{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T12:26:18Z","timestamp":1786969578954,"version":"build-2736575974"},"reference-count":41,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"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":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aimed to compare strength recovery, functional and clinical outcomes between full\u2010 and partial\u2010thickness quadriceps tendon autografts for 12 months post\u2010operatively and to examine the clinical implications of graft thickness in anterior cruciate ligament reconstruction among non\u2010professional competitive soccer players.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>42 non\u2010professional competitive Spanish federal soccer players who underwent primary anterior cruciate ligament reconstruction using either full\u2010 or partial\u2010thickness quadriceps tendon grafts were included in this retrospective cohort study. Both groups followed standardised surgical and rehabilitation protocols. Evaluations were assessed preoperatively and at 3, 6 and 12 months post\u2010operatively, with the reinjury rates recorded at 24 months. Quadriceps index, measured by isokinetic dynamometry was the primary outcome. Hamstring index, extension and flexion peak torque, single leg hop test, patient\u2010reported outcome measures (Lysholm and Cincinnati Knee Rating System scores) and reinjury rate were evaluated as secondary outcomes. Statistical analysis was performed using repeated\u2010measures ANCOVA with a Bonferroni adjustment, and the significance level was set at 5%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      During the first 6 months, faster recovery of quadriceps symmetry was observed in partial\u2010thickness group compared to the full\u2010thickness group at 300\u00b0\/s (mean difference: \u221226.5, 95% confidence interval [CI] [\u221251.4, \u22121.7],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037), 180\u00b0\/s (mean difference: \u221231.0, 95% CI [\u221256.0, \u22126.0],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017), and 60\u00b0\/s (mean difference: \u221231.2, 95% CI [\u221255.4, \u22127.0],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.013), as well as greater improvement in extension peak torque. No statistical differences (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05) remained between groups at 12 months, with both groups achieving similar recovery. Hop test and clinical outcomes improved significantly over time in both groups, without significant between\u2010group differences (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Reinjury rate was similar between groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.634).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Earlier strength recovery was observed with partial\u2010thickness graft after ACL reconstruction, highlighting the clinical relevance of graft choice in early rehabilitation in competitive soccer players.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70547","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T11:43:29Z","timestamp":1786967009000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Earlier strength recovery with partial\u2010thickness versus full\u2010thickness quadriceps tendon graft for anterior cruciate ligament reconstruction in competitive soccer players"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7056-1442","authenticated-orcid":false,"given":"Jose Luis","family":"Martin\u2010Alguacil","sequence":"first","affiliation":[{"name":"Clinica Martin Gomez SL Granada Spain"},{"name":"Hospital Vithas, Traumatology Service Granada Spain"},{"name":"Mutualidad de Futbolistas Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3552-8051","authenticated-orcid":false,"given":"Manuel","family":"Arroyo\u2010Morales","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Biomedical Group (BIO277), Health Sciences Faculty University of Granada Granada Spain"},{"name":"Instituto de Investigaci\u00f3n Biosanitaria Granada (ibs.GRANADA) Granada Spain"},{"name":"Sport and Health University Research Institute (iMUDS), University of Granada Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9229-9673","authenticated-orcid":false,"given":"Maria","family":"Lopez\u2010Garzon","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Biomedical Group (BIO277), Health Sciences Faculty University of Granada Granada Spain"},{"name":"Instituto de Investigaci\u00f3n Biosanitaria Granada (ibs.GRANADA) Granada Spain"},{"name":"Sport and Health University Research Institute (iMUDS), University of Granada Granada Spain"},{"name":"Health Sciences Faculty of Melilla University of Granada Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4976-8689","authenticated-orcid":false,"given":"V\u00edctor","family":"Bol\u00edvar\u2010Arroyo","sequence":"additional","affiliation":[{"name":"Hospital Vithas, Traumatology Service Granada Spain"},{"name":"Traumatology Department Hospital Universitario Virgen de las Nieves Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3834-1711","authenticated-orcid":false,"given":"Irene","family":"Cantarero\u2010Villanueva","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Biomedical Group (BIO277), Health Sciences Faculty University of Granada Granada Spain"},{"name":"Instituto de Investigaci\u00f3n Biosanitaria Granada 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