{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T23:02:34Z","timestamp":1781650954163,"version":"3.54.5"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T00:00:00Z","timestamp":1669334400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T00:00:00Z","timestamp":1669334400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T00:00:00Z","timestamp":1669334400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The purpose of this study was to evaluate whether harvesting a second graft from the ipsilateral extensor mechanism adversely affects clinical outcomes in revision anterior cruciate ligament (ACL) reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review of 34 patients undergoing revision anterior cruciate ligament (ACL) reconstruction with either quadriceps tendon (QT) autograft or bone\u2013tendon\u2013bone (BTB) autograft was conducted. Patients with two grafts (BTB+QT) from the extensor mechanism were matched based on age, laterality, and sex to patients who had primary reconstruction with hamstring (HS) autograft followed by revision with either BTB or QT autograft (HS+QT\/BTB). Return of quadriceps function was assessed with time to return to jogging in a standardized rehab protocol or time to regain 80% quadriceps strength. Secondary outcomes included International Knee Documentation Committee (IKDC) and Marx scores at 12\u2010month follow\u2010up and return to sport.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences in return to jogging or 80% quadriceps strength (HS 149.5\u2009\u00b1\u200938.2\u00a0days, BTB+QT 131.7\u2009\u00b1\u200940.1\u00a0days, n.s.), number able to return to sport (HS 62%, BTB+QT 93%, n.s.), months to return to sport (HS 10.6\u2009\u00b1\u20091.4, BTB+QT 10.5\u2009\u00b1\u20092.3, n.s.), return to pre\u2010injury level of competition (HS 62%, BTB+QT 73%, n.s.), or IKDC (HS 77.2\u2009\u00b1\u200916.4, BTB+QT 74.8\u2009\u00b1\u200923.9, n.s.) and Marx scores (HS 9.2\u2009\u00b1\u20095.3, BTB+QT 8.0\u2009\u00b1\u20093.7, n.s.) at one\u2010year follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The main finding of the present study was that outcomes for patients who underwent revision ACL reconstruction with a second extensor mechanism autograft were comparable to those seen for patients who underwent revision ACL reconstruction with extensor mechanism autograft after primary ACL reconstruction with hamstring autograft. By better understanding the consequences of harvesting a second graft from the extensor mechanism, surgeons can better decide what graft to use in revision ACL reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-022-07242-6","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T16:31:33Z","timestamp":1669393893000},"page":"2828-2835","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Harvesting a second graft from the extensor mechanism for revision ACL reconstruction does not delay return of quadriceps function"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6674-1579","authenticated-orcid":false,"given":"Joshua C.","family":"Setliff","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> School of Medicine University of Pittsburgh 3200 S Water St 15203 Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher M.","family":"Gibbs","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery UPMC, University of Pittsburgh Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Musahl","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery UPMC, University of Pittsburgh Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryson P.","family":"Lesniak","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery UPMC, University of Pittsburgh Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan D.","family":"Hughes","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery UPMC, University of Pittsburgh Pittsburgh PA USA"},{"name":"<!--<label>3<\/label>--> Department of Orthopaedics, Institute of Clinical Sciences Sahlgrenska Academy, University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J.","family":"Rabuck","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopaedic Surgery UPMC, University of Pittsburgh Pittsburgh PA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,25]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105213\u2010y"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505280214"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967121991534"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal\u2010D\u201021\u201000230"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738115576121"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ptsp.2019.09.003"},{"key":"e_1_2_8_8_2","doi-asserted-by":"crossref","unstructured":"DaiW LengX WangJ ChengJ HuX AoYQuadriceps tendon autograft versus bone\u2010patellar tendon\u2010bone and hamstring tendon autografts for anterior cruciate ligament reconstruction: a systematic review and meta\u2010analysis.Am J Sports Med(2021)10.1177\/0363546521103025934494906","DOI":"10.1177\/03635465211030259"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjsem\u20102020\u2010000875"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2018.06.014"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.01.045"},{"key":"e_1_2_8_12_2","doi-asserted-by":"crossref","unstructured":"HartD Gurney\u2010DunlopT LeiterJ LongstaffeR EidAS McRaeS MacDonaldPBiomechanics of hamstring tendon quadriceps tendon and bone\u2010patellar tendon\u2010bone grafts for anterior cruciate ligament reconstruction: a cadaveric study.Eur J Orthop Surg Traumatol(2022)10.1007\/s00590\u2010022\u201003247\u2010635362777","DOI":"10.1007\/s00590-022-03247-6"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2019.09.001"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738118803616"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119847630"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.03.035"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.01.046"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506288855"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20104830\u20109"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.01.003"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211027170"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290021601"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518825340"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211049226"},{"key":"e_1_2_8_25_2","doi-asserted-by":"crossref","unstructured":"QinL YouH QiJet al. Superior results of return to sport after double\u2010bundle versus single\u2010bundle anterior cruciate ligament reconstruction in young active patients.Knee Surg Sports Traumatol Arthrosc(2022)10.1007\/s00167\u2010022\u201007010\u2010635652951","DOI":"10.1007\/s00167-022-07010-6"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120953337"},{"key":"e_1_2_8_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40634\u2010021\u201000399\u2010y"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118764884"},{"key":"e_1_2_8_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659001800313"},{"key":"e_1_2_8_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s43465\u2010020\u201000328\u20108"},{"key":"e_1_2_8_31_2","doi-asserted-by":"crossref","unstructured":"TishermanR De GrootJ RothrauffB ByrneK MeredithSJ MusahlVThe role of anatomic ACL reconstruction in ACL revison surgery.Ann Joint(2018)10.21037\/aoj.2018.11.14","DOI":"10.21037\/aoj.2018.11.14"},{"key":"e_1_2_8_32_2","doi-asserted-by":"publisher","DOI":"10.1080\/02640410802428089"},{"key":"e_1_2_8_33_2","doi-asserted-by":"publisher","DOI":"10.3233\/IES\u20101991\u20101107"},{"key":"e_1_2_8_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010021\u201006478\u2010y"},{"key":"e_1_2_8_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519862279"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-022-07242-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-022-07242-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-022-07242-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-022-07242-6","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T09:15:43Z","timestamp":1760865343000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-022-07242-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,25]]},"references-count":34,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1007\/s00167-022-07242-6"],"URL":"https:\/\/doi.org\/10.1007\/s00167-022-07242-6","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,25]]},"assertion":[{"value":"29 September 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 November 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 November 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors of this study confirm that they have no conflicts of interest related to this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"STUDY19030196.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}