{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T19:25:14Z","timestamp":1779909914058,"version":"3.53.1"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,2,4]],"date-time":"2021-02-04T00:00:00Z","timestamp":1612396800000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,9,8]],"date-time":"2020-09-08T00:00:00Z","timestamp":1599523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the clinical outcomes comparing rectangular bone\u2013tendon\u2013bone (BTB) grafts and double\u2010bundle hamstring tendon (HM) grafts used for anatomic anterior cruciate ligament (ACL) reconstruction in young female athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From January 2014 to November 2017, young female athletes 20 years or younger who underwent primary ACL reconstructions by a single surgeon were identified. Patients with concomitant injuries, not being a regular sports participant, the existence of contralateral ACL reconstruction, and who did not have a minimum of 1\u2010year follow\u2010up were excluded. We searched the rate and time for return\u2010to\u2010play, clinical outcomes including chronological instrumental side\u2010to\u2010side tibial translation difference, and muscle strength. Second ACL injury rates between the 2 groups during follow\u2010up period were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010seven BTB ACL reconstructions and 29 HM ACL reconstructions were performed. The mean follow\u2010up periods were 35.2 months in the BTB group and 33.8 months in the HM group. The BTB group showed better knee stability in mean side\u2010to\u2010side translational difference via arthrometric testing of 0.6 mm in the BTB versus 1.7 mm in the HM group at 5 months (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .01) and 1.1 mm and 2.0 mm at 12 months, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .02). There was no significant side\u2010by\u2010side difference in quadriceps muscle strength ratio, but the hamstring muscle strength was significantly better in the BTB group. The graft reinjury rate in the BTB group and the HM group was 0% (0\/27) and 10.3% (3\/29) (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .09), respectively. In contrast, contralateral ACL injuries occurred in 17.3% (4\/27) of the BTB group and 3.5% (1\/29) of the HM group (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .12).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For young female athletes aged 20 years or younger, the BTB group had better knee instrumental stability than the HM group without range of motion loss or knee extensor muscle strength deficit. Although there was no statistical significance in terms of second ACL injury, we observed fewer graft rerupture and an increasing rate of contralateral ACL injuries in the BTB group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2020.08.008","type":"journal-article","created":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T01:18:39Z","timestamp":1612574319000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"title":["Anatomic Anterior Cruciate Ligament Reconstruction Using Rectangular Bone\u2013Tendon\u2013 Bone Autograft Versus Double\u2010Bundle Hamstring Tendon Autograft in Young Female Athletes"],"prefix":"10.1002","volume":"3","author":[{"given":"Takaki","family":"Sanada","sequence":"first","affiliation":[{"name":"Department of Sports Orthopedic Surgery Kanto Rosai Hospital Kawasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Iwaso","sequence":"additional","affiliation":[{"name":"Department of Sports Orthopedic Surgery Kanto Rosai Hospital Kawasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Fukai","sequence":"additional","affiliation":[{"name":"Department of Sports Orthopedic Surgery Kanto Rosai Hospital Kawasaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eisaburo","family":"Honda","sequence":"additional","affiliation":[{"name":"Department of Sports Orthopedic Surgery Kanto Rosai Hospital Kawasaki 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}