{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T22:38:47Z","timestamp":1784500727210,"version":"3.55.0"},"reference-count":48,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[1994,3,1]],"date-time":"1994-03-01T00:00:00Z","timestamp":762480000000},"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":[[1994,3]]},"abstract":"<jats:p>The results of intraarticular anterior cruciate ligament reconstruction with either the patellar tendon or the semitendinosus and gracilis tendons (four strands) were prospectively compared in a consecutive series of 60 patients with chronic injuries. A single surgeon per formed arthroscopically assisted reconstructions in an alternating sequence. Preoperative and operative data revealed no significant differences between the two groups. After 28 months of followup there were no sig nificant differences in the incidence of symptoms, and recurrent giving way was present in only one knee with semitendinosus and gracilis tendon graft. Return to sport participation was more frequent in the patellar ten don group (80% versus 43%, P &lt; 0.01 ). A minor ex tension loss (\u22643\u00b0) was more frequent in the patellar tendon group (47% versus 3%, P &lt; 0.001 ). Other dif ferences between the two groups were not significant. KT-2000 arthrometer side-to-side difference of anterior displacement &gt;5 mm at 30 pounds was present in 13% of the knees with patellar tendon grafts and in 20% of those with semitendinosus and gracilis; a patellofemo ral crepitation developed in 17% and 3% of the two groups, respectively. Based on these data we routinely use patellar tendon grafts. Semitendinosus and gracilis tendons are preferred in selected cases: older patients, patients with preexisting patellofemoral problems, and those with failed patellar tendon grafts.<\/jats:p>","DOI":"10.1177\/036354659402200210","type":"journal-article","created":{"date-parts":[[2007,6,21]],"date-time":"2007-06-21T20:46:52Z","timestamp":1182458812000},"page":"211-218","source":"Crossref","is-referenced-by-count":378,"title":["Patellar Tendon Versus Doubled Semitendinosus and Gracilis Tendons for Anterior Cruciate Ligament Reconstruction"],"prefix":"10.1177","volume":"22","author":[{"given":"Paolo","family":"Aglietti","sequence":"first","affiliation":[{"name":"First Orthopaedic Clinic of the University of Florence, Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Buzzi","sequence":"additional","affiliation":[{"name":"First Orthopaedic Clinic of the University of Florence, Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Zaccherotti","sequence":"additional","affiliation":[{"name":"First Orthopaedic Clinic of the University of Florence, Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pietro","family":"De Biase","sequence":"additional","affiliation":[{"name":"First Orthopaedic Clinic of the University of Florence, Florence, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1994,3,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"crossref","unstructured":"Aglietti P., Buzzi R., D'Andria S., et al: Patello-femoral problems after intraarticular anterior cruciate ligament reconstruction. Clin Orthop 288: 195-204, 1993","DOI":"10.1097\/00003086-199303000-00025"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000111"},{"key":"atypb3","unstructured":"Aglietti P., Buzzi R., Zaccherotti G., et al: Operative treatment of acute complete lesions of the anterior cruciate and medial collateral ligaments. A 4-to 7-year follow-up study. Am J Knee Surg 4: 186-194, 1991"},{"key":"atypb4","unstructured":"Alm A., Gillquist J.: Reconstruction of the anterior cruciate ligament by using the medial third of the patellar ligament. Treatment and results. Acta Chir Scand 140: 289-296, 1974"},{"key":"atypb5","doi-asserted-by":"crossref","unstructured":"Arendt EA, Hunter RE, Schneider WT: Vascularized patella tendon anterior cruciate ligament reconstruction . Clin Orthop 244: 222-232, 1989","DOI":"10.1097\/00003086-198907000-00022"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466080-00020"},{"key":"atypb7","unstructured":"Bonatus TJ, Alexander AH: Patellar fracture and avulsion of the patellar ligament complicating arthroscopic anterior cruciate ligament reconstruction. Orthop Rev 20: 770-774, 1991"},{"key":"atypb8","unstructured":"Caton G., Deschamps G., Chambat P., et al: Les rotules basses. A propos de 128 observations. Rev Chir Orthop 68: 317-325, 1982"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557050-00003"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198264030-00004"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1177\/036354659202000223"},{"key":"atypb12","unstructured":"Daniel DM: Principles of knee ligament surgery, in Daniel DM (ed): Knee Ligaments: Structure, Function, Injury and Repair. New York, Raven Press , 1990, pp 11-29"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567050-00006"},{"key":"atypb14","unstructured":"Dejour H., Deschamps G., Walch G.: Resultat du traitement des laxities anterieures chroniques par operation de Kenneth Jones-Lemaire. Journees Lyonnaises de Chirurgie du Genou 5: 129-140, 1984"},{"key":"atypb15","unstructured":"Ferrari JD, Ferrari DA: The semitendinosus: Anatomic considerations in tendon