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For decades, the hamstring tendon (HT) versus bone–patellar tendon–bone (BPTB) debate has played out like a surgical version of a rivalry game. Each camp has its loyalists. Each has its talking points. And each has data — lots of it.

Now, a large registry study out of Sweden takes a swing at a very specific — and often under-discussed — population: young female athletes. The verdict at five years?


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