{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T12:15:26Z","timestamp":1776341726029,"version":"3.51.2"},"reference-count":37,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"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."],"abstract":"Abstract<\/jats:title>\n \n Purpose<\/jats:title>\n To compare subjective knee function and revision rates at the 5\u2010year follow\u2010up in young females (14\u201325 years) undergoing primary anterior cruciate ligament reconstruction (ACLR) with either hamstring tendon (HT) or bone\u2013patellar tendon\u2013bone (BPTB) autografts in a nationwide registry\u2010based cohort.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Data were extracted from the Swedish knee ligament registry (SKLR). Female patients aged 14\u201325 years who underwent primary ACLR using either HT or BPTB autografts between 2005 and 2018 were identified. Patient\u2010reported knee function was assessed using the Knee injury and Osteoarthritis Outcome Score (KOOS) and the average score for four of the five KOOS subscales (KOOS\n 4<\/jats:sub>\n ), including Pain, Symptoms, Sport & Recreation, and Quality of Life (QoL). Patient acceptable symptom state (PASS) and treatment failure (TF) were calculated for the KOOS\n 4<\/jats:sub>\n . Patients who underwent revision ACLR within 5 years of primary surgery were identified through the SKLR. An analysis of covariance (ANCOVA) was used to compare preoperative and post\u2010operative KOOS subscale scores between the graft groups, whereas a Cox regression analysis was performed to compare the 5\u2010year hazard of revision ACLR.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 9923 patients were included, of whom 9472 (95.5%) received an HT graft and 451 (4.5%) a BPTB graft. The HT group scored significantly higher than the BPTB group in the Sport & Recreation subscale at the 1\u2010year (65.7\u2009\u00b1\u200925.8 vs. 57.6\u2009\u00b1\u200924.6;\n p<\/jats:italic>\n \u2009<\u20090.001), 2\u2010year (63.9\u2009\u00b1\u200926.8 vs. 59.1\u2009\u00b1\u200925.5;\n p<\/jats:italic>\n \u2009=\u20090.004) and 5\u2010year follow\u2010up (65.3\u2009\u00b1\u200927.5 vs. 60.6\u2009\u00b1\u200925.7;\n p<\/jats:italic>\n \u2009=\u20090.015), with no significant differences in the other KOOS subscales. KOOS\n 4<\/jats:sub>\n scores were higher in the HT group at 1\u2010year (71.0\u2009\u00b1\u200918.2 vs. 68.3\u2009\u00b1\u200917.4;\n p<\/jats:italic>\n \u2009=\u20090.015), but no between\u2010group differences were observed at 2\u2010 or 5\u2010year follow\u2010up. The proportion of patients achieving a PASS on KOOS\n 4<\/jats:sub>\n at 1\u2010year was significantly higher in the HT group compared with the BPTB group (39.5% vs. 33.0%;\n p<\/jats:italic>\n \u2009=\u20090.028); however, no differences were observed at the 2\u2010 or 5\u2010year follow\u2010up. No differences were observed between the groups in TF outcomes at 1\u2010, 2\u2010 or 5\u2010year follow\u2010up. The 5\u2010year revision rates were 7.0% for HT and 7.5% for BPTB groups, with no significant difference in the hazard of revision ACLR between the groups (hazard ratio\u2009=\u20091.05, 95% confidence interval\u2009=\u20090.75\u20131.49;\n p<\/jats:italic>\n \u2009=\u2009n.s.).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Similar 5\u2010year revision rates were observed between HT and BPTB autografts in young females. HT autografts were associated with higher subjective knee function scores than BPTB autografts, although the clinical relevance of this difference is uncertain.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n Level III.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/ksa.70409","type":"journal-article","created":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T11:35:23Z","timestamp":1776339323000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Similar revision rates after ACL reconstruction with hamstring tendon or bone\u2013patellar tendon\u2013bone autografts in young females: Results from the Swedish knee ligament registry"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9306-6863","authenticated-orcid":false,"given":"Firathan","family":"Koca","sequence":"first","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Section of Sports Medicine Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6871-3267","authenticated-orcid":false,"given":"Christoffer","family":"von Essen","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Section of Sports Medicine Karolinska Institutet Stockholm Sweden"},{"name":"Stockholm Sports Trauma Research Center (SSTRC) FIFA Medical Centre of Excellence, Sophiahemmet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric Hamrin","family":"Senorski","sequence":"additional","affiliation":[{"name":"Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristian","family":"Samuelsson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Stockholm South Hospital Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anders","family":"St\u00e5lman","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Section of Sports Medicine Karolinska Institutet Stockholm Sweden"},{"name":"Stockholm Sports Trauma Research Center (SSTRC) FIFA Medical Centre of Excellence, Sophiahemmet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magnus","family":"Forssblad","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Section of Sports Medicine Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Cristiani","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Section of Sports Medicine Karolinska Institutet Stockholm Sweden"},{"name":"Stockholm Sports Trauma Research Center (SSTRC) FIFA Medical Centre of Excellence, Sophiahemmet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,16]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","DOI":"10.1177\/2325967118759953","article-title":"2018 International olympic committee consensus statement on prevention, diagnosis, and management of pediatric anterior cruciate ligament injuries","volume":"6","author":"Ardern CL","year":"2018","journal-title":"Orthop J Sports Med"},{"issue":"6","key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1177\/036354659502300611","article-title":"Knee injury patterns among men and women in collegiate basketball and soccer. 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