Trial reportEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025
Quadriceps versus hamstrings autograft in anterior cruciate ligament reconstruction: a randomized control trial.
Trial report in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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
1 citing paper in PubMed.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe use of quadriceps tendon (QT) autograft is on the rise owing to its specific attributes, such as predictable size, lower graft failure rate, and less donor site morbidity. The hypothesis for the current study is that ACL reconstruction using QT autograft results in better clinical outcomes than hamstrings tendon (HT).
methodsPatients underwent a single-bundle, all-inside ACL reconstruction after being randomized into QT and HT groups. At 12 months, objective outcomes (Lachman test, anterior drawer test, pivot shift test, and side-to-side anterior translation measurement with KT-1000) and subjective outcomes (Lysholm and KOOS scores) were evaluated, along with donor site morbidity and graft failure.
resultsSixty-nine patients (QT: 33, HT: 36) were included in the final analysis. At 12 month follow-up, a negative Lachman test was found in 72.7% of cases in the QT group and 41.6% in the HT group (p = 0.04). Positive pivot shift was more frequent in the HT group (13.9% vs. 0%, p = 0.27), while KT-1000 showed greater anterior translation in the HT group than QT (3.77 ± 2.01 vs. 2.73 ± 1.64 mm, p = 0.23). Lysholm (92.4 vs. 88.2, p = 0.008) and KOOS (94.1 vs. 89.6, p = 0.01) scores were higher in the QT group. The only case of graft failure occurred in the HT group, which also had more sensory hypoesthesia (30.5%), while one patient in the QT group developed stiffness requiring arthrolysis.
conclusionQuadriceps tendon autograft in ACL reconstruction offers superior translational stability and reduced donor site morbidity, with comparable PROMs and a trend toward improved rotational stability. CTRI REGISTRATION NUMBER: CTRI/2023/07/055894. EVIDENCE LEVEL: Level 1, Randomized Controlled Study.
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