ACL Graft Choice: Is There a New Gold Standard?

Presented by Phil Plisky and Matt Daggett

ACL Graft Choice: Is There a New Gold Standard?

12-Month Subscription

Unlimited access to:

  • Thousands of CE Courses
  • Patient Education
  • Home Exercise Program
  • And more
Rehab and Performance Lab: ACL Graft Choice: Is There a New Gold Standard? (Episode 27)

Audio Runtime: 53 Minutes; Learning Assessment Time: 21 Minutes

Join host Phil Plisky, PT, DSc, ATC, CSCS, as he sits down with Dr. Matt Daggett, DO, MBA, a dual fellowship-trained orthopedic surgeon and leading member of the international SANTI research group. Together, they explore the evolving landscape of ACL reconstruction, moving beyond traditional graft debates to discuss the critical role of Lateral Extra-Articular Procedures (LEAP) in reducing reinjury rates. You’ll gain expert perspective on individualizing graft selection—including the promising rectus tendon autograft—and why addressing the "lateral side" of the knee is essential for long-term stability in high risk athletes. From debunking trends like the cross-bracing protocol to mastering criteria-based return to sport transitions, this conversation provides the practical, evidence-based tools you need to optimize patient outcomes.

Learning Outcomes
  • Analyze the evidence around graft selection for ACL reconstruction and the use of lateral extra-articular procedures (LEAP) to improve rotational stability and reduce graft failure
  • Apply evidence-based, practical strategies to actionably address rehabilitation progression, return-to-sport timing, and the management of arthrogenic muscular inhibition (AMI) following ACL reconstruction
  • Solve patient case scenarios involving ACL reconstruction graft selection based on patient demographics, sport-specific demands, and individual risk factors

This is an audio-only course. Additional materials are available for download within the course. To receive continuing education credit, complete the course and the accompanying quiz.

Meet your instructors

A person in a dark polo shirt smiles against a wavy white background.

Phil Plisky

Dr. Phil Plisky is a professor in the University of Evansville’s Doctor of Physical Therapy and PhD in Health Professions Education programs. He is the host of the Medbridge Rehab and Performance Lab podcast and founder of the Coaches Club at

Read full bio

A man with short curly hair in a green zip-up sweater smiles at the camera, representing digital healthcare with medbridge.

Matt Daggett

Dr. Matt Daggett is the founder and President of Sano Specialty Care, a board-certified and dual fellowship-trained orthopedic surgeon specializing in sports medicine, knee, and shoulder care. He founded Sano with a mission to improve musculoskeletal health, a pursuit that drives his commitment to technique innovation, which…

Read full bio

Chapters & learning objectives

ACL Graft Choice: Is There a New Gold Standard?

1. ACL Graft Choice: Is There a New Gold Standard?

Host Phil Plisky and orthopedic surgeon Matt Daggett explore the latest evidence on ACL graft selection and lateral extra-articular procedures (LEAP) to help you minimize re-injury risk and master criteria-based return-to-sport transitions.

More courses in this series

How Can We Create Effective Return-to-Running Protocols?

How Can We Create Effective Return-to-Running Protocols?

Todd Arnold and Phil Plisky

Disconnected Expectations: How Do You Manage ACL Return-to-Sport Timelines?

Disconnected Expectations: How Do You Manage ACL Return-to-Sport Timelines?

Kyle Matsel and Phil Plisky

How Do We Untangle the Evidence Around Shoulder Rehabilitation and Surgery?

How Do We Untangle the Evidence Around Shoulder Rehabilitation and Surgery?

Lenny Macrina and Phil Plisky

Unseen Forces: Do Contextual Factors Matter to Outcomes?

Unseen Forces: Do Contextual Factors Matter to Outcomes?

Elizabeth Lane and Phil Plisky

To Cut or Not to Cut: Where Do We Stand With Surgery and MSK Conditions?

To Cut or Not to Cut: Where Do We Stand With Surgery and MSK Conditions?

Phil Plisky and Alexis Wright

How Can Identifying Your Patient’s Innate Mobility Change Their Outcomes?

How Can Identifying Your Patient’s Innate Mobility Change Their Outcomes?

