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

Samuel J Lynskey; Andrea Ambrosanio; Arman Motesharei; Mary Jones; Simon Ball; J. Samuel Church; Andy Williams

doi:10.1177/03635465261437783

April 14, 2026The American Journal of Sports Medicine

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

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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

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Implication

Elite soccer and rugby players show excellent recovery and low rerupture rates after ACL surgery, suggesting effective interventions.

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.

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Lynskey et al. (2026) studied this question.

synapsesocial.com/papers/69e1cf7b5cdc762e9d8586cc https://doi.org/10.1177/03635465261437783

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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

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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

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