Evidence map›Paper›PMID 41327264›Full record

ArticleJournal of orthopaedic surgery and research2025

Soft-tissue quadriceps tendon autograft during primary anterior cruciate ligament reconstruction in Skeletally-immature patients vs. Hamstrings: A protocol for a multi-centre randomized controlled trial.

Olufemi R Ayeni, SQuASH Investigators

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03896464 (Soft-tissue Quadriceps Autograft ACL-reconstruction in the Skeletally-immature vs. Hamstrings), which is not on this 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.

NCT03896464 narecruitingnot on this map

Soft-tissue Quadriceps Autograft ACL-reconstruction in the Skeletally-immature vs. Hamstrings (SQuASH): A Multi-Centre Randomized Controlled Trial

TypeinterventionalSponsorMcMaster UniversityRan2020 to 2030Enrolled352ConditionsACL - Anterior Cruciate Ligament RuptureArmsSoft tissue hamstring autograft, Quadriceps tendon autograft
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

2 authors.

Olufemi R AyeniDepartment of Surgery, Division of Orthopaedic Surgery, McMaster University, 1200 Main St West, 4E15, Hamilton, ON, L8N 3Z5, Canada. ayenif@mcmaster.ca.
SQuASH Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundACL tears in skeletally-immature patients are often treated surgically using soft-tissue autografts to offset increased risks of cartilage, meniscus and physeal injuries. Despite technological innovation, there remains a high failure rate among active young patients. We present a randomized controlled trial (RCT) to evaluate the soft-tissue quadriceps autograft compared to the standard hamstring autograft to treat primary ACL tears in the pediatric population.

methodsThis international RCT will evaluate 352 skeletally-immature patients between the ages of 10-18 years undergoing primary ACL reconstruction to compare the effect of hamstring versus soft-tissue quadriceps autografts on ACL failure rate as a primary outcome, and return to sport, knee function, knee pain, health-related quality of life and health utility, range of motion and stability, and other adverse events at 24 months as secondary outcomes. Follow-up will occur at 6 weeks and 6, 12, 18, and 24 months postoperatively. DISCUSSION: This trial will inform the optimal primary surgical management for ACL injuries as it pertains to all soft-tissue graft selection, to not only reduce the relatively high failure rates, but also improve the function and return-to-sports in this young, active population.

trial registrationThis trial was registered on ClinicalTrials.gov (NCT03896464) on March 27th, 2019.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionHamstring TendonsQuadriceps MuscleTendonsAdolescentAutograftsChildFemaleHumansMaleMulticenter Studies as TopicRandomized Controlled Trials as TopicReturn to SportTransplantation, AutologousTreatment OutcomeAnterior cruciate ligament reconstructionGraft selectionHamstringKneePediatricPhysealProtocolQuadricepsRandomized controlled trialSkeletally-immature

Identifiers

PMID41327264
PMCPMC12772096

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Registered trials

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.