{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T01:08:20Z","timestamp":1784423300202,"version":"3.55.0"},"reference-count":54,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T00:00:00Z","timestamp":1616544000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007307","name":"Arthrex","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007307","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purposes were to (1) examine early to intermediate\u2010term clinical outcomes and complications of revision anterior cruciate ligament reconstruction (ACLR) using all\u2010soft tissue quadriceps tendon (QT) autografts, and (2) compare quadriceps strength between patients who had hamstring versus patella tendon autografts in their previous reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      One hundred patients (52 males\/48 females; 22.6 \u00b1 8.0 years) undergoing revision ACLR with all\u2010soft tissue QT autografts were prospectively followed. All revision procedures were performed by a single surgeon, using a minimally invasive graft harvest technique and suspensory fixation. Subjective assessment of knee function was obtained before and after surgery with the International Knee Documentation Committee (IKDC) survey. Postoperative knee laxity and isokinetic quadriceps strength were collected at regular intervals. Strength was reported as limb symmetry index (LSI; surgical side divided by nonsurgical side). Complications including hematomas, postoperative loss of knee extension, and graft failures were recorded. To determine clinical significance (\n                      <jats:italic>P<\/jats:italic>\n                      \u2264 .05), outcomes were compared using analysis of variance or paired samples\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean IKDC scores significantly improved (54.3 \u00b1 13.0 vs 82.8\u00a0\u00b1 13.8), with an average follow\u2010up of 42.2 \u00b1 21.2 months. There were no significant changes in knee laxity side\u2010to\u2010side differences: 6 weeks (1.2 \u00b1 1.5 mm), 3 months (1.2 \u00b1 1.8 mm), 6 months (1.4 \u00b1 1.6 mm). Quadriceps LSIs significantly improved from 71.6% \u00b1 19.3% at 6 months to 81.5% \u00b1 19.3% at 12 months for 60\u00b0\/s isokinetic testing and 76.6% \u00b1 16.4% at 6 months to 83.9% \u00b1 16.9% at 12 months for 180\u00b0\/s testing. Graft harvest site hematomas developed in 2 patients, postoperative loss of knee extension in 4 patients, and graft failure in 11 patients. No significant differences in quadriceps or hamstrings LSIs were noted between patients with previous hamstring versus patella tendon autografts (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&gt;\u00a0.050).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Revision ACLR with all\u2010soft tissue QT autografts has acceptable early and intermediate\u2010term outcomes with reasonable complication rates (11\/80 patients with follow\u2010up). Secondary insult to the extensor mechanism via QT autograft harvest does not adversely affect strength after prior patellar tendon versus hamstring autograft.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, cases series subgroup analysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2021.03.035","type":"journal-article","created":{"date-parts":[[2021,3,24]],"date-time":"2021-03-24T13:27:13Z","timestamp":1616592433000},"page":"2848-2857","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":18,"title":["Revision Anterior Cruciate Ligament Reconstruction with the All\u2010Soft Tissue Quadriceps Tendon Autograft Has Acceptable Early and Intermediate\u2010Term Outcomes"],"prefix":"10.1002","volume":"37","author":[{"given":"Jennifer L.","family":"Hunnicutt","sequence":"first","affiliation":[{"name":"Department of Orthopaedics School of Medicine Emory University Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William B.","family":"Haynes","sequence":"additional","affiliation":[{"name":"Carolinas Medical Center Charlotte North Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harris S.","family":"Slone","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Physical Medicine College of Medicine Medical University of South Carolina Charleston South Carolina U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janelle A.","family":"Prince","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics School of Medicine Emory University Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie A.","family":"Boden","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Pittsburg Medical Center Pittsburg Pennsylvania U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John W.","family":"Xerogeanes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics School of Medicine Emory University Atlanta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,24]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516629944"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0b013e3182580cd0"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519892991"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515614813"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513511419"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512446000"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514549005"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517700882"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rehab.2013.10.005"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0000000000000140"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.02.021"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465990270011301"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199904000-00013"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.06.051"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.03.028"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.11.024"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2018.08.001"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2016.05.012"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2019.09.001"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.11.004"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.11.010"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001670000137"},{"key":"e_1_2_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.08.045"},{"key":"e_1_2_2_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-007-0015-4"},{"key":"e_1_2_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.06.004"},{"key":"e_1_2_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.01.047"},{"key":"e_1_2_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.01.046"},{"key":"e_1_2_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.03.020"},{"key":"e_1_2_2_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505281812"},{"key":"e_1_2_2_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465010290051301"},{"key":"e_1_2_2_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658501300607"},{"key":"e_1_2_2_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658701500210"},{"key":"e_1_2_2_34_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.00733"},{"key":"e_1_2_2_35_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-012-1552-1"},{"key":"e_1_2_2_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-012-2039-x"},{"key":"e_1_2_2_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-015-2387-3"},{"key":"e_1_2_2_38_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516650666"},{"issue":"3","key":"e_1_2_2_39_2","first-page":"116","article-title":"Anterior cruciate ligament reconstruction with use of autologous quadriceps tendon graft","volume":"89","author":"Lee S.","year":"2007","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"e_1_2_2_40_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505280214"},{"key":"e_1_2_2_41_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546506288855"},{"key":"e_1_2_2_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504264585"},{"key":"e_1_2_2_43_2","doi-asserted-by":"publisher","DOI":"10.1519\/JSC.0000000000000307"},{"key":"e_1_2_2_44_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2015.5753"},{"key":"e_1_2_2_45_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516688665"},{"key":"e_1_2_2_46_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4522-x"},{"key":"e_1_2_2_47_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-007-0015-4"},{"issue":"4","key":"e_1_2_2_48_2","article-title":"Quadriceps recovery after anterior cruciate ligament reconstruction with quadriceps tendon versus patellar tendon autografts","volume":"7","author":"Hunnicutt J.L.","year":"2019","journal-title":"Orthop J Sports Med"},{"key":"e_1_2_2_49_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0838.2001.011002120.x"},{"key":"e_1_2_2_50_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515573008"},{"key":"e_1_2_2_51_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509343198"},{"key":"e_1_2_2_52_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513503288"},{"key":"e_1_2_2_53_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.06.004"},{"key":"e_1_2_2_54_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519896333"},{"key":"e_1_2_2_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2016.10.004"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806321002589?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806321002589?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2021.03.035","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2021.03.035","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2021.03.035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:02:42Z","timestamp":1773565362000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2021.03.035"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,24]]},"references-count":54,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1016\/j.arthro.2021.03.035"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2021.03.035","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,24]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Revision Anterior Cruciate Ligament Reconstruction with the All-Soft Tissue Quadriceps Tendon Autograft Has Acceptable Early and Intermediate-Term Outcomes","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2021.03.035","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}