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Amid the noise, the quadriceps tendon has quietly re\u2010emerged as the pragmatic choice in a field long dominated by graft dogma. With its broad cross\u2010sectional area, favorable collagen alignment, and lower donor\u2010site morbidity, it offers an appealing balance between biomechanics and biology. Recent evidence shows comparable stability and superior patient comfort compared with bone\u2013patellar tendon\u2013bone and hamstring grafts, particularly in athletes and revision cases. The quadriceps graft combines strength, predictability, and humility\u2014it performs without demanding worship. As we move toward precision surgery and personalized orthopedics, perhaps the real question is no longer which graft is superior, but whether our reasoning has evolved as fast as our technology.<\/jats:p>","DOI":"10.1002\/arj.70115","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T06:23:31Z","timestamp":1774851811000},"page":"559-561","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : From Tendon Wars to Mars: Why the Quadriceps Might Be the Last Autograft Standing"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6630-6406","authenticated-orcid":false,"given":"Daniel P.","family":"Berthold","sequence":"first","affiliation":[{"name":"OrthoCenter Munich  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7024-3620","authenticated-orcid":false,"given":"Markus","family":"Bormann","sequence":"additional","affiliation":[{"name":"Musculoskeletal University Center Munich (MUM) University Hospital  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,29]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1002\/arj.70092","article-title":"Quadriceps tendon autograft produces favorable return to sport, strength, range of motion, retear rate, and midterm outcomes after anterior cruciate ligament reconstruction: A systematic review","volume":"42","author":"Hopper HM","year":"2026","journal-title":"Arthroscopy."},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520931829"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-023-00601-3"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-023-00600-4"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000209"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515578836"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221119787"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.02.047"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.09.002"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2024.04.024"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70115","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70115","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T14:34:16Z","timestamp":1776090856000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/arj.70115"],"URL":"https:\/\/doi.org\/10.1002\/arj.70115","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"2026-03-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}