SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
Quadriceps tendon autograft with or without bone block have comparable clinical outcomes, complications and revision rate for ACL reconstruction: a systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Quadriceps tendon autograft has similar clinical outcomes when compared to hamstring tendon and bone-patellar tendon-bone autografts for revision ACL reconstruction: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- No difference in patient reported outcomes, laxity, and failure rate after revision ACL reconstruction with quadriceps tendon compared to hamstring tendon graft: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Anterior Cruciate Ligament Reconstruction: Clinical Outcomes and Biomechanical Considerations of Graft Selection-A Narrative Review.Medicina (Kaunas, Lithuania) · 2026Review
- Quadriceps Tendon Allograft for Posterior Cruciate Ligament Reconstruction With and Without a Bone Block.Arthroscopy techniques · 2026Article
- The Rectus Femoris Tendon as a Graft for Combined ACL and Anterolateral Reconstruction: A Biomechanical Evaluation.The American journal of sports medicine · 2026Article
- Quadriceps tendon autograft for ACL reconstruction: A global survey from the International Quadriceps Tendon Interest Group.Journal of experimental orthopaedics · 2026Article
- Anterior Cruciate Ligament Reconstruction: Common Intraoperative Mistakes and Techniques for Error Recovery.Current reviews in musculoskeletal medicine · 2025Review
- Semitendinosus vs quadriceps tendon autograft in anterior cruciate ligament reconstruction (SEQUAR): protocol for a prospective randomized controlled trial.BMC musculoskeletal disorders · 2025Article
- Clinical and Radiological Outcomes of Revision Anterior Cruciate Ligament Reconstruction Using a Quadriceps Tendon Autograft with a Bone Block: A Single-Center Case Series.Medicina (Kaunas, Lithuania) · 2025Article
- Combined Revision of Anterior Cruciate Ligament and Lateral Extra-Articular Procedure Using Rectus Femoris Autologous Graft.Arthroscopy techniques · 2025Article
- Arthrofibrosis After Adolescent Anterior Cruciate Reconstruction with Quadriceps Tendon with Bone Block Autograft.Orthopaedic journal of sports medicine · 2025Article
- Dynamic valgus after ACL reconstruction: quadriceps- vs. semitendinosus tendon grafts.Archives of orthopaedic and trauma surgery · 2025Article
- Biomechanical Comparison of Full-Thickness Versus Partial-Thickness Quadriceps Tendon Grafts for ACL Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- No difference in clinical outcome between quadriceps tendon anterior cruciate ligament reconstruction with and without bone block: Results from the Danish Knee Ligament Registry.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Quadriceps Tendon Cylinder-Shaped Anterior Cruciate Ligament Reconstruction With Suspensory Fixation.Arthroscopy techniques · 2025Article
- 4-Strand hamstring versus single-bundle quadriceps tendon grafts in anterior cruciate ligament reconstruction at 2 years: A systematic review and meta-analysis of randomised controlled trials.Journal of experimental orthopaedics · 2025Review
- Graft Selection in Anterior Cruciate Ligament Reconstruction: A Comprehensive Review of Current Trends.Medicina (Kaunas, Lithuania) · 2024Review
- Clinical Results of Isolated MCL Grade III Injury in Acute and Chronic Setting: Systematic Review and Meta-analysis.Indian journal of orthopaedics · 2024Article
- Enhancing research methods: The role of systematic and scoping reviews in orthopaedics, sports medicine and rehabilitation.Journal of experimental orthopaedics · 2024Article
- Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Using the Superficial Layer Quadriceps Tendon Graft: Surgical Technique Description.Arthroscopy techniques · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this systematic review is to report complications, graft failure, fixation methods, rehabilitation protocol, clinical and patient-reported outcomes, and return to sports with the use of quadriceps tendon graft with the bone block (QT-B) and without bone block (QT-S).
methodsAccording to the PRISMA guidelines a comprehensive search was performed across PubMed/MEDLINE, Scopus, EMBASE, and Cochrane Library databases from inception until April 2022. Only prospective studies using quadriceps tendon autograft with a minimum of 20 patients were considered for inclusion. The outcome measures extracted from the studies were the KT-1000, Lysholm score, Subjective and Objective IKDC, Tegner, Marx Score, complications, failures and/or revision surgery, and rate of return to sports. Cochrane risk of bias and MINORS tool were used for the risk of bias assessment of all included studies.
resultsA total of 13 studies were included, consisting of 5 randomized controlled trials, 6 cohort studies, 1 case-control and 1 case series. A total of 484 patients received QT-S in 6 studies of which 224 (46.2%) were males and 212 (43.8%) females with a mean age of 21.5 ± 7.5 (range 14-58). While 243 patients received QT-B in 7 studies of which 167 (68.7%) were males and 76 (31.3%) females with a mean age of 28.9 ± 4.5 (range: 18-49). The studies analyzed had a mean MINORS score of 14.6 (range, 12-19). Both QT-B and QT-S for ACL reconstruction reported satisfactory results in terms of patient-reported outcome measures. Although, a slightly higher anterior laxity was found with the QT-S than with the QT-B.
conclusionQuadriceps tendon with a bone block (QT-B) or without bone block (QT-S) for ACL reconstruction is supported by current literature. Both grafts are safe and viable options for ACL reconstruction with comparable clinical outcomes, complications and revision rates. LEVEL OF EVIDENCE: Level IV. REGISTRATION: PROSPERO-CRD42022347134; https://www.crd.york.ac.uk/prospero/.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.