{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T02:10:19Z","timestamp":1782180619234,"version":"3.54.5"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"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":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare donor site morbidity and patient\u2010reported outcome measures (PROMs), knee laxity and early strength and functional outcomes, following anterior cruciate ligament reconstruction (ACLR) using a semitendinosus (ST) tendon autograft with suspensory adjustable button tibial fixation or semitendinosus\u2013gracilis (STG) autograft with tibial screw fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      While 153 patients were prospectively recruited and randomized to an ST or STG autograft, 131 (62 ST and 69 STG) were retained following ACLR and followed post\u2010surgery. Standardized surgical techniques were employed, varying only in graft selection and fixation. The primary study outcomes were early hamstring pain, donor site morbidity and strength recovery. However, several outcomes were assessed pre\u2010surgery and at 3 and 6 months, encompassing the Donor\u2010site\u2010related Functional Problems following Anterior Cruciate Ligament Reconstruction (DFPACLR) score, Visual Analogue Scale (VAS) for hamstring pain and other commonly employed PROMs, anteroposterior laxity (KT\u20101000), isokinetic hamstring and quadriceps strength, hop testing, complications and re\u2010operations. Intention\u2010to\u2010treat analysis was performed using linear mixed models for continuous data and Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      tests where appropriate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 6 months, ST patients reported significantly lower hamstring pain (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and DFPACLR (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) scores. A significantly higher (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) peak knee flexor strength limb symmetry index (LSI) was observed for the ST group, though no other group differences in side\u2010to\u2010side laxity, hop tests or other normalized strength measures or LSIs were observed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ACLR using an ST autograft resulted in less donor site pain and morbidity, and improved knee flexor strength symmetry at 6 months, while demonstrating comparable functional outcomes to the STG autograft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level 1 prospective, double\u2010blinded, randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.12698","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T05:03:24Z","timestamp":1747026204000},"page":"484-493","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A semitendinosus with adjustable button graft construct in patients undergoing hamstring ACL reconstruction results in improved knee flexor strength symmetry and less donor site pain and morbidity: Outcomes from the DOSTAR randomized controlled trial"],"prefix":"10.1002","volume":"34","author":[{"given":"Adam M.","family":"Lawless","sequence":"first","affiliation":[{"name":"Fiona Stanley and Fremantle Hospitals Group South Metropolitan Health Service Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5843-6243","authenticated-orcid":false,"given":"Jay R.","family":"Ebert","sequence":"additional","affiliation":[{"name":"School of Human Sciences (Exercise and Sport Science) University of Western Australia Perth Western Australia Australia"},{"name":"HFRC Perth Western Australia Australia"},{"name":"Orthopaedic Research Foundation of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter K.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Orthopaedic Research Foundation of Western Australia Perth Western Australia Australia"},{"name":"School of Allied Health Curtin University Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahbaz S.","family":"Malik","sequence":"additional","affiliation":[{"name":"Worcester Acute Hospitals NHS Trust Worcester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter S. E.","family":"Davies","sequence":"additional","affiliation":[{"name":"Fiona Stanley and Fremantle Hospitals Group South Metropolitan Health Service Perth Western Australia Australia"},{"name":"Orthopaedic Research Foundation of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter A.","family":"D'Alessandro","sequence":"additional","affiliation":[{"name":"Fiona Stanley and Fremantle Hospitals Group South Metropolitan Health Service Perth Western Australia Australia"},{"name":"Orthopaedic Research Foundation of Western Australia Perth Western Australia Australia"},{"name":"School of Surgery University of Western Australia Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.08.018"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06443-9"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)01424-6"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.07.002"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546511424134"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.10.029"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1324811"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231222279"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.2019-0291"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519896333"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19116764"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.01.019"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06565-0"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2024.10.013"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.08.025"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-024-07226-2"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/15438627.2012.680633"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2002.32868"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211070291"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.11.023"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n375"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-03877-1"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.18.01467"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09588-w"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01352"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12698","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ksa.12698","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ksa.12698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:20:03Z","timestamp":1773015603000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1002\/ksa.12698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,12]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/ksa.12698"],"URL":"https:\/\/doi.org\/10.1002\/ksa.12698","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,12]]},"assertion":[{"value":"2025-02-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}