{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:45:09Z","timestamp":1777391109516,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T00:00:00Z","timestamp":1749168000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The hamstring tendon autograft used for anterior cruciate ligament reconstruction commonly entails both the semitendinosus and gracilis (ST\/G) tendons for sufficient graft thickness, but they may impair function. To mitigate this, a tendon-sparing ST-only graft has been explored. However, less is known of the mid- to long-term outcomes comparing these configurations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose\/Hypothesis:<\/jats:title>\n                    <jats:p>The purpose was to investigate differences between the quadrupled ST tendon graft and the doubled ST\/G graft configuration. The primary hypothesis was that there would be no difference in the International Knee Documentation Committee 2000 Subjective Knee Form (IKDC-SF) outcomes between groups. The secondary hypothesis was that there would be no differences in knee flexion strength, KT-1000 arthrometer side-to-side measurements, or need for secondary surgery (including revision) between the 2 techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Randomized controlled trial; Level of evidence, 1.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>At baseline, 98 patients were randomized to receive either the quadrupled ST tendon graft or the doubled ST\/G graft configuration. Preoperatively and after 2 and median 8 years (range, 5-10 years) postoperatively, the investigators collected results for the IKDC-SF, Knee injury and Osteoarthritis Outcome Score, Tegner Activity Scale, a sports and activity participation questionnaire, knee laxity (KT-1000 arthrometer) side-to-side measurements, Lachman test, and flexion rotation drawer test. Need for secondary knee surgery was evaluated 5 to 10 years postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Seventy-seven patients completed median 8-year follow-up (range, 5-10 years): 38 patients in the ST group and 39 patients in the ST\/G group. No statistically significant differences were observed between the ST and ST\/G groups in IKDC-SF scores (81.7 vs 82.1;\n                      <jats:italic>P<\/jats:italic>\n                      = .93), knee stability, or revision rates. Both groups demonstrated statistically significant improvements in self-reported function (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001) until final follow-up. The overall anterior cruciate ligament revision rate was 10.4%, and no increased risk of graft failure or excessive residual laxity was associated with the ST-only graft.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>No statistically significant differences were found between the ST group and the ST\/G group in terms self-reported function, knee laxity, or need for secondary surgery at median 8 years (range, 5-10 years) after surgery. The ST-only graft configuration did not increase the risk of graft failure or excessive residual laxity compared with the ST\/G graft configuration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465251344106","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T07:51:02Z","timestamp":1749196262000},"page":"2145-2153","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparable Mid- to Long-term Outcomes of Semitendinosus and Semitendinosus\/Gracilis Grafts in ACL Reconstruction: Median 8-Year (Range, 5-10 Years) Results From a Randomized Controlled Study"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1586-1490","authenticated-orcid":false,"given":"Ingunn Fleten","family":"Mo","sequence":"first","affiliation":[{"name":"Haraldsplass Deaconess Hospital, Bergen, Norway"},{"name":"Sports Traumatology and Arthroscopy Research Group, Bergen, Norway"},{"name":"University of Bergen, Bergen, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Harlem","sequence":"additional","affiliation":[{"name":"Haraldsplass Deaconess Hospital, Bergen, Norway"},{"name":"Sports Traumatology and Arthroscopy Research Group, Bergen, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Gro Heyn","family":"Faleide","sequence":"additional","affiliation":[{"name":"Haraldsplass Deaconess Hospital, Bergen, Norway"},{"name":"Sports Traumatology and Arthroscopy Research Group, Bergen, Norway"},{"name":"University of Bergen, Bergen, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torbj\u00f8rn","family":"Strand","sequence":"additional","affiliation":[{"name":"Haraldsplass Deaconess Hospital, Bergen, Norway"},{"name":"Sports Traumatology and Arthroscopy Research Group, Bergen, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00f8ren","family":"Vindfeld","sequence":"additional","affiliation":[{"name":"Haraldsplass Deaconess Hospital, Bergen, Norway"},{"name":"Sports Traumatology and Arthroscopy Research Group, Bergen, Norway"},{"name":"University of Bergen, Bergen, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eirik","family":"Solheim","sequence":"additional","affiliation":[{"name":"Sports Traumatology and Arthroscopy Research Group, Bergen, Norway"},{"name":"University of Bergen, Bergen, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Per Henrik","family":"Randsborg","sequence":"additional","affiliation":[{"name":"Akershus University Hospital"},{"name":"University of Oslo, Oslo, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eivind","family":"Inderhaug","sequence":"additional","affiliation":[{"name":"Haraldsplass Deaconess Hospital, Bergen, Norway"},{"name":"Sports Traumatology and Arthroscopy Research Group, Bergen, Norway"},{"name":"University of Bergen, Bergen, Norway"},{"name":"Haukeland University Hospital, Bergen, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2013-093398"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/ksa.12142"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-022-07230-w"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2016.08.011"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12124004"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-012-1611-9"},{"issue":"0","key":"e_1_3_3_8_2","article-title":"Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS)","volume":"63","author":"Collins NJ","year":"2011","unstructured":"Collins NJ, Misra D, Felson DT, Crossley KM, Roos EM. 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