{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T23:06:31Z","timestamp":1788995191356,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To investigate kneeling tolerance in patients undergoing hamstring (HT) versus quadriceps (QT) anterior cruciate ligament reconstruction (ACLR) and investigate correlation with patient\u2010reported outcome measures (PROMs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>After recruitment and randomisation, 112 patients (HT\u2009=\u200955; QT\u2009=\u200957) underwent ACLR. Patients were assessed at 6, 12 and 24 months using the Kneeling Tolerance Test, which evaluates patient\u2010reported pain in a position of both 90 (KT90) and 110 (KT110) degrees of knee flexion. PROMs collected included the International Knee Documentation Committee (IKDC) questionnaire and the ACL Return to Sport after Injury (ACL\u2010RSI) questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Kneeling tolerance at KT90 and KT110 improved (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) for both graft types across all time points. There was no difference in KT90 scores between groups at 6 or 12 months. At 24 months, kneeling tolerance was superior in the QT group (mean HT 93\u2009\u00b1\u20099 vs. QT 98\u2009\u00b1\u20095; <jats:italic>p<\/jats:italic>\u2009=\u20090.003). For KT110 scores, a statistically significant difference was noted at 6 (mean HT 80\u2009\u00b1\u200925 vs. QT 89\u2009\u00b1\u200912; <jats:italic>p<\/jats:italic>\u2009=\u20090.027), 12 (mean HT 90\u2009\u00b1\u200913 vs. QT 95\u2009\u00b1\u200910; <jats:italic>p<\/jats:italic>\u2009=\u20090.040) and 24 months (mean HT 92\u2009\u00b1\u200910 vs. QT 97\u2009\u00b1\u20095; <jats:italic>p<\/jats:italic>\u2009=\u20090.003). The ACL\u2010RSI was significantly correlated with KT90 and KT110 at 24 months (<jats:italic>r<\/jats:italic>\u2009=\u20090.40, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; <jats:italic>r<\/jats:italic>\u2009=\u20090.40, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Other PROMs demonstrated significant weak\u2010to\u2010moderate correlations with kneeling tolerance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients undergoing ACLR with a QT versus HT autograft report superior kneeling tolerance up to 2 years postsurgery, more prominent in deeper (110\u00b0) knee flexion. A strong correlation with ACL\u2010RSI was demonstrated at 2 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Registration<\/jats:title><jats:p>ACTRN12618001520224p (Australian New Zealand Clinical Trials Registry).<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level 1.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12583","type":"journal-article","created":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T04:14:51Z","timestamp":1736914491000},"page":"2390-2396","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Kneeling tolerance when using quadriceps tendon autograft for anterior cruciate ligament reconstruction is superior to hamstring tendon autograft"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1232-8631","authenticated-orcid":false,"given":"Nicholas D.","family":"Calvert","sequence":"first","affiliation":[{"name":"School of Human Sciences (Exercise and Sport Science) University of Western Australia Crawley Western Australia Australia"},{"name":"Perth Orthopaedic &amp; Sports Medicine Research Institute West Perth Western Australia Australia"},{"name":"Department of Orthopaedics Royal Perth Hospital Perth Australia"},{"name":"Perth Orthopaedic &amp; Sports Medicine Centre Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay R.","family":"Ebert","sequence":"additional","affiliation":[{"name":"School of Human Sciences (Exercise and Sport Science) University of Western Australia Crawley Western Australia Australia"},{"name":"Perth Orthopaedic &amp; Sports Medicine Research Institute West Perth Western Australia Australia"},{"name":"HFRC Rehabilitation Clinic Nedlands Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Radic","sequence":"additional","affiliation":[{"name":"Perth Orthopaedic &amp; Sports Medicine Research Institute West Perth Western Australia Australia"},{"name":"Department of Orthopaedics Royal Perth Hospital Perth Australia"},{"name":"Perth Orthopaedic &amp; Sports Medicine Centre Perth Western Australia Australia"},{"name":"School of Medicine University of Western Australia Crawley Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.01.047"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aott.2017.02.011"},{"key":"e_1_2_12_4_1","volume-title":"Statistics without maths for psychology: using SPSS for windows","author":"Dancey CP","year":"2004"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-020-03401-x"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05505-3"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516688665"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231222279"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4522-x"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-007-0015-4"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.03.020"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.55095\/achot2010\/055"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.01.046"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290051301"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20060301-14"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0004-9514(09)70015-7"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513505191"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516650666"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658201000306"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-2846-3"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07422-y"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506296042"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.10.018"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4554-2"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.01257"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.11.010"},{"issue":"3","key":"e_1_2_12_27_1","first-page":"139","article-title":"Artroskopik \u00f6n \u00e7apraz ba\u011f onar\u0131m\u0131 i\u00e7in hamstring tendon otogreftine k\u0131yasla kuadriseps tendon kullan\u0131m\u0131: Klinik sonu\u00e7lar\u0131n kar\u015f\u0131la\u015ft\u0131rmal\u0131 analizi","volume":"24","author":"Sofu H","year":"2013","journal-title":"Joint Dis Relat Surg"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.02.021"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515611886"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2007.09.003"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.01201"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.00974"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12583","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T13:24:06Z","timestamp":1760880246000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.12583"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,15]]},"references-count":31,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1002\/ksa.12583"],"URL":"https:\/\/doi.org\/10.1002\/ksa.12583","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,15]]},"assertion":[{"value":"2024-11-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}