Jenna Gourlay and Phil Plisky

Does Everyone Need Pain Neuroscience Education?

Does Everyone Need Pain Neuroscience Education?

Adriaan Louw and Phil Plisky

Can Insights Into Manual Therapy Mechanisms Guide Clinical Practice?

Can Insights Into Manual Therapy Mechanisms Guide Clinical Practice?

Phil Plisky and Amy McDevitt

Do You Know the Top 5 Updates Orthopedic Rehab Providers Need to Know?

Do You Know the Top 5 Updates Orthopedic Rehab Providers Need to Know?

Phil Plisky and Eric Robertson

Are You Missing Out on the Latest Treatment for Overuse Injuries?

Are You Missing Out on the Latest Treatment for Overuse Injuries?

Phil Plisky and Katie Whetstone

Blood Flow Restriction: Is It a Game Changer for Rehab Professionals?

Blood Flow Restriction: Is It a Game Changer for Rehab Professionals?

Johnny Owens and Phil Plisky

How to Get Better Results With Patients Who Have More Mobility

How to Get Better Results With Patients Who Have More Mobility

Jenna Gourlay and Phil Plisky

Is Confidence the Missing Link in Athletes’ Return to Play Post Injury?

Is Confidence the Missing Link in Athletes’ Return to Play Post Injury?

Clare Ardern and Phil Plisky

What is Evidence-Based in Cupping and Fascial Science?

What is Evidence-Based in Cupping and Fascial Science?

Christopher DaPrato and Phil Plisky

Lateral Elbow Pain: Are You Missing Key Factors?

Lateral Elbow Pain: Are You Missing Key Factors?

Phil Plisky and Ann Porretto-Loehrke

Is Avoiding Open Chain After ACLR Slowing Your Patient’s Progress?

Is Avoiding Open Chain After ACLR Slowing Your Patient’s Progress?

Phil Plisky and Lynn Snyder-Mackler

Quad Recovery at Risk: Can You Afford to Skip NMES and Strength Testing?

Quad Recovery at Risk: Can You Afford to Skip NMES and Strength Testing?

Phil Plisky and Lynn Snyder-Mackler

Hip Impingement: Is Rehabilitation the Best Route?

Hip Impingement: Is Rehabilitation the Best Route?

Phil Plisky and Benedict Nwachukwu

Creatine Myths, Protein Lies, and Stimulant Dangers: Fact or Fiction?

Creatine Myths, Protein Lies, and Stimulant Dangers: Fact or Fiction?

Roberta Anding, Leslie Bonci, and Phil Plisky

What’s the Smartest Path Back After Shoulder Injury? (Live Podcast Recording)

What’s the Smartest Path Back After Shoulder Injury? (Live Podcast Recording)

Lenny Macrina and Phil Plisky

Imaging for Clinicians: When Should You Refer, Review, or Reconsider?

Imaging for Clinicians: When Should You Refer, Review, or Reconsider?

Phil Plisky and Lance Mabry

Cancellations and Exercise Noncompliance: Can RTM Help Us?

Cancellations and Exercise Noncompliance: Can RTM Help Us?

Anang Chokshi, Jon Ide-Don, and Phil Plisky

Running Foot Strike, Cadence, and Shoes: What Does the Research Actually Say?

Running Foot Strike, Cadence, and Shoes: What Does the Research Actually Say?

Phil Plisky and COL (Ret) Don Goss

Applying Performance Principles: How Do You Modify for the Rehab Setting?

Applying Performance Principles: How Do You Modify for the Rehab Setting?

Robert Panariello and Phil Plisky

Is 3×10 the Best? A Modern Approach to Strength in Rehab (Live Podcast Recording)

Is 3×10 the Best? A Modern Approach to Strength in Rehab (Live Podcast Recording)

Daniel Lorenz and Phil Plisky

Dry Needling Research: Why Are the Results So Inconsistent?

Dry Needling Research: Why Are the Results So Inconsistent?

Phil Plisky and Edo Zylstra

ACL Graft Choice: Is There a New Gold Standard?

ACL Graft Choice: Is There a New Gold Standard?

Phil Plisky and Matt Daggett