{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T20:53:43Z","timestamp":1783371223479,"version":"3.54.6"},"reference-count":33,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The incidence of anterior cruciate ligament (ACL) reconstruction is increasing, and quadriceps tendon (QT) autograft is gaining popularity for both primary and revision ACL reconstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the differences in the patient-reported functional outcomes, concomitant injuries, and graft failure in primary versus revision ACL surgery using QT autograft.<\/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>A total of 376 patients with primary ACL reconstruction and 138 patients with revision ACL reconstruction were retrospectively retrieved from a prospectively collected ACL registry. A minimally invasive technique was used for QT autograft harvesting. The surgical procedure and rehabilitation protocol were identical in both groups. To maintain a homogeneous cohort for the study, the groups were matched by age, sex, and preinjury outcome scores (Lysholm knee score, Tegner activity level, and visual analog scale [VAS] for pain). Initial baseline assessments of outcome scores were compared with scores collected at the 2-year postoperative mark.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age of the primary group and revision group was 32.9 \u00b1 10.2\u2009years (range, 18-55\u2009years) and 32.3 \u00b1 9.9\u2009years (range, 19-55\u2009years) respectively. Significant preinjury to postoperative improvements were noted in Lysholm (88.2 \u00b1 16.4 vs 83.5 \u00b1 15.0; P = .007) and VAS pain (0.9 \u00b1 1.3 vs 1.5 \u00b1 1.6; P = .001) scores after primary ACL reconstruction compared with revision reconstruction. However, no significant difference was found in Tegner activity level (6.7 \u00b1 1.8 vs 5.9 \u00b1 1.8; P &gt; .430). Primary ACL injury was associated with significantly higher concomitant medial collateral ligament injuries ( P = .019), while the revision group was associated with significantly higher concomitant cartilage ( P = .001) and meniscal ( P = .003) injuries. A significantly higher graft failure rate was noted in the revision group compared with the primary ACL reconstruction group (13.0% vs 5.6%; P = .005).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both primary and revision ACL reconstruction with QT autograft had acceptable functional outcomes. The primary group had better outcomes than the revision group, possibly due to the lower prevalence of meniscal and cartilage injuries in the primary group compared with the revision group. The revision group was associated with higher graft failure than the primary group. QT autograft is a viable graft choice for both primary and revision ACL reconstruction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671231224501","type":"journal-article","created":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T10:45:53Z","timestamp":1706784353000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Primary Versus Revision ACL Reconstruction Using Quadriceps Autograft: A Matched-Control Cohort Study"],"prefix":"10.1177","volume":"12","author":[{"given":"Amit","family":"Meena","sequence":"first","affiliation":[{"name":"Gelenkpunkt\u2013Sports and Joint Surgery, FIFA Medical Center of Excellence, Innsbruck, Austria"},{"name":"Research Unit for Orthopedic Sports Medicine and Injury Prevention (OSMI), Private University for Health Sciences, Medical Informatics and Technology, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Farinelli","sequence":"additional","affiliation":[{"name":"Clinical Orthopedics, Department of Clinical and Molecular Sciences. Universit\u00e0 Politecnica delle Marche, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Hoser","sequence":"additional","affiliation":[{"name":"Gelenkpunkt\u2013Sports and Joint Surgery, FIFA Medical Center of Excellence, Innsbruck, Austria"},{"name":"Research Unit for Orthopedic Sports Medicine and Injury Prevention (OSMI), Private University for Health Sciences, Medical Informatics and Technology, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Abermann","sequence":"additional","affiliation":[{"name":"Gelenkpunkt\u2013Sports and Joint Surgery, FIFA Medical Center of Excellence, Innsbruck, Austria"},{"name":"Research Unit for Orthopedic Sports Medicine and Injury Prevention (OSMI), Private University for Health Sciences, Medical Informatics and Technology, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Hepperger","sequence":"additional","affiliation":[{"name":"Gelenkpunkt\u2013Sports and Joint Surgery, FIFA Medical Center of Excellence, Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohit Kumar","family":"Patralekh","sequence":"additional","affiliation":[{"name":"Central Institute of Orthopedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirco","family":"Herbort","sequence":"additional","affiliation":[{"name":"Research Unit for Orthopedic Sports Medicine and Injury Prevention (OSMI), Private University for Health Sciences, Medical Informatics and Technology, Innsbruck, Austria"},{"name":"OCM Clinic, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Fink","sequence":"additional","affiliation":[{"name":"Gelenkpunkt\u2013Sports and Joint Surgery, FIFA Medical Center of Excellence, Innsbruck, Austria"},{"name":"Research Unit for Orthopedic Sports Medicine and Injury Prevention (OSMI), Private University for Health Sciences, Medical Informatics and Technology, Innsbruck, 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