Evidence map›Paper›PMID 40765582›Full record

ArticleCureus2025

Increasing Utilization of Quadriceps Tendon Autograft in Adult Primary Anterior Cruciate Ligament Reconstruction: A Retrospective Review.

Timothy Foster, Brandon Klein, Shebin M Tharakan, Lucas E Bartlett, Aaron Atlas, Randy Cohn, Nicholas A Sgaglione

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Timothy FosterOrthopaedic Surgery, Northwell Health, New Hyde Park, USA.
Brandon KleinOrthopaedic Surgery, Northwell Health, New Hyde Park, USA.
Shebin M TharakanOrthopaedic Surgery, New York Institute of Technology College of Osteopathic Medicine, Oyster Bay, USA.
Lucas E BartlettOrthopaedic Surgery, Northwell Health, New Hyde Park, USA.
Aaron AtlasOrthopaedic Surgery, Northwell Health, New Hyde Park, USA.
Randy CohnOrthopaedic Surgery, Northwell Health, New Hyde Park, USA.
Nicholas A SgaglioneOrthopaedic Surgery, Northwell Health, New Hyde Park, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction  Recent literature has demonstrated that the use of quadriceps tendon (QT) autograft for anterior cruciate ligament reconstruction (ACLR) is a viable alternative to more well-established autograft options. This study evaluated trends in QT autograft utilization in primary ACLR at a single institution. Methods A retrospective review of 2,352 ACLRs from 2014 to 2022 identified 1,582 primary ACLRs using autograft, after excluding allograft (651) and revision cases (119). The cohort included 1,021 men (66%) and 526 women (34%) with an average age of 24.0 years (range, 9-66). Time series analyses assessed annual quadriceps tendon utilization, and Pearson correlations identified trends, with significance defined as p<0.05. Results QT autograft was utilized in 3.7% (58/1,582) of autograft ACLR procedures and was used at least once by 29.7% (22/74) of surgeons. QT autograft was not utilized prior to 2020. Beginning in 2020, both the annual proportion of cases that utilized QT and the annual proportion of surgeons who utilized QT increased each year among all surgeon cohorts. QT utilization and hamstring tendon (HT) autograft utilization were inversely correlated among overall surgeons (R=-0.999, p=0.02) and among non-sports-trained surgeons (R=-0.999, p<0.01). HT autograft utilization decreased after the adoption of QT autograft at the study institution among sports-trained surgeons (R=-0.998, p=0.037). Conclusion Quadriceps tendon utilization for primary anterior cruciate ligament reconstruction has increased at a single institution since 2020 and corresponded with declining hamstring tendon use across surgeon cohorts with varying training, experience, and case volumes.

Indexed as

anterior cruciate ligament injuriesanterior cruciate ligament reconstructionautograftsknee jointquadriceps tendon

Identifiers

PMID40765582
PMCPMC12322709

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Registered trials

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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.