{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T18:26:09Z","timestamp":1787250369466,"version":"build-2736575974"},"reference-count":9,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"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":["arthrosc. tech."],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Patellar tendon rupture is a severe injury that disrupts knee extensor continuity and requires prompt surgical management. Although primary repair remains the standard treatment, isolated suture repair may be insufficient in cases of poor tissue quality or high mechanical demand, making augmentation necessary. Autologous hamstring grafts provide reliable biological reinforcement, and the gracilis tendon offers favorable handling characteristics, adequate tensile strength when doubled, and low donor\u2010site morbidity. Hamstring grafts also show higher load\u2010to\u2010failure values than the native tendon, supporting their use to enhance initial construct stability. This Technical Note describes a reproducible technique for patellar tendon repair augmented with a doubled gracilis autograft, using suture\u2010anchor fixation exclusively, without the need for patellar transosseous tunnels. The graft is positioned along the medial and lateral borders of the tendon to reinforce the primary repair while preserving patellar integrity. This approach offers a mechanically robust and biologically supported construct, providing an alternative to traditional methods in cases where additional reinforcement is warranted.<\/jats:p>","DOI":"10.1002\/atn2.70145","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T12:14:28Z","timestamp":1779970468000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patellar Tendon Repair With Gracilis Autograft Augmentation and Anchor Fixation"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9600-5577","authenticated-orcid":false,"given":"Luis Henrique","family":"Longo","sequence":"first","affiliation":[{"name":"Knee Surgery Group, Department of Orthopaedic Surgery Complexo Hospitalar do Trabalhador  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4918-069X","authenticated-orcid":false,"given":"Bruno Dada","family":"Gulini","sequence":"additional","affiliation":[{"name":"Knee Surgery Group, Department of Orthopaedic Surgery Complexo Hospitalar do Trabalhador  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1224-9304","authenticated-orcid":false,"given":"Marcos Paulo Tercziany","family":"Vanzin","sequence":"additional","affiliation":[{"name":"Knee Surgery Group, Department of Orthopaedic Surgery Complexo Hospitalar do Trabalhador  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7373-9098","authenticated-orcid":false,"given":"Fernando Martins","family":"Rosa","sequence":"additional","affiliation":[{"name":"Knee Surgery Group, Department of Orthopaedic Surgery Complexo Hospitalar do Trabalhador  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1962-5995","authenticated-orcid":false,"given":"Luca Eiji Sohn","family":"Sato","sequence":"additional","affiliation":[{"name":"Knee Surgery Group, Department of Orthopaedic Surgery Complexo Hospitalar do Trabalhador  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7326-2712","authenticated-orcid":false,"given":"Luis Antonio","family":"de Ridder Bauer","sequence":"additional","affiliation":[{"name":"Knee Surgery Group, Department of Orthopaedic Surgery Complexo Hospitalar do Trabalhador  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2869-4019","authenticated-orcid":false,"given":"Edmar Stieven","family":"Filho","sequence":"additional","affiliation":[{"name":"Hospital de Cl\u00ednicas da Universidade Federal do Paran\u00e1  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2025.101045"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.05.016"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2025.103543"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-024-04078-3"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-025-09018-8"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2025.103819"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.08.267"},{"key":"e_1_2_6_9_1","first-page":"1829","article-title":"Biomechanics of hamstring tendon, quadriceps tendon, and bone\u2013patellar tendon\u2013bone grafts for anterior cruciate ligament reconstruction: A cadaveric study","volume":"33","author":"Hart D","year":"2023","journal-title":"Eur J Orthop Surg Traumatol."},{"key":"e_1_2_6_10_1","first-page":"3757","article-title":"Can the gracilis replace the anterior cruciate ligament in the knee? A biomechanical study","volume":"24","author":"Cavaignac E","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc."}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70145","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/atn2.70145","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/atn2.70145","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T17:54:40Z","timestamp":1787248480000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/atn2.70145"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,28]]},"references-count":9,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/atn2.70145"],"URL":"https:\/\/doi.org\/10.1002\/atn2.70145","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,28]]},"assertion":[{"value":"2025-12-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70145"}}