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Magnetic resonance imaging scans were obtained at 1\u2010year follow\u2010up, and radiographs were obtained at 2\u2010year follow\u2010up. All surgeries were performed by a single surgeon using an anteromedial portal to establish the femoral tunnel. The primary outcome measure was KT\u20101000 stability testing. Secondary outcome measures included International Knee Documentation Committee (IKDC) Knee Evaluation Form, IKDC Subjective Form, Knee Injury and Osteoarthritis Outcome Score, Marx Activity Scale, visual analog pain scale, and SF\u201012 (Mental and Physical). Results: At 2\u2010year follow\u2010up, no statistical difference existed with KT\u20101000\u2010measured side\u2010to\u2010side laxity between AIST (0.3 \u00b1 0.7 mm, 95% confidence interval 0.0\u20101.0 mm) and BPTB (0.0 \u00b1 0.8 mm, confidence interval CI \u20100.3 to 1.1 mm) (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .197). In addition, no statistical differences between the groups were found for IKDC Subjective Form, Knee Injury and Osteoarthritis Outcome Score, Marx, SF\u201012 Mental, SF\u201012 Physical, or with regards to imaging findings. Patients with BPTB reported significantly greater postoperative pain scores at days 2 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .049), 3 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .004), and 7 (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .015) and had significantly greater kneeling pain at 2 years (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .019). A return to sport questionnaire at 2 years revealed no significant difference between the groups for returning to preoperative level of sport activity (83% AIST, 74% BPTB;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .415). Two graft retears (7%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .222) occurred in the AIST group. Three patients in the BPTB group experienced ACL tears in the contralateral knee (9%;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .239).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ACL reconstruction with an all\u2010inside quadrupled semitendinosus autograft construct is equivalent to patellar BPTB autograft based on KT\u20101000 stability testing in athletes 24 years or younger.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>randomized controlled trial with 92% 2\u2010year follow\u2010up, Level I.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2020.01.048","type":"journal-article","created":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T08:36:23Z","timestamp":1581496583000},"page":"1629-1646","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":39,"title":["All\u2010Inside Quadrupled Semitendinosus Autograft Shows Stability Equivalent to Patellar Tendon Autograft Anterior Cruciate Ligament Reconstruction: Randomized Controlled Trial in Athletes 24 Years or Younger"],"prefix":"10.1002","volume":"36","author":[{"given":"Patrick A.","family":"Smith","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A."},{"name":"Columbia Orthopaedic Group Columbia Missouri U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corey S.","family":"Cook","sequence":"additional","affiliation":[{"name":"Columbia Orthopaedic Group Columbia Missouri 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