{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:03:34Z","timestamp":1787065414894,"version":"build-2736575974"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"UMIT TIROL-Private Universit\u00e4t f\u00fcr Gesundheitswissenschaften und -technologie GmbH"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to evaluate the patient\u2010reported outcomes, graft failure, quadriceps rupture and sports preference after arthroscopic ACL reconstruction in patients older than 50 years who underwent arthroscopic ACL reconstruction with a quadriceps tendon (QT) autograft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 2010 and 2020, prospectively collected data were obtained from an institutional database. Patients older than 50 years with primary arthroscopic ACL reconstruction and a minimum of 2 years of follow\u2010up were included. Patients undergoing a revision ACL reconstruction or undergoing a primary ACL reconstruction using a graft other than a QT autograft, and patients with a contralateral knee injury or osteoarthritis (Ahlb\u00e4ck stage 2 or higher) were excluded. A minimally invasive technique was used for QT autograft harvesting. Patients were evaluated for pre\u2010injury and 2\u2010year follow\u2010up Lysholm knee score, Tegner activity level, Visual Analog Scale (VAS) for pain, graft failure, quadriceps tendon rupture, and return to sport.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 57 patients were included in the study. The mean age of the cohort was 54.9\u2009\u00b1\u20095.2 (range 50\u201375). Of the 57 reconstructions, 16 (28%) were isolated ACL reconstructions, while 41 (72%) were complex reconstructions (concomitant meniscus, cartilage and\/or collateral ligament injuries). At the 2\u2010year follow\u2010up Lysholm knee score, Tegner activity level and VAS for pain improved to pre\u2010injury level and no significant difference was noted between pre\u2010injury and 2\u2010year follow\u2010up functional scores (n.s.). No case of graft failure or quadriceps tendon rupture was reported. No significant difference was noted in the pre\u2010injury and postoperative sports preference (n.s.) and all patients return to their desired sports activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Arthroscopic ACL reconstruction by using QT autograft in highly active older patients provides satisfactory patient\u2010reported functional outcomes and allows recovery of the pre\u2010injury level of activity. QT autograft is a good graft option in patients older than 50 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-023-07367-2","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T10:10:04Z","timestamp":1678788604000},"page":"3284-3290","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Quadriceps autograft is a viable graft choice for arthroscopic ACL reconstruction in patients over 50 years of age"],"prefix":"10.1002","volume":"31","author":[{"given":"Amit","family":"Meena","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Gelenkpunkt \u2010 Sports and Joint Surgery FIFA Medical Centre of Excellence Olympiastra\u00dfe 39 6020 Innsbruck Austria"},{"name":"<!--<label>2<\/label>--> Research Unit for Orthopedic Sports Medicine and Injury Prevention (OSMI) Private University for Health Sciences, Medical Informatics and Technology Innsbruck Austria"},{"name":"<!--<label>3<\/label>--> Fowler Kennedy Sport Medicine Clinic Western University London ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Farinelli","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Clinical Orthopedics, Department of Clinical and Molecular Sciences Universit\u00e0 Politecnica delle Marche Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Hoser","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Gelenkpunkt \u2010 Sports and Joint Surgery FIFA Medical Centre of Excellence Olympiastra\u00dfe 39 6020 Innsbruck Austria"},{"name":"<!--<label>2<\/label>--> Research Unit for Orthopedic Sports Medicine and Injury Prevention (OSMI) Private University for Health Sciences, Medical Informatics and Technology Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Abermann","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Gelenkpunkt \u2010 Sports and Joint Surgery FIFA Medical Centre of Excellence Olympiastra\u00dfe 39 6020 Innsbruck Austria"},{"name":"<!--<label>2<\/label>--> Research Unit for Orthopedic Sports Medicine and Injury Prevention (OSMI) Private University for Health Sciences, Medical Informatics and Technology Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akshya","family":"Raj","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> Central Institute of Orthopedics Vardhman Mahavir Medical College and Safdarjung Hospital 110029 New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Hepperger","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Gelenkpunkt \u2010 Sports and Joint Surgery FIFA Medical Centre of Excellence Olympiastra\u00dfe 39 6020 Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirco","family":"Herbort","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Research Unit for Orthopedic Sports Medicine and Injury Prevention (OSMI) Private University for Health Sciences, Medical Informatics and Technology Innsbruck Austria"},{"name":"<!--<label>6<\/label>--> OCM Clinic Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8446-2434","authenticated-orcid":false,"given":"Christian","family":"Fink","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Gelenkpunkt \u2010 Sports and Joint Surgery FIFA Medical Centre of Excellence Olympiastra\u00dfe 39 6020 Innsbruck Austria"},{"name":"<!