{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:34:48Z","timestamp":1783488888757,"version":"3.55.0"},"reference-count":32,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2006,6,24]],"date-time":"2006-06-24T00:00:00Z","timestamp":1151107200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2006,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Surgical reconstruction of the anterior cruciate ligament (ACL) is indicated in the ACL\u2010deficient knee with symptomatic instability and multiple ligaments injuries. In the present study, we describe the clinical results of quadriceps tendon\u2010patellar bone autograft for ACL reconstruction. From 1996 to 1998, the graft has been used in 38 patients. Thirty\u2010four patients with complete final follow\u2010up for 4\u20137 years were analyzed. The average follow\u2010up time was 62 (48\u201384) months. Thirty\u2010two patients (94%) achieved good or excellent results by Lysholm knee rating. Twenty\u2010six patients (76%) could return to moderate or strenuous activity after reconstruction. Twenty\u2010eight patients (82%) had ligament laxity of less than 2\u00a0mm. Finally; 31 patients (91%) were assessed as normal or nearly normal rating by IKDC guideline. Twenty\u2010five patients (73%) had less than 10\u00a0mm difference in thigh girth between their reconstructed and normal limbs. Thirty\u2010two (94%) and 31 (91%) patients could achieve recovery of the extensor and flexor muscle strength in the reconstructed knee to 80% or more of normal knee strength, respectively. A statistically significant difference exists in thigh girth difference, extensor strength ratio, and flexor strength ratio before and after reconstruction. Tunnel expansion with more than 1\u00a0mm was identified in 2 (6%) tibial tunnels. Our study revealed satisfactory clinical subjective and objective results at 4\u20137 years follow\u2010up. Quadriceps tendon autograft has the advantage of being self\u2010available, relatively easier arthroscopic technique, and having a suitable size, making it an acceptable graft choice for ACL reconstruction. There is little quadriceps muscle strength loss after quadriceps harvest. A quadriceps tendon\u2010patellar autograft is an adequate graft choice to ACL reconstruction.<\/jats:p>","DOI":"10.1007\/s00167-006-0111-0","type":"journal-article","created":{"date-parts":[[2006,6,23]],"date-time":"2006-06-23T13:52:20Z","timestamp":1151070740000},"page":"1077-1085","source":"Crossref","is-referenced-by-count":76,"title":["Arthroscopic anterior cruciate ligament reconstruction with quadriceps tendon autograft: clinical outcome in 4\u20137 years"],"prefix":"10.1002","volume":"14","author":[{"given":"Chih\u2010Hwa","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Chang Gung Memorial Hospital, Keelung Chang Gung University College of Medicine 222, Mai\u2010Chin Road 204 Keelung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tai\u2010Yuan","family":"Chuang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Wang Fang General Hospital Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kun\u2010Chuang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Chang Gung Memorial Hospital, Keelung Chang Gung University College of Medicine 222, Mai\u2010Chin Road 204 Keelung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen\u2010Jer","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Chang Gung Memorial Hospital, Linko Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun\u2010Hsiung","family":"Shih","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Chung Shan General Hospital Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,6,24]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200210"},{"key":"e_1_2_5_3_1","first-page":"275","volume-title":"Knee Surgery","author":"Anderson AF","year":"1994"},{"key":"e_1_2_5_4_1","first-page":"61","article-title":"Arthroscopic anterior cruciate ligament reconstruction with quadruple semitendinosus and gracilis tendon autograft: surgical technique and clinical results","volume":"6","author":"Chen CH","year":"1998","journal-title":"J Orthop Surg"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010199904000\u201000020"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050138"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200318"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310011501"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749\u20108063(95)90078\u20100"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500105"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900505"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050166"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900506"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2001.21834"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/ar.1999.v15.015048"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(04)00594-8"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670050056"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658201000306"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749\u20108063(98)70015\u20105"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465030310022101"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000506"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700606"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001670100201"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(04)00842-4"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/036354659302100208"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.4635"},{"key":"e_1_2_5_27_1","first-page":"104","article-title":"Biodegradable interference screw augmentation reduces tunnel expansion after ACL reconstruction","volume":"14","author":"Simonian PT","year":"2001","journal-title":"Am J Knee Surg"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01477262"},{"key":"e_1_2_5_29_1","first-page":"725","article-title":"Central quadriceps tendon for anterior cruciate ligament reconstruction. 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