{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T18:31:54Z","timestamp":1775759514153,"version":"3.50.1"},"reference-count":44,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T00:00:00Z","timestamp":1722384000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To determine whether femoral tunnel length (FTL) affects clinical or functional outcomes following primary Anterior cruciate ligament reconstruction (ACLR) with single\u2010bundle quadriceps tendon autograft, both with and without a patellar bone block.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An electronic search of MEDLINE, EMBASE, and Cochrane databases was carried out via OVID. Data pertaining to study characteristics, patient demographics, surgical techniques, femoral tunnel length, and subjective\/objective clinical outcomes was abstracted. Studies were stratified into two groups based on FTL; a short femoral tunnel (S\u2010FT) group of \u226425\u2009mm, and a long femoral tunnel (L\u2010FT) group of &gt;25\u2009mm. There was a high degree of heterogeneity between studies, prohibiting meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven studies comprising 368 total patients with a mean age of 30.3 years (range: 23.4\u201334 years) were included for analysis. The S\u2010FT group included 126 patients and the L\u2010FT group 242 patients. Both groups demonstrated statistically significant postoperative improvements across both subjective and objective clinical and functional outcomes. Average complication rates were 11.9% (range: 0%\u201329%) in the S\u2010FT group and 4.5% (range: 1%\u201314%) in the L\u2010FT group. Ranges of re\u2010rupture rates were 0%\u20132% and 0%\u20133% for the S\u2010FT and L\u2010FT groups, respectively (n.s.).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both S\u2010FT and L\u2010FT groups demonstrated comparable postoperative outcomes following primary ACLR with single bundle quadriceps tendon autograft. There were slightly superior, although non\u2010significant, outcomes reported with short femoral tunnel length, however, this may have been confounded by the variation in surgical technique used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12395","type":"journal-article","created":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T13:29:08Z","timestamp":1722432548000},"source":"Crossref","is-referenced-by-count":2,"title":["Femoral tunnel length does not impact outcomes following ACL reconstruction using a single\u2010bundle quadriceps tendon autograft: A systematic review"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1201-9195","authenticated-orcid":false,"given":"Tess","family":"Bracken","sequence":"first","affiliation":[{"name":"Michael G. DeGroote School of Medicine McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Veilleux","sequence":"additional","affiliation":[{"name":"Michael G. DeGroote School of Medicine McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassaan Abdel","family":"Khalik","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jansen","family":"Johnson","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1201-9195","authenticated-orcid":false,"given":"Darren","family":"de SA","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,31]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-13-161"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06443-9"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03508-1"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.07.018"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.07.007"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.10.035"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.06.013"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0111-0"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.06.001"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2022.08.010"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20632"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-020-06012-6"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507307390"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-017-0448-9"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2019.09.001"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01315"},{"key":"e_1_2_11_18_1","unstructured":"HigginsJPT ThomasJ ChandlerJ CumpstonM LiT PageMJ WelchVAet al. (editors). Cochrane handbook for systematic reviews of interventions version 6.4 (updated August 2023) Cochrane 2023. Available fromwww.training.cochrane.org\/handbook."},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.01.046"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2021.10.001"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.09.018"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211014849"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.09.014"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.09.004"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.12.015"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.04.016"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-84748-7_1"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3672-y"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.08.025"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211044476"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-012-1079-8"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-020-02680-9"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05436-z"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2535"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2014.55.6.1584"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518825340"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.11.010"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512443945"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520931829"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516629944"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02748.x"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-011-1781-9"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-019-0198-0"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05510-6"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.08.010"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","deposited":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T09:03:22Z","timestamp":1722848602000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.12395"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,31]]},"references-count":44,"alternative-id":["10.1002\/ksa.12395"],"URL":"https:\/\/doi.org\/10.1002\/ksa.12395","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,31]]},"article-number":"ksa.12395"}}