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ACL rehab and graft choice discourse

April 3, 2026Lenny Macrina, Sports Physical Therapist, Nick Hoopes, Mike Reiman

Lenny Macrina, Nick Hoopes, and others emphasize ACL rehab fundamentals and debate graft selection, with Macrina promoting quadriceps tendon grafts while clinicians highlight quad activation, ROM, and gait early post-op.

Deep dive into ACL-QT and what we can do to combat the strength challenges!
I have seen the light of day and fully promote QT grafts as THE graft of choice for all ACLs!
Had an influx of early post-op ACLRs lately.
A quad set is every bit as important as a squat.
Lenny Macrina, Sports Physical Therapist
Nick Hoopes
Mike Reiman
sports-medicinephysical-therapyorthopedics

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