harvesting. Orthop Rev 20: 1085-1088, 1991"},{"key":"atypb16","unstructured":"Ferretti A. , De Carli A., Conteduca F., et al: Risultati della ricostruzione del legamento crociato anteriore con tendini del semitendinoso e gracile nelle lassit\u00e1 croniche del ginocchio. Ital J Orthop Traumatol 15: 415-424, 1989"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567070-00006"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1177\/036354658401200306"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198971070-00003"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1177\/036354658701500503"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900607"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(20)30886-3"},{"key":"atypb23","doi-asserted-by":"crossref","unstructured":"Johnson RJ, Eriksson E., Haggmark T., et al: Five to ten year follow-up evaluation after reconstruction of the anterior cruciate ligament. Clin Orthop 183: 122-140, 1984","DOI":"10.1097\/00003086-198403000-00021"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196345050-00003"},{"key":"atypb25","doi-asserted-by":"crossref","unstructured":"Kaplan N., Wickiewicz TL, Warren RF: Primary surgical treatment of anterior cruciate ligament ruptures . A long-term follow-up study. Am J Sports Med 18: 354-358, 1990","DOI":"10.1177\/036354659001800404"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1177\/036354658701500306"},{"key":"atypb27","doi-asserted-by":"crossref","unstructured":"Lambert KL: Vascularized patellar tendon graft with rigid internal fixation for anterior cruciate ligament insufficiency. Clin Orthop 172: 85-89, 1983 28. Lipscomb AB, Anderson AF: Tears of the anterior cruciate ligament in adolescents. J Bone Joint Surg 68A: 19-28, 1986","DOI":"10.1097\/00003086-198301000-00016"},{"key":"atypb28","doi-asserted-by":"publisher","DOI":"10.1177\/036354658201000603"},{"key":"atypb29","doi-asserted-by":"publisher","DOI":"10.1177\/036354658100900201"},{"key":"atypb30","doi-asserted-by":"crossref","unstructured":"Marder RA, Raskind JR, Carrol LM: Prospective evaluation of arthroscopically assisted anterior cruciate ligament reconstruction. Patellar tendon versus semitendinosus and gracilis tendons. Am J Sports Med 19: 478-484, 1991","DOI":"10.1177\/036354659101900510"},{"key":"atypb31","doi-asserted-by":"publisher","DOI":"10.1177\/036354658301100107"},{"key":"atypb32","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197456070-00007"},{"key":"atypb33","doi-asserted-by":"crossref","unstructured":"Mott HW: Semitendinosus anatomic reconstruction for cruciate ligament insufficiency . Clin Orthop 172: 90-92, 1983","DOI":"10.1097\/00003086-198301000-00017"},{"key":"atypb34","unstructured":"Nakagawa S. , Shino K., Inoue M., et al: Patello-femoral degeneration following anterior cruciate ligament reconstruction. Am J Sports Med 19: 559, 1991"},{"key":"atypb35","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466030-00005"},{"key":"atypb36","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173020-00016"},{"key":"atypb37","doi-asserted-by":"publisher","DOI":"10.1177\/036354659101900609"},{"key":"atypb38","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.68B3.3733814"},{"key":"atypb39","doi-asserted-by":"publisher","DOI":"10.1177\/036354658000800603"},{"key":"atypb40","doi-asserted-by":"crossref","unstructured":"Rackemann S. , Robinson A., Dandy DJ: Reconstruction of the anterior cruciate ligament with an intra-articular patellar tendon graft and an extraarticular tenodesis . Results after six years. J Bone Joint Surg 73B: 368-373, 1991","DOI":"10.1302\/0301-620X.73B3.1670429"},{"key":"atypb41","doi-asserted-by":"publisher","DOI":"10.1177\/036354658601400512"},{"key":"atypb42","doi-asserted-by":"publisher","DOI":"10.1177\/036354658901700606"},{"key":"atypb43","doi-asserted-by":"publisher","DOI":"10.1177\/036354658801600406"},{"key":"atypb44","doi-asserted-by":"crossref","unstructured":"Scott WN, Ferriter P., Marino M.: Intra-articular transfer of the iliotibial tract. Two to seven-year follow-up results. J Bone Joint Surg 67A: 532-538, 1985","DOI":"10.2106\/00004623-198567040-00005"},{"key":"atypb45","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(92)90137-Z"},{"key":"atypb46","doi-asserted-by":"publisher","DOI":"10.1177\/036354659001800111"},{"key":"atypb47","doi-asserted-by":"crossref","unstructured":"Zaricznyj B. : Reconstruction of the anterior cruciate ligament of the knee using a doubled tendon graft. Clin Orthop 220: 162-175, 1987","DOI":"10.1097\/00003086-198707000-00022"},{"key":"atypb48","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668020-00001"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354659402200210","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/036354659402200210","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:38:46Z","timestamp":1777369126000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/036354659402200210"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,3]]},"references-count":48,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1994,3]]}},"alternative-id":["10.1177\/036354659402200210"],"URL":"https:\/\/doi.org\/10.1177\/036354659402200210","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,3]]}}}