{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T20:41:16Z","timestamp":1785444076265,"version":"3.56.0"},"reference-count":0,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2000,8,17]],"date-time":"2000-08-17T00:00:00Z","timestamp":966470400000},"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":[[2000,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Proponents of hamstring anterior cruciate ligament (ACL) reconstruction suggest that anterior knee symptoms (AKS) may be less than following the use of bone\u2010patella\u2010bone autograft. Our aim was to assess the incidence of AKS in a cohort of patients who had undergone hamstring reconstructions. Forty\u2010four of 50 consecutive patients who had undergone arthroscopically assisted four\u2010strand gracilis\/semitendinosus hamstring ACL reconstructions were reviewed at a minimum follow\u2010up of 24\u00a0months. The frequency and severity of anterior knee pain experienced during activities of daily living, sports, prolonged sitting, stair\u2010climbing and kneeling was recorded by means of the Shelbourne and Trumper anterior knee pain questionnaire. The location of both pain and any perceived sensory change was recorded using patient\u2010drawn diagrams. Although mild or moderate symptoms occurred in a proportion of patients, only 2% experienced significant symptoms that caused limitation with daily activity, 7% with strenuous work or sport, 12% with kneeling, 5% with stairs and none with prolonged sitting. The pain was not specifically related to the incision for tendon harvest and drilling of the tibial tunnel. Areas of sensory change over the front of the knee were identifiable in 50% of patients, and of these, 86% demonstrated sensory change in the distribution of the infragenicular branch of the saphenous nerve. Although rarely a cause of limitation of activity, AKS can be a problem after hamstring ACL reconstruction and patients should be counselled accordingly.<\/jats:p>","DOI":"10.1007\/s001670000139","type":"journal-article","created":{"date-parts":[[2002,8,25]],"date-time":"2002-08-25T02:34:23Z","timestamp":1030242863000},"page":"286-289","source":"Crossref","is-referenced-by-count":74,"title":["Anterior knee symptoms after four\u2010strand hamstring tendon anterior cruciate ligament reconstruction"],"prefix":"10.1002","volume":"8","author":[{"given":"D.D.M.","family":"Spicer","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> 1 Alderville Road, Parsons Green, Fulham London SW6 3RL UK"},{"name":"<!--<label>2<\/label>--> Orthopaedic Department St. Mary's Hospital Praed St London W2\u00a01NY UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.E.","family":"Blagg","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Orthopaedic Department Royal Berkshire Hospital London Road Reading Berkshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.J.","family":"Unwin","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Orthopaedic Department Wexham Park Hospital Slough Berkshire SL2\u00a04HL UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.L.","family":"Allum","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Orthopaedic Department Wexham Park Hospital Slough Berkshire SL2\u00a04HL UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2000,8,17]]},"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s001670000139.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s001670000139\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s001670000139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T12:24:03Z","timestamp":1760876643000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s001670000139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,8,17]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2000,9]]}},"alternative-id":["10.1007\/s001670000139"],"URL":"https:\/\/doi.org\/10.1007\/s001670000139","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,8,17]]}}}