{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T14:21:55Z","timestamp":1793283715317,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the surgical outcomes of anterior cruciate ligament (ACL) reconstruction using hamstring autograft (HA) plus lateral extra\u2010articular tenodesis (LET), isolated all\u2010soft tissue quadriceps autograft (QA), and isolated HA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review was performed comparing high\u2010risk patients undergoing ACL reconstruction with isolated HA, isolated QA, or HA + LET from August 2013 to January 2023. High\u2010risk patients, as determined by high\u2010grade pivot shift or generalized ligament laxity, with at least a 2\u2010year follow\u2010up, were included. Lysholm and International Knee Documentation Committee scores were compared at 3, 6, 12, and 24 months postoperatively. Retear rate, postoperative pivot\u2010shift grade, return to sport, and complications were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 159 patients (56 HA, 47 HA + LET, and 56 QA) were included. At 6 months postoperatively, the HA International Knee Documentation Committee score was significantly lower than that of the HA + LET and QA groups (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001). Similarly, the Lysholm score was significantly lower in the HA cohort at 6 months, 1 year, and 2 years postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001\u2010.02). There was no difference in the rate of achieving the minimally important clinical difference between the cohorts for either of these outcome scores. The retear rate was significantly higher in the HA group (17.9%) compared to the HA + LET (4.3%) and QA (1.8%) cohorts (\n                      <jats:italic>P<\/jats:italic>\n                      = .01). The rate of postoperative pivot shift of grade 2 or more was also higher in the isolated HA group (\n                      <jats:italic>P<\/jats:italic>\n                      = .04).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The use of an all\u2010soft tissue QA or HA + LET for ACL reconstruction resulted in a lower retear rate and postoperative pivot\u2010shift grade compared to an isolated HA graft in high\u2010risk patients at 2 years postoperatively. There was no difference in the rate of achieving the minimal clinically important difference between the cohorts. The QA and HA + LET reconstruction options may improve stability and decrease the failure rate compared with HA reconstruction alone.<\/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.2025.01.011","type":"journal-article","created":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T19:56:58Z","timestamp":1737489418000},"page":"2988-2995","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Anterior Cruciate Ligament Reconstruction Using Hamstring Autograft Plus Lateral Extra\u2010articular Tenodesis and All\u2010Soft Tissue Quadriceps Alone Have Lower Retear Rate and Pivot\u2010Shift Grade but Similar Outcome to Hamstring Autograft Alone in High\u2010Risk Patients"],"prefix":"10.1002","volume":"41","author":[{"given":"Joseph C.","family":"Brinkman","sequence":"first","affiliation":[{"name":"Department of Sports Medicine Mayo Clinic Arizona Phoenix Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kade S.","family":"McQuivey","sequence":"additional","affiliation":[{"name":"Division of Sports Medicine Banner Health Glendale Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collin","family":"Braithwaite","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Mayo Clinic Arizona Phoenix Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben R.","family":"Paul","sequence":"additional","affiliation":[{"name":"Creighton University School of Medicine Phoenix Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens T.","family":"Verhey","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Mayo Clinic Arizona Phoenix Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack M.","family":"Haglin","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Mayo Clinic Arizona Phoenix Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander J.","family":"Hoffer","sequence":"additional","affiliation":[{"name":"University of British Columbia Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia C.","family":"Economopoulos","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Mayo Clinic Arizona Phoenix Arizona U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kostas J.","family":"Economopoulos","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Mayo Clinic Arizona Phoenix Arizona 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