ABOS Orthopaedic Sports Medicine Practice Questions - ABOS Orthopaedic Sports Medicine Subspecialty Certification Examination Exam

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A 22-year-old male collegiate soccer player sustains a noncontact ACL rupture. You are planning ACL reconstruction and considering graft choice. Which graft has historically demonstrated HIGHER re-tear rates in young, high-demand athletes compared to other autograft options?

Bone-patellar tendon-bone (BTB) autograft Hamstring autograft — multiple meta-analyses (e.g., MOON cohort, Samuelsen meta-analysis of 47,613 patients) demonstrate slightly higher re-tear rates for hamstring vs BTB autograft in young athletes <25, though clinical outcomes often equivalent Quadriceps tendon autograft Contralateral BTB autograft

Correct Answer:

Hamstring autograft — multiple meta-analyses (e.g., MOON cohort, Samuelsen meta-analysis of 47,613 patients) demonstrate slightly higher re-tear rates for hamstring vs BTB autograft in young athletes <25, though clinical outcomes often equivalent

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