{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:02:20Z","timestamp":1789844540621,"version":"4.0.1"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T00:00:00Z","timestamp":1743724800000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare revision rates, knee stability and patient\u2010reported outcomes in a national cohort of anterior cruciate ligament (ACL) reconstructed patients using either the semitendinosus\/gracilis (ST\/G) or the 4\u2010strand semitendinosus (4\u2010ST) grafts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>ACL reconstructed patients operated from 2015 to 2021 who met the following criteria: minimum 2\u2010year follow\u2010up and isolated ACL with either ST\/G or 4\u2010ST grafts. The primary outcome was ACL revision surgery assessed at 2\u2010year follow\u2010up. Secondary outcomes were knee laxity (side\u2010to\u2010side difference) and pivot shift (rotational stability difference\u2014Grade 0 or Grade 1\u20133), and patient\u2010reported outcomes; Knee Osteoarthritis and Outcome Score (KOOS) subscales and Tegner activity scale assessed at 1\u2010year follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 6750 ST\/G and 1321 4\u2010ST patients were included in the study. There was no statistical difference in 2\u2010year revision rates between the groups (ST\/G; 1.73 (95% confidence interval [CI] 1.44\u20132.07), 4\u2010ST; 1.40 (95%CI 0.88\u20132.21)). A small significant but not clinically relevant difference was seen in knee laxity (1.27\u2009mm vs. 1.13\u2009mm), but no other significant differences were seen in pivot shift or patient\u2010reported outcomes at one year. Both groups showed significant improvement from baseline to 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The present study found no difference between ST\/G or 4\u2010ST in ACL reconstruction patients regarding revision rates, knee laxity and patient\u2010reported outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70232","type":"journal-article","created":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T13:34:55Z","timestamp":1743860095000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["No differences between 4\u2010strand semitendinosus or semitendinosus\/gracilis grafts in revision rates, knee stability and patient\u2010reported outcomes after primary anterior cruciate ligament reconstruction"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5354-1781","authenticated-orcid":false,"given":"Torsten Gr\u00f8nbech","family":"Nielsen","sequence":"first","affiliation":[{"name":"Division of Sports Traumatology, Department of Orthopedic Aarhus University Hospital Aarhus Denmark"},{"name":"Department of Physiotherapy and Occupational Therapy Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7204-813X","authenticated-orcid":false,"given":"Martin","family":"Lind","sequence":"additional","affiliation":[{"name":"Division of Sports Traumatology, Department of Orthopedic Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/230949900901700117"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508330143"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1669950"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.10.029"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050008"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514548164"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000260"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.17.1.60"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-013-0427-9"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518759543"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-2890-z"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465221149738"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3076-4"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.21037\/aoj-22-39"},{"key":"e_1_2_12_16_1","unstructured":"LindM KonradsenL P\u00f8rnekiJ AagaardH JensenH RathckeM et al. 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