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Only RCTs of Level I evidence comparing clinical outcomes of ACLR with HT versus QT autografts were included. Descriptive statistics were performed with risk ratios utilized for dichotomous variables and the mean difference (MD) for continuous variables. Statistical significance was set at\n                      <jats:italic>P<\/jats:italic>\n                      \u2010value &lt; .05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 6 RCTs including 374 patients (60% males) with a mean age of 26.7\u2009\u00b1\u20093.8\u2009years who underwent ACLR with HT (n\u2009=\u2009186) or QT (n\u2009=\u2009188) autografts. Meta\u2010analysis found there were no significant differences between those who underwent ACLR with either HT or QT autografts with respect to positive pivot\u2010shift testing (risk ratio; 0.42,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.42) and re\u2010rupture rates (risk ratio; 1.03,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.96). Similarly, there was no significant difference between the groups for all patient\u2010reported outcome measures, namely International Knee Documentation Committee scores (MD; 0.00,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.98) and Lysholm scores (MD; \u22120.21,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.47) (MD; \u22120.18,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.65). However, one study found a significant difference between the HT and QT groups with respect to donor site morbidity scores).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Current Level I evidence suggests that there is no significant difference between ACLR with HT or QT autografts in re\u2010rupture rates, clinical evaluation of laxity, or patient\u2010reported outcomes measures in the short\u2010term postoperatively. Although few RCTs reported specifically in relation to donor site morbidity, current literature suggests that QT autograft may potentially result in significantly lower occurrence of donor site morbidity scoring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level I, meta\u2010analysis of Level I studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70086","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:17Z","timestamp":1775606417000},"page":"660-668","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Anterior Cruciate Ligament Reconstruction With Hamstring Tendon Versus Quadriceps Tendon Autograft Results in No Significant Differences in Patient\u2010Reported Outcome Measures, Re\u2010Rupture Rates, and Clinical Stability: A Meta\u2010analysis of Level I Randomized Control Trials"],"prefix":"10.1002","volume":"42","author":[{"given":"Martin S.","family":"Davey","sequence":"first","affiliation":[{"name":"Royal College of Surgeons in Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7696-2981","authenticated-orcid":false,"given":"Eoghan T.","family":"Hurley","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University  Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7480-2258","authenticated-orcid":false,"given":"Tom R.","family":"Doyle","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons in Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan F.","family":"Dickens","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Duke University  Durham North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199710000-00014"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514542796"},{"key":"e_1_2_7_4_1","first-page":"CD011166","article-title":"Surgical versus conservative interventions for treating anterior cruciate ligament injuries","volume":"4","author":"Monk AP","year":"2016","journal-title":"Cochrane Database Syst Rev."},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.06.007"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516651845"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096836"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00758"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00898"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07331-0"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515621554"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-007-0474-x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12835"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967115620770"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096031"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-097095"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290051301"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2017-000136"},{"key":"e_1_2_7_19_1","first-page":"e21.00230","article-title":"Graft selection in contemporary anterior cruciate ligament reconstruction","volume":"5","author":"Buerba RA","year":"2021","journal-title":"J Am Acad Orthop Surg. 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