Return to Play, Career Longevity, and Reruptures After Primary Anterior Cruciate Ligament Reconstruction With Lateral Extra-articular Tenodesis in Professional Soccer and Rugby Players: A Comparison of Hamstring Tendon Versus Bone–Patellar Tendon–Bone Autografts | Synapse
April 17, 2026
Return to Play, Career Longevity, and Reruptures After Primary Anterior Cruciate Ligament Reconstruction With Lateral Extra-articular Tenodesis in Professional Soccer and Rugby Players: A Comparison of Hamstring Tendon Versus Bone–Patellar Tendon–Bone Autografts
Key Points
To compare the outcomes of different autografts in ACL reconstruction for professional soccer and rugby players.
Analysis of return to play rates for elite athletes post-ACLR
Comparison of hamstring tendon and bone-patellar tendon-bone autografts in ACL reconstruction
Assessment of rerupture rates and career longevity measures
Both BPTB and HT autograft techniques resulted in high return to play rates
Rerupture risk remained low across both groups
Professional careers were sustained successfully after using either graft type
Abstract
In elite rugby and soccer players, ACLR using either a BPTB or HT autograft combined with LET provided excellent RTP rates, a low rerupture risk, and sustained professional careers.