{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:22:28Z","timestamp":1787062948010,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,7,4]],"date-time":"2018-07-04T00:00:00Z","timestamp":1530662400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,7,4]],"date-time":"2018-07-04T00:00:00Z","timestamp":1530662400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2019,1,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this review was to compare outcomes and complication profiles of anterior cruciate ligament reconstruction (ACL\u2010R) between full thickness (FT\u2010Q) and partial thickness (PT\u2010Q) quadriceps tendon (QT) autografts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>As per PRISMA guidelines, PubMed, EMBASE, and MEDLINE were searched in September 2017 for English language, human studies of all levels of evidence on patients undergoing primary ACL\u2010R with FT\u2010Q or PT\u2010Q. This search was repeated in March 2018 to capture additional articles. Data regarding postoperative outcomes and complications were abstracted. Due to heterogeneous reporting, data were not combined in meta\u2010analysis and were summarized descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Upon screening 3670 titles, 18 studies satisfied inclusion\/exclusion criteria. The second search identified an additional two studies for a total of 20 studies (50% case\u2013control, 50% case series). These studies examined 1212 patients (1219\u00a0knees) of mean age 29.8 years (range 15\u201359) followed a mean of 42.2\u00a0months (range 12\u2013120). FT\u2010Q and PT\u2010Q autografts were used in eight studies (50.5% of knees), and thirteen studies (49.5% of knees), respectively. Only one study directly compared FT\u2010Q to PT\u2010Q. Instrumented laxity was less than 3\u00a0mm in 74.8 and 72.4% of the FT\u2010Q and PT\u2010Q groups, respectively. Postoperative IKDC Subjective Knee Form scores were similar between the FT\u2010Q (82.5) and PT\u2010Q (82.1) groups. Postoperative quadriceps strength, measured as a percentage of the contralateral side, were similar in the FT\u2010Q (89.5%) and PT\u2010Q (85.1%) groups. Graft failure rates for the FT\u2010Q and PT\u2010Q groups were 3.7 and 3.0%, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Across the 20 studies included in this review, there appeared to be no difference in outcomes or complications between either FT\u2010Q or PT\u2010Q in primary ACL\u2010R. Moreover, primary ACL\u2010R using QT autografts appears to have successful outcomes with a low rate of graft failure, irrespective of tendon thickness. While further comparative studies are needed to better delineate the optimal thickness of quadriceps tendon for primary ACL\u2010R, these data suggest that, in primary ACL\u2010R, either FT\u2010Q or PT\u2010Q is efficacious and, in the clinical setting, surgeons may be justified in using either graft thickness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>IV, Systematic Review of Level III and IV studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-018-5042-z","type":"journal-article","created":{"date-parts":[[2018,7,4]],"date-time":"2018-07-04T00:52:52Z","timestamp":1530665572000},"page":"105-116","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":70,"title":["No difference between full thickness and partial thickness quadriceps tendon autografts in anterior cruciate ligament reconstruction: a systematic review"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6991-4327","authenticated-orcid":false,"given":"Ajay C.","family":"Kanakamedala","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery, Center for Sports Medicine University of Pittsburgh 3200 S Water Street 15203 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"de SA","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery, Center for Sports Medicine University of Pittsburgh 3200 S Water Street 15203 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Obianuju A.","family":"Obioha","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery, Center for Sports Medicine University of Pittsburgh 3200 S Water Street 15203 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle E.","family":"Arakgi","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Division of Orthopaedic Surgery Dalhousie University 1276 South Park Street B3H 2Y9 Halifax NS Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick B.","family":"Schmidt","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Oberlinklinik Rudolf\u2010Breitscheid\u2010Stra\u00dfe 24 14482 Potsdam Brandenburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryson P.","family":"Lesniak","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery, Center for Sports Medicine University of Pittsburgh 3200 S Water Street 15203 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Musahl","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> 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