{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T20:45:57Z","timestamp":1785703557672,"version":"3.56.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The rectus femoris tendon has recently gained attention as a promising soft tissue autograft for anterior cruciate ligament (ACL) reconstruction. However, there is limited information regarding its graft dimensions, harvesting technique, and safety profile.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To evaluate the dimensions of the rectus femoris tendon graft in patients undergoing ACL reconstruction, identify anthropometric predictors of graft size, describe key technical steps for safe harvesting, and report intraoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 211 consecutive patients undergoing ACL reconstruction with rectus femoris tendon autograft were prospectively enrolled across multiple centers. Graft dimensions\u2014length and diameter in 2- and 3-strand configurations\u2014were recorded intraoperatively. Correlations between graft size and patient anthropometry were assessed, and a multivariable regression model was developed to predict graft length. Intraoperative complications during graft harvesting were also documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean graft length was 30.8 \u00b1 3.4 cm, with 99.1% measuring \u226524 cm. Mean diameters were 8.1 \u00b1 0.6 mm (2-strand) and 9.3 \u00b1 0.7 mm (3-strand), with only 1.4% of 3-strand grafts measuring &lt;8 mm. Patient height showed the strongest correlation with graft length (r = 0.563). Complications occurred in 11.4% of cases, mostly minor and during the early adoption phase of this technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The rectus femoris tendon provides consistent and predictable graft dimensions suitable for multistrand ACL reconstruction, including in patients at higher risk of undersized soft tissue grafts. These morphometric findings support its potential as an autograft option and provide a basis for preoperative planning. Clinical outcomes and donor-site morbidity require evaluation in future studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671261463926","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T10:28:02Z","timestamp":1785234482000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Rectus Femoris Tendon Graft for ACL Reconstruction: Predictive Anthropometry and Surgical Pearls Based on a Prospective Case Series"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8447-7660","authenticated-orcid":false,"given":"Bernardo Garcia","family":"Barroso","sequence":"first","affiliation":[{"name":"Instituto de Ortopedia e Traumatologia, Vit\u00f3ria Apart Hospital, Serra, Esp\u00edrito Santo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rcio Cabral Fagundes","family":"R\u00eago","sequence":"additional","affiliation":[{"name":"Grupo de Joelho, Hospital Memorial S\u00e3o Francisco, Natal, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8499-8659","authenticated-orcid":false,"given":"Marcelo Cabral Fagundes","family":"R\u00eago","sequence":"additional","affiliation":[{"name":"Grupo de Joelho, Hospital Memorial S\u00e3o Francisco, Natal, Rio Grande do Norte, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8195-0036","authenticated-orcid":false,"given":"Felipe Silveira","family":"Martins","sequence":"additional","affiliation":[{"name":"Grupo do Joelho\u2014Cl\u00ednica de Ortopedia e Traumatologia Balne\u00e1rio Cambori\u00fa, Itaja\u00ed e Itapema, Santa Catarina, Brazil"},{"name":"Hospital da Unimed, Balne\u00e1rio Cambori\u00fa, Santa Catarina, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5702-1529","authenticated-orcid":false,"given":"Diego Ariel","family":"de Lima","sequence":"additional","affiliation":[{"name":"UFERSA, Universidade Federal Rural do Semi-\u00c1rido, Mossor\u00f3, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio Marinho de Gusm\u00e3o","family":"Canuto","sequence":"additional","affiliation":[{"name":"Ortocl\u00ednica hospital de Ortopedia, Macei\u00f3, Alagoas, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1139-2524","authenticated-orcid":false,"given":"Camilo Partezani","family":"Helito","sequence":"additional","affiliation":[{"name":"Grupo de Joelho, Instituto de Ortopedia e Traumatologia, Hospital das Cl\u00ednicas HCFMUSP, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"},{"name":"Hospital S\u00edrio Liban\u00eas, S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2024.103067"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231222279"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.01.033"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.04.006"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967113518255"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2023.01.101"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.0740"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-024-05268-8"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-012-1597-1"},{"issue":"2","key":"e_1_3_2_11_2","first-page":"362","article-title":"No difference between full thickness and partial thickness quadriceps tendon autografts in anterior cruciate ligament reconstruction: a systematic review","volume":"27","author":"Kanakamedala AC","year":"2019","unstructured":"Kanakamedala AC, Condra S, Zoller SD, et al. 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