{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T01:04:32Z","timestamp":1792285472630,"version":"4.4.0"},"reference-count":49,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"5","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic &amp; Sports Physical Therapy"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p> Graft choices for athletes undergoing anterior cruciate ligament reconstruction (ACLR) include bone-patellar tendon-bone (BPTB) and hamstring tendon (HT) autografts and soft tissue allografts. The objective was to assess time to meet clinical milestones by graft type in athletes who completed a return-to-sport (RTS) program after ACLR. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p> Retrospective cohort study. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Seventy-nine athletes enrolled after ACLR (allograft, n = 18; BPTB, n = 24; HT, n = 37). Time from surgery to meet (1) enrollment criteria (12 or more weeks post surgery, 80% or greater isometric quadriceps strength index, minimal effusion, and full knee range of motion), and (2) RTS criteria (90% or greater quadriceps strength index, hop testing limb symmetry, and patient-reported outcomes) was calculated. Quadriceps strength, hop performance, and patient-reported outcomes were measured before and after training, and at 1 year post surgery. Descriptive statistics, chi-square tests, and 1-way analyses of variance (\u03b1 = .05) were used to analyze differences among graft types. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> On average, the BPTB group (28.5 \u00b1 7.6 weeks) took longer to meet enrollment milestones than the HT (22.5 \u00b1 7.6 weeks, P = .007) and allograft (18.9 \u00b1 5.8 weeks, P&lt;.001) groups. The BPTB group (44.7 \u00b1 15.8 weeks) took longer from surgery to meet RTS criteria than the HT (32.5 \u00b1 9.9 weeks, P = .001) and allograft (29.3 \u00b1 9.0 weeks, P&lt;.001) groups. After training, the quadriceps strength index was lower in the BPTB group (86.1% \u00b1 11.4%) than it was in the HT (96.1% \u00b1 12.9%, P = .004) and allograft (96.9% \u00b1 5.9%, P = .009) groups. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> Athletes with a BPTB autograft may take longer than athletes with an HT autograft or a soft tissue allograft to complete postoperative rehabilitation, recover quadriceps strength, and meet RTS criteria. J Orthop Sports Phys Ther 2020;50(5):259\u2013266. 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