ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
Biomechanics of hamstring tendon, quadriceps tendon, and bone-patellar tendon-bone grafts for anterior cruciate ligament reconstruction: a cadaveric study.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- A Prospective Randomized Controlled Trial Investigating Quadriceps Versus Hamstring Tendon Autograft in Anterior Cruciate Ligament Reconstruction.The American journal of sports medicine · 2024Trial
- A Narrative Review of Anterior Cruciate Ligament Reconstruction Graft Choice and Its Influence on Return to Sport.Current reviews in musculoskeletal medicine · 2026Review
- Anterior Cruciate Ligament Reconstruction: Clinical Outcomes and Biomechanical Considerations of Graft Selection-A Narrative Review.Medicina (Kaunas, Lithuania) · 2026Review
- Quadriceps Tendon Autografts Are Associated With Increased Short-term Reoperation Rates for Extension Deficit or Pain and Inferior Patient-Reported Outcomes Compared With Hamstring Tendon Autografts: An Analysis of 5653 Cases of Primary Anterior Cruciate Ligament Reconstruction.The American journal of sports medicine · 2026Article
- Biomechanical properties of an all-soft tissue quadriceps tendon autograft compared with a quadrupled semitendinosus autograft: a cadaveric study.Knee surgery & related research · 2026Article
- Patellar Tendon Repair With Gracilis Autograft Augmentation and Anchor Fixation.Arthroscopy techniques · 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
- Prospective MRI-Based Comparison of Graft Maturation After ACL Reconstruction Using Quadriceps Versus Hamstring Tendon Autograft.Orthopaedic journal of sports medicine · 2026Article
- Article
- The Rectus Femoris Tendon as a Graft for Combined ACL and Anterolateral Reconstruction: A Biomechanical Evaluation.The American journal of sports medicine · 2026Article
- Influencing factors on mechanical properties of tendon-suture system during graft preparation: a multiple linear regression analysis.Journal of orthopaedic surgery and research · 2026Article
- 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
- Article
- Global Variations in Surgical Techniques for Primary Anterior Cruciate Ligament Reconstruction at Minimum 2-Year Follow-up: A Systematic Review of Randomized Clinical Trials.Orthopaedic journal of sports medicine · 2025Article
- Age-related changes in the quadriceps tendon: Collagen fibril diameter decreases with aging.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2025Article
- Trabecular Architecture of the Proximal Tibia in Extant Hominids.American journal of biological anthropology · 2025Article
- Association Between Autograft Choice and Psychological Readiness to Return to Sport After ACL Reconstruction.Orthopaedic journal of sports medicine · 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
- Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends.Medicina (Kaunas, Lithuania) · 2024Review
- Tensile Strength of the Achilles Tendon Allograft: A Comparative Study of Graft Preparation Technique.Journal of clinical medicine · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe three most commonly used autografts for anterior cruciate ligament reconstruction (ACL) are: bone-patellar tendon-bone (BTB), hamstring tendons (HT), and quadriceps tendon (QT). A cadaveric study was performed to determine if there were any differences in mechanical and structural properties under biomechanical testing.
methodsTwenty-seven graft specimens were harvested from 9 human cadaveric legs. Mean donor age was 75.2 years (range 53-85 years). Twenty-two specimens (8 HT, 7 QT, and 7 BTB) completed cyclic preconditioning from 50 to 800 N for 200 cycles and a load to failure test at an extension rate of 1 mm/s. Structural and mechanical properties of BTB, HT, and QT grafts were compared using a one-way ANOVA and Tukey's honest significant difference.
resultsThere was no difference in the ultimate load to failure (N) across all 3 graft types (p = 0.951). Quadriceps tendon demonstrated greater cross-sectional area (mm
conclusionThere was no difference in the ultimate load to failure of BTB, HT, and QT grafts harvested from the same specimens. All 3 grafts had similar loads to failure with a significant increase in stiffness when compared to the native ACL. Furthermore, QT demonstrated more favourable structural properties compared to HT and BTB with greater cross-sectional area to both HT and BTB and greater stiffness compared to HT.
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Registered trials
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