional and psychological outcomes in a high‑risk population.
- Contralateral injury remains a challenge – A 9.2% contralateral ACL tear rate reinforces the importance of neuromuscular training and bilateral rehab strategies.
Authors:
Chad Lavender, et al.
DOI: 10.1002/ars2.70023