ACL Reconstruction Surgery Using Bone-Patellar Tendon-Bone Graft
What Is an ACL Tear and How Can a Bone-Patellar Tendon-Bone Graft Help?

The anterior cruciate ligament (ACL) is essential for knee stability. When this ligament tears, it often results in pain, instability, and reduced mobility. If you’ve experienced an ACL tear, your surgeon may recommend an ACL reconstruction using a bone-patellar tendon-bone graft—a trusted and proven option for athletes and active individuals.
Why Choose a Bone-Patellar Tendon-Bone Graft for ACL Reconstruction?
The bone-patellar tendon-bone (BPTB) graft is known for its exceptional strength and secure bone-to-bone healing. During this procedure, a central portion of the patellar tendon, along with small plugs of bone from the patella (kneecap) and tibia, is used to replace the torn ACL.
Key advantages of this graft include:
- Strong bone-to-bone fixation for faster incorporation into the knee joint
- Durability under stress, ideal for patients who lead active lifestyles
- Proven success rate in returning athletes to peak performance
Am I a Good Candidate for a BPTB Graft?
A bone-patellar tendon-bone (BPTB) graft is often considered the “gold standard” for ACL reconstruction due to its strong bone-to-bone healing properties. However, this graft is not the best fit for everyone. Here’s a breakdown of who typically makes a good candidate:
Active Athletes or Demanding Professions
Competitive athletes or individuals involved in sports that require quick direction changes, such as jumping and running (e.g., soccer, basketball, football), benefit from the superior durability of a BPTB graft.
Patients Seeking Fast Graft Healing
Since the BPTB graft involves bone-to-bone healing, it integrates into the knee joint more quickly and securely than soft-tissue grafts.
Patients At High Re-Rupture Risk
The BPTB graft is thick and strong, reducing the chances of reinjury, which is especially important for athletes returning to intense physical activity.
Individuals Without a History of Knee Cap or Patellar Issues
The graft is harvested from the patellar tendon and bone plugs, so it’s ideal for patients with no history of patellar tendonitis, kneecap instability, or pain in the front of the knee.
Who Might Consider Alternatives to BPTB Grafting?
Patients with Anterior Knee Pain
If you experience pain in the front of the knee or have patellar instability, the procedure may worsen your discomfort or complicate recovery.
Low-Impact Lifestyle Individuals
A soft-tissue graft (like a hamstring or quadriceps graft) may be a better option for those who don’t engage in strenuous activities.
Patients Who Are Concerned About Scarring
BPTB grafts tend to leave more prominent scars due to larger incisions than minimally invasive soft-tissue grafts.
Expert Orthopedic Surgery Consultation
At Suburban Orthopaedics, we tailor every ACL reconstruction treatment to the patient’s lifestyle, goals, and medical history. Our specialists can guide you through the pros and cons of a BPTB graft and determine if it’s the right fit for your recovery and performance needs.
How Long Is Recovery After ACL Reconstruction with a BPTB Graft?
Patients typically require 6 to 12 months of recovery, with a focus on physical therapy to regain strength and mobility. The bone-patellar tendon-bone graft offers excellent long-term stability, making it a preferred choice for those returning to sports or high-impact activities.
At Suburban Orthopaedics, our team is dedicated to providing personalized care with advanced surgical methods. Our minimally invasive approach helps reduce recovery time and scarring so you can get back to doing what you love.
Expert ACL Reconstruction Care at Suburban Orthopaedics

If you’re suffering from an ACL injury, let the experts at Suburban Orthopaedics guide you through the recovery process. Schedule a consultation today to learn more about your treatment options.
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