Why are we doing quad tendon ACL grafts?? Let’s talk about it. This might ruffle some feathers, but it’s a conversation our profession needs to have. Getting the quad back to full symmetry after ACL reconstruction is already hard enough with traditional grafts. And we know why it matters: the quad controls frontal plane motion, and a weak quad means higher reinjury risk and a hard ceiling on athletic performance. With traditional grafts, it takes serious diligence early in PT to get that quad firing and keep building from there. Throw in BFR, NMES, and aggressive inflammation and pain control, and we’ve made real progress as a profession. Then the quad tendon graft showed up. Talk to any experienced high-level sports PT and you’ll hear the same story lmassive quad deficits. And when you think about it, this tracks. The quad was already a fight to recruit when we pulled from the patellar tendon. Now we’ve moved the harvest site even closer to the contractile tissue, right below the musculotendinous junction, creating more scarring and more pain exactly where we need the quad to fire. No wonder it doesn’t want to turn on. The research is finally confirming what clinicians have been saying in the trenches for years quad tendon grafts don’t return to full strength for TWO YEARS. So here’s my question. Why is the quad tendon becoming the graft of choice when we’re seeing this kind of deficit? Is this decision truly driven by what’s best for outcomes, athlete health, and long-term joint health? Or are we chasing a trend without fully reckoning with the cost? I want to hear from this community. Surgeons, PTs, athletic trainers what are you seeing in your clinics? For ACL reconstruction in competitive athletes, what’s your view on the quad tendon graft? Surgeons, PTs, ATs, S&C coaches & sports medicine professionals — vote and drop your reasoning below. Are we choosing the best graft for the athlete—or simply the graft that’s gaining momentum?

Which cover photo do you like the most for my new book Fight Ready. Comment 1 or 2

What’s everyone using these days trying to create a new 4 day, 3 day template this year to make it easier for our athletes. Whats everyone working on?

Have a great championship weekend ⌛️💪🏼 https://youtu.be/vKqqczEyFqM?is=dXrSYZj79QVqXn1t

Today, I am grateful for the freedom I have been given, knowing it was purchased through sacrifice, courage, service, and unwavering commitment. Freedom is not simply a privilege it is a responsibility. As a leader, I understand that leadership and freedom share the same foundation: accountability. The men and women who fought for our nation’s freedom accepted risk, embraced hardship, and chose service over comfort. Their example reminds me that meaningful results are never accidental they are earned through discipline, consistency, and action. Today, I will lead with purpose. I will hold myself to a higher standard. I will choose discipline over excuses, action over hesitation, and excellence over mediocrity. I will not wait for motivation to find me; I will create momentum through my daily habits and decisions. My responsibility is to set the example, raise the standard, and positively impact those around me. Every conversation, every workout, every meeting, and every decision is an opportunity to lead. Freedom gives me the opportunity. Accountability determines what I do with it. Today, I will maximize my gifts, outwork expectations, and serve others with passion and purpose. “To whom much is given, much will be required.”