{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:21:52Z","timestamp":1792052512204,"version":"4.4.0"},"reference-count":52,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Capio Artro Clinic"},{"name":"Stiftelsen Guldbyxan"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Quadriceps tendon (QT) autografts are increasingly used worldwide in anterior cruciate ligament (ACL) reconstruction (ACLR). However, comparative outcome studies across graft types, particularly by sex, remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare patient-reported outcomes (PROs) and revision rates after primary ACLR with QT autografts in relation to patellar tendon (PT) and hamstring tendon (HT) autografts, stratified by sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients who underwent primary ACLR (2008-2022) were identified in the Swedish Knee Ligament Registry. The primary outcome was 2-year patient-reported knee function, assessed using the Knee injury and Osteoarthritis Outcome Score (KOOS). Clinical relevance was evaluated using the KOOS4 (mean of KOOS Pain, Symptoms, Sports\/Recreation, and Quality of Life subscales), with thresholds for minimal important change (MIC, \u22659), patient acceptable symptom state (PASS, \u226579), and treatment failure (TF, \u226442). Adjusted logistic regression analyses assessed factors associated with MIC, PASS, and TF. The secondary outcome was 2-year revision ACLR, reported as rates and analyzed using Cox regression to estimate hazard ratios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 18,920 patients (44%) had 2-year KOOS data available. Women receiving QT grafts had a lower proportion of MICs achieved than those with HT grafts (61% vs 71%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .027). Among men, PASS was more frequently achieved with QT (51%) and HT grafts (48%) than with PT grafts (40%) (both\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2264 .030). In the regression analyses, women with HT grafts had higher odds of achieving MIC (odds ratio [OR], 1.69 [95% CI, 1.19-2.42];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .004) and PASS (OR, 1.81 [95% CI, 1.28-2.58];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), and lower odds of TF (OR, 0.53 [95% CI, 0.31-0.88];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .015) compared with QT grafts. Additionally, no significant differences were observed between QT and PT grafts in women or among graft types in men.\n                    <\/jats:p>\n                    <jats:p>\n                      Of 44,513 patients, 1019 (2.3%) underwent revision ACLR within 2 years: QT graft, 2.2% (28\/1274); PT graft, 2.5% (50\/2019); and HT graft, 2.3% (941\/41,220) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .830). QT revision rates were 2.7% in women and 1.8% in men (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .288). Graft type was not associated with revision hazard in adjusted Cox regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>QT autografts were associated with lower PROs compared with HT autografts in women, whereas no such differences were observed when compared with PT autografts or among men. Revision rates were similar across graft types, both overall and by sex.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03635465251404876","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T06:42:31Z","timestamp":1769496151000},"page":"558-568","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Patient-Reported Outcomes and Revision Rates After ACL Reconstruction With Quadriceps Versus Hamstring and Patellar Tendon Autografts: Sex-Stratified Results From the Swedish Knee Ligament Registry"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0509-4280","authenticated-orcid":false,"given":"Dzan","family":"Rizvanovic","sequence":"first","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden"},{"name":"Capio Artro Clinic, FIFA Medical Centre of Excellence, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6790-4042","authenticated-orcid":false,"given":"Markus","family":"Wald\u00e9n","sequence":"additional","affiliation":[{"name":"Unit of Public Health, Department of Health, Medicine and Caring Sciences, Link\u00f6ping University, Link\u00f6ping, Sweden"},{"name":"Capio Ortho Center Sk\u00e5ne, Malm\u00f6, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5870-7477","authenticated-orcid":false,"given":"Magnus","family":"Forssblad","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden"},{"name":"Ortopedi Stockholm, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Cristiani","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden"},{"name":"Capio Artro Clinic, FIFA Medical Centre of Excellence, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6871-3267","authenticated-orcid":false,"given":"Christoffer","family":"von Essen","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden"},{"name":"Capio Artro Clinic, FIFA Medical Centre of Excellence, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"St\u00e5lman","sequence":"additional","affiliation":[{"name":"Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden"},{"name":"Capio Artro Clinic, FIFA Medical Centre of Excellence, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"issue":"9","key":"e_1_3_3_2_2","first-page":"537","article-title":"Let\u2019s talk about sex (and gender) after ACL injury: a systematic review and meta-analysis of self-reported activity and knee-related outcomes","volume":"57","author":"Bruder AM","year":"2023","unstructured":"Bruder AM, Culvenor AG, King MG, et al. 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