{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T23:06:29Z","timestamp":1788995189596,"version":"build-2803163510"},"reference-count":33,"publisher":"BMJ","issue":"3","funder":[{"DOI":"10.13039\/100009026","name":"Smith & Nephew","doi-asserted-by":"crossref","award":["IIS263 Lind -2017-1-6"],"award-info":[{"award-number":["IIS263 Lind -2017-1-6"]}],"id":[{"id":"10.13039\/100009026","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2019,10,28]]},"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We performed a randomised controlled trial (RCT) in patients undergoing ACL reconstruction (ACLR) using either quadriceps tendon graft (QT) or semitendinosus\/gracilis hamstring (STG) graft. We compared subjective outcome (primary outcome) and knee stability, donor site morbidity and function (secondary outcomes).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From 2013 to 2015, we included 99 adults with isolated ACL injuries in the RCT. Fifty patients were randomised to QT grafts and 49 to STG grafts and followed for 2\u2009years. Patient evaluated outcomes were performed by subjective International Knee Documentation Committee, Knee Injury and Osteoarthritis Outcome Score, Kujala and Tegner activity scores. Knee laxity was measured with a KT-1000 arthrometer. Donor site morbidity was evaluated by the \u2018donor site-related functional problems following ACLR score\u2019. One-leg hop test tested limp strength symmetry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At 2-year follow-up, there was no difference between the two graft groups regarding subjective patient outcome, knee stability and reoperations. Also, at 2 years, donor site symptoms were present in 27% of patients in the QT group and 50% of patients in the STG group. The donor site morbidity score was 14 and 22 for the QT and STG, respectively. Hop test demonstrated lower limp symmetry for QT graft than STG graft of 91% and 97%\u2009respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>QT graft for ACLR did not result in inferior subjective outcome compared with STG graft. However, QT graft was associated with lower donor site morbidity than STG grafts but resulted in more quadriceps muscle strength deficiency than hamstring grafts. Both graft types had similar knee stability outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT02173483\">NCT02173483<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjsports-2019-101000","type":"journal-article","created":{"date-parts":[[2019,11,8]],"date-time":"2019-11-08T17:25:22Z","timestamp":1573233922000},"page":"183-187","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":75,"title":["Quadriceps tendon grafts does not cause patients to have inferior subjective outcome after anterior cruciate ligament (ACL) reconstruction than do hamstring grafts: a 2-year prospective randomised controlled trial"],"prefix":"10.1136","volume":"54","clinical-trial-number":[{"clinical-trial-number":"nct02173483","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7204-813X","authenticated-orcid":false,"given":"Martin","family":"Lind","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torsten Gr\u00f8nbech","family":"Nielsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ole Gade","family":"Soerensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bjarne","family":"Mygind-Klavsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Faun\u00f8","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,11,8]]},"reference":[{"key":"2024051414101127000_54.3.183.1","doi-asserted-by":"crossref","first-page":"476","DOI":"10.2298\/MPNS1212476M","article-title":"Fracture of the patella after the anterior cruciate ligament reconstruction","volume":"65","author":"Milankov","year":"2012","journal-title":"Med Pregl"},{"key":"2024051414101127000_54.3.183.2","doi-asserted-by":"crossref","first-page":"2478","DOI":"10.1016\/j.arthro.2018.03.038","article-title":"Risk factors for abnormal anteroposterior knee laxity after primary anterior cruciate ligament reconstruction","volume":"34","author":"Cristiani","year":"2018","journal-title":"Arthroscopy"},{"key":"2024051414101127000_54.3.183.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2012.05.008"},{"key":"2024051414101127000_54.3.183.4","doi-asserted-by":"crossref","first-page":"2339","DOI":"10.1007\/s00167-014-3060-z","article-title":"Patient demographics and surgical characteristics in ACL revision: a comparison of French, Norwegian, and North American cohorts","volume":"23","author":"Magnussen","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"2024051414101127000_54.3.183.5","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.1177\/0363546517694354","article-title":"Increased risk of revision after anterior cruciate ligament reconstruction with soft tissue allografts compared with autografts: graft processing and time make a difference","volume":"45","author":"Maletis","year":"2017","journal-title":"Am J Sports Med"},{"key":"2024051414101127000_54.3.183.6","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-098674"},{"key":"2024051414101127000_54.3.183.7","doi-asserted-by":"crossref","first-page":"S245","DOI":"10.1016\/j.otsr.2017.09.002","article-title":"Complications following harvesting of Patellar tendon or hamstring tendon grafts for anterior cruciate ligament reconstruction: systematic review of literature","volume":"103","author":"Hardy","year":"2017","journal-title":"Orthop Traumatol Surg Res"},{"key":"2024051414101127000_54.3.183.8","doi-asserted-by":"crossref","unstructured":"Mohtadi NG , Chan DS , Dainty KN , et al . 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