{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:35:56Z","timestamp":1788885356975,"version":"build-2803163510"},"reference-count":42,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","arthroscopyjournal.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the outcomes of hamstring tendon (HT) and quadriceps tendon (QT) autografts for anterior cruciate ligament (ACL) reconstruction in patients aged 50 years or older in terms of patient\u2010reported functional outcomes, graft failure rates, complications, return to sports activity, and sports preference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Between 2010 and 2022, prospectively collected data were obtained from an institutional database. Patients aged 50 years or older who underwent primary arthroscopic ACL reconstruction with either HT or QT autograft and had a minimum 2\u2010year follow\u2010up were included. Patients with concomitant meniscal, cartilage, and medial collateral ligament injuries were also included. Patients undergoing revision ACL reconstruction, those undergoing primary ACL reconstruction with a graft other than HT or QT autograft, and those with contralateral knee injuries or ipsilateral osteoarthritis (Ahlb\u00e4ck stage \u22652) were excluded. Patients were evaluated in terms of the Lysholm knee score, Tegner activity level, and visual analog scale (VAS) score for pain before injury and at 2\u2010year follow\u2010up, as well as graft failure, QT rupture, and return to sport. The Mann\u2010Whitney test was used to analyze unpaired samples, whereas the Friedman test was used to analyze variables over time. The \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      statistic test was used to determine differences in categorical data between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The number of patients in the QT and HT groups was 85 and 143, respectively. In the QT and HT groups, the mean age was 54.4 years (range, 50\u201065 years) and 56.4 years (range, 50\u201065 years), respectively, and 49% and 51% of patients were men, respectively. The 2 groups did not differ significantly in terms of age, sex, time from injury to surgery, and concomitant injuries. No significant differences in preinjury patient\u2010reported outcome measures, consisting of the Lysholm score, Tegner activity level, and VAS pain score, were found between the 2 groups (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05). At the 2\u2010year follow\u2010up, the Lysholm knee score, Tegner activity level, and VAS pain score improved to preinjury levels and no significant differences in preinjury and 2\u2010year follow\u2010up functional scores were noted between the 2 groups (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05). Furthermore, at the 2\u2010year follow\u2010up, the Lysholm score and VAS pain score did not show significant differences (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .390 and\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .131, respectively) between the QT and HT groups. Similarly, no differences in Tegner activity level were observed between the HT and QT groups at the 2\u2010year follow\u2010up. No significant differences in terms of the minimal clinically important difference were detected between the 2 groups for the Lysholm knee score (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .410) and Tegner activity level (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .420). The 2 groups did not differ in terms of patients\u2019 percentage of sports participation at baseline and at the 2\u2010year follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05). A significant decrease (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01) in participation in skiing\/snowboarding was reported in the HT group at the 2\u2010year follow\u2010up compared with baseline (116 patients [81%] vs 98 patients [69%]). No case of graft failure or QT rupture was reported in either group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic ACL reconstruction using HT or QT autografts in athletically active patients aged 50 years or older provides satisfactory patient\u2010reported functional outcomes and allows recovery of the preinjury level of activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2024.06.044","type":"journal-article","created":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T13:07:33Z","timestamp":1720530453000},"page":"1512-1520","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["Both Hamstring and Quadriceps Tendon Autografts Offer Similar Functional Outcomes After Arthroscopic Anterior Cruciate Ligament Reconstruction in Patients Aged 50 Years or Older"],"prefix":"10.1002","volume":"41","author":[{"given":"Amit","family":"Meena","sequence":"first","affiliation":[{"name":"Gelenkpunkt\u2013Sports and Joint Surgery FIFA Medical Center of Excellence Innsbruck Austria"},{"name":"Research Unit for Orthopedic Sports Medicine and Injury Prevention (OSMI) Private University for Health Sciences Medical Informatics and Technology Innsbruck Austria"},{"name":"Department of Orthopedics Shalby Hospital Jaipur India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Farinelli","sequence":"additional","affiliation":[{"name":"Clinical Orthopedics Department of Clinical and Molecular Sciences Universit\u00e0 Politecnica delle Marche Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"D\u2019Ambrosi","sequence":"additional","affiliation":[{"name":"IRCCS Istituto Ortopedico Galeazzi Milan Italy"},{"name":"Dipartimento di Scienze Biomediche per la Salute Universit\u00e0 degli Studi di Milano Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armin","family":"Runer","sequence":"additional","affiliation":[{"name":"Orthopaedic Sports Medicine Klinikum rechts der Isar Technical University of Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Attri","sequence":"additional","affiliation":[{"name":"Central Institute of Orthopedics Vardhman Mahavir Medical College and Safdarjung Hospital New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi Teja","family":"Rudraraju","sequence":"additional","affiliation":[{"name":"Apollo Hospitals Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin","family":"Tapasvi","sequence":"additional","affiliation":[{"name":"The Orthopaedic Speciality Clinic Pune India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Hoser","sequence":"additional","affiliation":[{"name":"Gelenkpunkt\u2013Sports and Joint Surgery FIFA Medical Center of Excellence Innsbruck Austria"},{"name":"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":"Christian","family":"Fink","sequence":"additional","affiliation":[{"name":"Gelenkpunkt\u2013Sports and Joint Surgery FIFA Medical Center of Excellence Innsbruck Austria"},{"name":"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":[[2024,7,9]]},"reference":[{"key":"e_1_2_4_2_2","unstructured":"European Parliamentary Research Services.Demographic outlook for the European Union 2021https:\/\/data.europa.eu\/doi\/10.2861\/429257 Published March 2021. 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