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A systematic review reveals that graft selection affects return to sport outcomes in elite athletes, suggesting enhanced recovery strategies.
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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D'Ambrosi et al. (2026) studied this question.
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