{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T06:48:37Z","timestamp":1791787717144,"version":"4.3.4"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:00:00Z","timestamp":1791676800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000005","name":"U.S. Department of Defense","doi-asserted-by":"publisher","award":["W81XWH\u201018\u20101\u20100590 (PI\u2010CRChu)"],"award-info":[{"award-number":["W81XWH\u201018\u20101\u20100590 (PI\u2010CRChu)"]}],"id":[{"id":"10.13039\/100000005","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"\n Purpose<\/jats:title>\n To evaluate bone\u2013patellar tendon\u2013bone autograft anterior cruciate ligament reconstruction patellar defect dimensions over time and associate these with patient\u2010reported outcomes.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Patients undergoing bone\u2013patellar tendon\u2013bone autograft autograft anterior cruciate ligament reconstruction by 1 of 7 surgeons between June 2020 and June 2023 were recruited to obtain knee magnetic resonance imaging at 6\u2009weeks and 1\u2009year postoperatively and complete a knee injury and osteoarthritis outcome score (KOOS) survey at 1\u2009year postoperatively. Patellar bony defect dimensions relative to the entire patellar dimensions were measured on magnetic resonance imaging and associated with KOOSs at 1 year.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n For the 23 patients (15 men) with a mean\u2009\u00b1\u2009 standard deviation age 25.5\u2009\u00b1\u20095.2 analyzed, shorter relative patellar defect length at 6 weeks postoperatively was associated with better 1\u2010year KOOS activities of daily living (\n R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.481,\n P<\/jats:italic>\n \u2009=\u2009.002) and function in sports and recreation (\n R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.436,\n P<\/jats:italic>\n \u2009=\u2009.002), and showed trends for associating with better pain (\n R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.196,\n P<\/jats:italic>\n \u2009=\u2009.078) and knee\u2010related quality of life (\n R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.222,\n P<\/jats:italic>\n \u2009=\u2009.054). Participants with longer relative defects were more likely to report difficulty with kneeling (\n R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.278,\n P\u2009<\/jats:italic>\n =\u2009.020). These associations were not altered by considering patient age or sex. The average relative patellar defect width and depth decreased from 6 weeks to 1 year (\n P\u2009<\/jats:italic>\n <\u2009.001), whereas relative defect length was unchanged. Intraobserver reliability was good to excellent for all measurements at 6 weeks and 1 year. Relative defect width and depth, at both 6\u2009weeks and 1\u2009year, had no significant associations with KOOSs at 1\u2009year.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Shorter relative patellar defect length after bone\u2013patellar tendon\u2013bone autograft autograft anterior cruciate ligament reconstruction is associated with better patient\u2010reported outcome measures at 1\u2009year, and thus, individual patient patellar size should be a consideration during graft harvest.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n Level IV, retrospective case series.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/arj.70618","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T06:34:39Z","timestamp":1791786879000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Shorter Relative Patellar Defect Length After Bone\u2013Patellar Tendon\u2013Bone Autograft Anterior Cruciate Ligament Reconstruction Is associated With Better Postoperative Patient\u2010Reported Outcomes at 1\u2010Year Follow\u2010Up"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9954-044X","authenticated-orcid":false,"given":"Grant G.","family":"Schroeder","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Stanford University Stanford California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5845-7957","authenticated-orcid":false,"given":"Ashley A.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Stanford University Stanford California U.S.A."},{"name":"Palo Alto Veterans Administration Health Care System Palo Alto California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8145-3308","authenticated-orcid":false,"given":"Jayme C. B.","family":"Koltsov","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Stanford University Stanford California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4926-4667","authenticated-orcid":false,"given":"Adam L. C.","family":"Wadsworth","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Stanford University Stanford California U.S.A."},{"name":"Reno School of Medicine University of Nevada Reno Nevada U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Acute ACL Team","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7931-5085","authenticated-orcid":false,"given":"Bradley J.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery University of Minnesota Minneapolis Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4998-5846","authenticated-orcid":false,"given":"Constance R.","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Stanford University Stanford California U.S.A."},{"name":"Palo Alto Veterans Administration Health Care System Palo Alto California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos-2020-000567"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.22.00955"},{"key":"e_1_2_10_4_1","first-page":"1","article-title":"Graft selection in contemporary anterior cruciate ligament reconstruction","volume":"5","author":"Buerba RA","year":"2021","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310011501"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120961082"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.01.012"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2020.09.015"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.04.006"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/17453670610046451"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1115\/1.2835108"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290041201"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.03.031"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-023-03624-9"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60010154"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2014.07.007"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-021-03937-y"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671251403143"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967114532762"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-008-0631-x"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70618","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70618","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70618","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T06:34:40Z","timestamp":1791786880000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70618"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,11]]},"references-count":19,"alternative-id":["10.1002\/arj.70618"],"URL":"https:\/\/doi.org\/10.1002\/arj.70618","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,11]]},"assertion":[{"value":"2025-06-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"arj.70618"}}