Hamstring vs bone-patellar tendon-bone for primary ACL reconstruction in young athletes

BTB grafts have the longest track record and registry data consistently shows lower re-rupture rates, but the donor-site morbidity (anterior knee pain, kneeling difficulty) remains a real concern, particularly for athletes in sports requiring kneeling. Hamstring grafts have evolved with newer fixation devices and quadruple-bundle techniques narrowing the gap. For an 18-year-old footballer, what graft are you selecting and how much does sport-specific demand drive that choice?