{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T04:25:02Z","timestamp":1791087902280,"version":"4.1.0"},"reference-count":49,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2002,7,1]],"date-time":"2002-07-01T00:00:00Z","timestamp":1025481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2002,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The choice of graft material for anterior cruciate ligament reconstruction is believed to play a major role in outcome, but most comparisons of graft choice have not been well controlled.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis<\/jats:title>\n                    <jats:p>The choice of graft material (patellar tendon or hamstring tendon) does affect clinical outcome after anterior cruciate ligament reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective, nonrandomized clinical trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two groups of 90 patients each were followed for a minimum of 5 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>International Knee Documentation Committee assessment revealed that more than 85% of each group had an overall score of A or B at all follow-up intervals. The median Lysholm knee score was greater than 90 for both groups at 2 and 5 years. Instrumented testing revealed no significant difference between the two groups beyond 3 years. Thirty-one percent of the patellar tendon group (25) had a fixed flexion deformity and 19% of the hamstring tendon group (14) had fixed flexion deformity at 5 years. Radiologic assessment revealed early osteoarthritic changes in 4% of the hamstring tendon group (2) and in 18% of the patellar tendon group (11) at 5 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic reconstruction with either graft results in a similar surgical outcome, reliably restoring knee stability over a 5-year period; however, patients with patellar tendon grafts are at greater risk of developing early signs of osteoarthritis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465020300041201","type":"journal-article","created":{"date-parts":[[2017,7,18]],"date-time":"2017-07-18T11:32:46Z","timestamp":1500377566000},"page":"523-536","source":"Crossref","is-referenced-by-count":239,"title":["A Five-Year Comparison of Patellar Tendon versus Four-Strand Hamstring Tendon Autograft for Arthroscopic Reconstruction of the Anterior Cruciate Ligament"],"prefix":"10.1177","volume":"30","author":[{"given":"Leo A.","family":"Pinczewski","sequence":"first","affiliation":[{"name":"Australian Institute of Musculoskeletal Research, Crows Nest, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Deehan","sequence":"additional","affiliation":[{"name":"Australian Institute of Musculoskeletal Research, Crows Nest, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy J.","family":"Salmon","sequence":"additional","affiliation":[{"name":"Australian Institute of Musculoskeletal Research, Crows Nest, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivianne J.","family":"Russell","sequence":"additional","affiliation":[{"name":"Australian Institute of Musculoskeletal Research, Crows Nest, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Clingeleffer","sequence":"additional","affiliation":[{"name":"Australian Institute of Musculoskeletal Research, Crows Nest, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2002,7,1]]},"reference":[{"key":"bibr1-03635465020300041201","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/00003086-199303000-00025","volume":"288","author":"Aglietti P.","year":"1993","journal-title":"Clin Orthop"},{"key":"bibr2-03635465020300041201","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200210"},{"key":"bibr3-03635465020300041201","unstructured":"AndersonAF: Rating scales, in FuF, HarnerC, VinceK (eds): Knee Surgery. 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