ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Full thickness quadriceps tendon grafts with bone had similar material properties to bone-patellar tendon-bone and a four-strand semitendinosus grafts: a biomechanical study.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 35 citations in OpenAlex.
- Biomechanical properties of an all-soft tissue quadriceps tendon autograft compared with a quadrupled semitendinosus autograft: a cadaveric study.Knee surgery & related research · 2026Article
- Comparative biomechanical strength of autografts for ligament reconstruction: quadriceps, rectus femoris, peroneus longus, patellar, hamstring configurations (quadruple and braided) and iliotibial band: an exploratory cadaveric biomechanical study.BMC musculoskeletal disorders · 2026Article
- Periosteum-enhanced triple-pass Krackow stitch provides higher ultimate load than conventional Krackow methods in a bovine patellar tendon model: a controlled biomechanical study.BMC musculoskeletal disorders · 2026Article
- Prospective MRI-Based Comparison of Graft Maturation After ACL Reconstruction Using Quadriceps Versus Hamstring Tendon Autograft.Orthopaedic journal of sports medicine · 2026Article
- Article
- Several flat tendon graft types are viable options for flat superficial medial collateral ligament reconstructions-A biomechanical analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Bidirectional Tendon Strip: A Rectus Femoris Graft Harvesting Technique for Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2025Article
- A Simple, Anatomical, and Reproducible Technique for Harvesting a Partial-Thickness Layered Rectangular Quadriceps Tendon-Bone Autograft: Using Standard Surgical Instruments.Arthroscopy techniques · 2025Article
- Article
- Similar strength recovery but more complications with Bone-Quadriceps Tendon Autograft compared to Quadriceps Tendon Autograft in anterior cruciate ligament reconstruction in competitive soccer players.Journal of experimental orthopaedics · 2025Article
- Systematic Review and Prevalence Meta-Analysis of Quadriceps Femoris Morphology: Significance of the Quadriceps Tendon in Anterior Cruciate Ligament Reconstruction.Journal of functional morphology and kinesiology · 2025Review
- Biomechanical Comparison of Full-Thickness Versus Partial-Thickness Quadriceps Tendon Grafts for ACL Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- Preoperative Planning and Harvesting Technique of Quadriceps Tendon With Bone Block for Anterior Cruciate Ligament Reconstruction: An Evidence-Based, Cosmetic, and Precise Harvest Method.Arthroscopy techniques · 2025Article
- Cross-sectional area on magnetic resonance images of the semitendinosus tendon is strongly related to the collagen fibril diameter.Journal of experimental orthopaedics · 2025Article
- Long-term Outcomes After Anterior Cruciate Ligament Reconstruction With 3 Different Surgical Techniques: A Prospective Randomized Clinical and Radiographic Evaluation at a Minimum of 20 Years' Follow-up.Orthopaedic journal of sports medicine · 2025Article
- New Graft Choices for ACL Reconstruction: Update Article.Revista brasileira de ortopedia · 2024Article
- Whipstitch and Locking Stitch Show Equivalent Elongation and Load to Failure Across 3 Suture Systems in a Biomechanical Model of Quadriceps Tendon Grafts for Anterior Cruciate Ligament Reconstruction.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Incidence of Osteoarthritis Between ACL Reconstruction With Different Graft Types and Between ACL Reconstruction and Repair: A Systematic Review and Meta-analysis of Randomized Controlled Trials.Orthopaedic journal of sports medicine · 2024Review
- Oh, My Quad: A Clinical Commentary And Evidence-Based Framework for the Rehabilitation of Quadriceps Size and Strength after Anterior Cruciate Ligament Reconstruction.International journal of sports physical therapy · 2024Article
- Meniscal resection increases the risk of residual knee laxity even in patients undergoing anatomic double-bundle anterior cruciate ligament reconstruction with eight strands of hamstring autografts.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDespite increasing interest in utilizing quadriceps tendon (QT) grafts in anterior cruciate ligament reconstruction (ACLR), data on the optimal quadriceps graft thickness are limited. The purpose of this study was to characterize the mechanical properties for the quadriceps tendon, comparing full-thickness (FT) QT grafts with and without bone to a partial-thickness (PT) QT graft, and comparing the three QT grafts to four-stranded semitendinosus (4-SST) and bone-patellar tendon-bone (BTB) grafts and one experimental graft, the two-stranded rectus femoris (RF).
methodsForty-eight (n = 48) young cadaveric grafts (mean age 32 ± 6 years) were utilized for testing with N = 8 specimens in each of the following groups; (1) FT QT with bone, (2) FT QT without bone, (3) PT QT without bone, (4) BTB, (5) RF, and (6) 4-SST. Each specimen was harvested and rigidly fixed in custom clamps to a dynamic tensile testing machine for biomechanical evaluation. Graft ultimate load and stiffness were recorded. Independent groups one-factor ANOVAs and Tukey's pairwise comparisons were performed for statistical analyses.
resultsFT QT with bone and 4-SST grafts demonstrated similar ultimate loads to BTB grafts (both n.s), whereas PT QT demonstrate statistically significantly lower ultimate loads to BTB grafts (n.s) and 4-SST grafts (n.s). Furthermore, no statistically significant differences were observed between the ultimate loads of FT QT vs. PT QT grafts without bone (n.s) or between FT QT with vs. without bone (n.s). FT QT grafts with bone did not demonstrate statistically significantly greater ultimate loads than PT QT grafts without bone (n.s). The RF graft demonstrated statistically significantly lower ultimate loads to BTB grafts (p < 0.005) and 4-SST grafts (p < 0.014).
conclusionsFull thickness QT grafts with bone had similar material properties to BTB and a 4-SST grafts, while Partial thickness QT graft without bone had significantly lower material properties than BTB and 4-SST, in a biomechanical setting.
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