What question did this study set out to answer?

This analysis aims to evaluate the influence of graft choice on return to sport and failure rates following ACL reconstruction in elite athletes.

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January 25, 2026

Anterior cruciate ligament reconstruction in elite and professional athletes: does graft choice influence return to sport and failure rate? A systematic review and meta-analysis.

Key Points

This analysis aims to evaluate the influence of graft choice on return to sport and failure rates following ACL reconstruction in elite athletes.
Conducted a systematic review and meta-analysis of existing studies
Compared various graft types including hamstring/peroneus and LEAP
Evaluated return to sport (RTS) rates and re-rupture rates among athletes
Approximately 80% of elite athletes return to sport after ACL reconstruction
The overall re-rupture rate is 7% among these athletes
Hamstring/peroneus graft combined with LEAP shows superior RTS outcomes compared to other grafts

Abstract

Approximately 80% of elite athletes RTS after ACL reconstruction, with an overall re-rupture rate of 7%. Hamstring/peroneus combined with a LEAP demonstrated superior RTS outcomes compared with other grafts, while re-rupture risk remained comparable. These findings suggest that while graft choice may influence RTS outcomes in elite athletes, the addition of a LEAP appears to further enhance RTS rates, particularly in high-demand sports.

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Anterior cruciate ligament reconstruction in elite and professional athletes: does graft choice influence return to sport and failure rate? A systematic review and meta-analysis.

Key Points

Abstract

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