--<label>2<\/label>--> Research Unit for Orthopedic Sports Medicine and Injury Prevention (OSMI) Private University for Health Sciences, Medical Informatics and Technology Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,14]]},"reference":[{"key":"e_1_2_12_2_2","doi-asserted-by":"crossref","unstructured":"BuerbaRA BodenSA LesniakBGraft selection in contemporary anterior cruciate ligament reconstruction.JAAOS Glob Res Rev(2021)10.5435\/JAAOSGlobal\u2010D\u201021\u201000230","DOI":"10.5435\/JAAOSGlobal-D-21-00230"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967117729659"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005450\u20101"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.10.018"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.90B11.21210"},{"key":"e_1_2_12_7_2","unstructured":"D\u2019AmbrosiR MeenaA RajA GiorginoR UrsinoN MangiaviniL KarlssonJGood results after treatment of RAMP lesions in association with ACL reconstruction: a systematic review.Knee Surg Sports Traumatol Arthrosc(2022)10.1007\/s00167\u2010022\u201007067\u2010336534150"},{"key":"e_1_2_12_8_2","unstructured":"D\u2019AmbrosiR MeenaA RajA UrsinoN FormicaM HerbortM FinkCMultiple revision anterior cruciate ligament reconstruction: not the best but still good.Knee Surg Sports Traumatol Arthrosc(2022)10.1007\/s00167\u2010022\u201007197\u2010836534150"},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2019.09.011"},{"key":"e_1_2_12_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2018.06.012"},{"key":"e_1_2_12_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211061150"},{"key":"e_1_2_12_12_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.99B6.BJJ\u20102016\u20100929.R2"},{"key":"e_1_2_12_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2017.09.002"},{"key":"e_1_2_12_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516677728"},{"key":"e_1_2_12_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264\u2010018\u20103860\u20108"},{"key":"e_1_2_12_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010018\u20105342\u20103"},{"key":"e_1_2_12_17_2","doi-asserted-by":"publisher","DOI":"10.5792\/ksrr.17.065"},{"key":"e_1_2_12_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201006220\u20100"},{"key":"e_1_2_12_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1941738115622138"},{"key":"e_1_2_12_20_2","doi-asserted-by":"crossref","unstructured":"MeenaA FarinelliL HoserC AbermannE RajA HeppergerC HerbortM FinkCRevision ACL reconstruction using quadriceps hamstring and patellar tendon autografts leads to similar functional outcomes but hamstring graft has a higher tendency of graft failure.Knee Surg Sports Traumatol Arthrosc(2022)10.1007\/s00167\u2010022\u201007200\u2010236534150","DOI":"10.1007\/s00167-022-07200-2"},{"key":"e_1_2_12_21_2","unstructured":"MeenaA HoserC AbermannE HeppergerC RajA FinkCTotal knee arthroplasty improves sports activity and the patient\u2010reported functional outcome at mid\u2010term follow\u2010up.Knee Surg Sports Traumatol Arthrosc(2022)10.1007\/s00167\u2010022\u201007025\u2010z36534150"},{"key":"e_1_2_12_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018\u2010021\u201002696\u20109"},{"key":"e_1_2_12_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010020\u201006254\u20104"},{"key":"e_1_2_12_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2019.09.009"},{"key":"e_1_2_12_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010017\u20104554\u20102"},{"key":"e_1_2_12_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2021.08.010"},{"key":"e_1_2_12_27_2","doi-asserted-by":"crossref","unstructured":"SinghA WeiDT LinCTP LiangS GoyalS TanK\u2010A ChinBZ KrishnaLConcomitant meniscal injury in anterior cruciate ligament reconstruction does not lead to poorer short\u2010term post\u2010operative outcomes.Knee Surg Sports Traumatol Arthrosc(2017)10.1007\/s00167\u2010017\u20104635\u2010228712027","DOI":"10.1007\/s00167-017-4635-2"},{"key":"e_1_2_12_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967120915698"},{"key":"e_1_2_12_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211038893"},{"key":"e_1_2_12_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516678723"},{"key":"e_1_2_12_31_2","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos\u20102016\u2010000085"},{"key":"e_1_2_12_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010021\u201006478\u2010y"},{"key":"e_1_2_12_33_2","doi-asserted-by":"crossref","unstructured":"YagnikGA systematic review of anterior cruciate ligament reconstructions with hamstring autograft in patients over 50 years of age.Orthop Sports Med Open Access J(2020)10.32474\/OSMOAJ.2020.04.000193","DOI":"10.32474\/OSMOAJ.2020.04.000193"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-023-07367-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00167-023-07367-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-023-07367-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-023-07367-2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T14:19:16Z","timestamp":1760883556000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-023-07367-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,14]]},"references-count":32,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1007\/s00167-023-07367-2"],"URL":"https:\/\/doi.org\/10.1007\/s00167-023-07367-2","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,14]]},"assertion":[{"value":"5 September 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 February 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 March 2023","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 declare that they have no conflict of interest related to this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}