{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T07:25:56Z","timestamp":1787729156851,"version":"build-2784847793"},"reference-count":52,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare differences in donor site morbidity (DSM) following quadriceps tendon (QT) autograft and bone\u2013patellar tendon\u2013bone (BPTB) autograft anterior cruciate ligament reconstruction (ACLR) at 2 year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent primary ACLR with QT autograft between January 2018 and February 2020 were identified in a single institution registry and matched on the basis of age and sex to a control group of BPTB autograft ACLR patients. Patients were contacted at a minimum of 2 years postsurgery to evaluate DSM, Patient Reported Outcome Measures (PROMs), Return to Sport (RTS), and reoperation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty QT patients (mean age 22.6 years) and 88 BPTB patients (mean age 22.8 years) were included (mean follow\u2010up 31.1 months; range 24.1\u201056.2). Total DSM score was similar between QT and BPTB patients (87.2 vs 84.2,\n                      <jats:italic>P<\/jats:italic>\n                      = .343); however, BPTB patients exhibited less quadriceps wasting\/atrophy, but QT patients had less pain at the donor site, numbness, and pain with kneeling. Female sex was an independent predictor of inferior DSM score (Estimate: \u22126.4,\n                      <jats:italic>P<\/jats:italic>\n                      = .04), and quadriceps wasting\/atrophy was worse in female QT than BPTB patients (Estimate: \u22122.90,\n                      <jats:italic>P<\/jats:italic>\n                      &lt;\u2009.0001). There were no significant differences between QT and BPTB patients in PROMs. 87% of QT patients and 74% of BPTB patients returned to sports (\n                      <jats:italic>P<\/jats:italic>\n                      = .093). There was a higher rate of ipsilateral reoperation in the QT group compared with the BPTB group (26% vs 10%,\n                      <jats:italic>P<\/jats:italic>\n                      = .016), but no differences in reoperation for ipsilateral graft failure or contralateral ACL rupture between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our findings suggest that overall, the QT autograft was associated with significantly less donor site pain, numbness, and pain with kneeling, but more quadriceps wasting\/atrophy than BPTB autografts in patients undergoing primary ACLR. These distinct DSM profiles, along with observed differences in quadriceps wasting\/atrophy between sexes, should guide patient education accordingly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70271","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T11:16:42Z","timestamp":1782299802000},"page":"1718-1732","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Similar Outcomes but Significantly Different Donor Site Morbidity Profiles After Autograft Quadriceps and Bone\u2013Patellar Tendon\u2013Bone Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4298-5755","authenticated-orcid":false,"given":"Claire D.","family":"Eliasberg","sequence":"first","affiliation":[{"name":"Hospital for Special Surgery  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3038-3391","authenticated-orcid":false,"given":"Alan","family":"Shamrock","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan W.","family":"James","sequence":"additional","affiliation":[{"name":"Raleigh Orthopaedics  Raleigh North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dakota","family":"Adamec","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Wimberly","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"HSS ACL Registry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedict U.","family":"Nwachukwu","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7275-4050","authenticated-orcid":false,"given":"Frank A.","family":"Cordasco","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Riley J.","family":"Williams","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Answorth A.","family":"Allen","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert G.","family":"Marx","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danyal H.","family":"Nawabi","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516629944"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06443-9"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2022.08.010"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-017-5278-9"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513501780"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515578836"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119878431"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119890063"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-4881-y"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000265"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-016-3246-8"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-011-9077-8"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.08.020"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2018.10.4.407"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516658041"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120925482"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518825340"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.11.010"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.01.012"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518819217"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231160681"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-05873-1"},{"key":"e_1_2_10_24_1","doi-asserted-by":"crossref","first-page":"232596712312197","DOI":"10.1177\/23259671231219712","article-title":"Association of quadriceps tendon harvest for ACL reconstruction with development of osteochondritis dissecans of the patella in pediatric patients","volume":"12","author":"Hidalgo Perea S","year":"2024","journal-title":"Orthop J Sports Med."},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2007.09.003"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211031240"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.09.004"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1302\/2633-1462.212.BJO-2021-0154.R1"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506288855"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/1941738113499300"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050054"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0111-0"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507307390"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513505191"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.04.016"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211030259"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-007-0015-4"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2007.06.005"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2024.100919"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515611886"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231199728"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-007-0371-3"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.09.014"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119847630"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0258635"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-018-5042-z"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520931829"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671231153629"},{"key":"e_1_2_10_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231222267"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.10.019"},{"key":"e_1_2_10_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05751-5"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.01.032"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118794490"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70271","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70271","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70271","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T16:07:26Z","timestamp":1787674046000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70271"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,24]]},"references-count":52,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/arj.70271"],"URL":"https:\/\/doi.org\/10.1002\/arj.70271","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,24]]},"assertion":[{"value":"2025-03-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}