The Physio Pulse Podcast Ep. 36 - ACL Graft Masterclass with Fin Murphy
Jun 15, 2025
Fin Murphy, an expert in ACL rehabilitation from ACL Rehab Online, shares his experiences traveling the globe rehabbing ACLs virtually. He discusses the intricacies of various graft types, emphasizing personalized rehab approaches and the impacts of different techniques on recovery. With humor and camaraderie, he explores ACL graft choices, challenges in knee recovery, and the importance of adapting exercise prescriptions. Fin highlights the balance between patient expectations and effective strategies for rehabilitation, making for an engaging and informative conversation.
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Re-rupture Rates by Graft Type
- Quad and patella grafts have the lowest re-rupture rates among ACL grafts.
- Hamstring grafts carry a slightly higher re-rupture risk but combos with LET reduce this risk significantly.
Hamstring Graft Rehab Progression
- Start hamstring rehab with isometrics at 30, 60, and 90 degrees of knee flexion.
- Progress through bridges, seated curls, RDLs, and nordic curls before sprint exposure.
Personal Graft Choice for James Horner
- For James Horner, Fin would recommend a hamstring graft for earlier return to running.
- Patella or quad grafts might delay his rehab and cause complications due to quad weakness.