Return-to-sport outcomes after primary and revision anterior cruciate ligament reconstruction using quadriceps tendon autografts in highly active male athletes.

Purpose: To evaluate return-to-sport (RTS) outcomes following primary and revision anterior cruciate ligament reconstruction (ACLR) using quadriceps tendon autografts in a highly active male athletic population. Methods: This retrospective cohort study included 140 highly active male athletes who underwent ACLR with a quadriceps tendon autograft by a single surgeon between 2014 and 2021. Participants were divided into primary ( Results: In the primary reconstruction cohort, 98.9% of athletes successfully returned to some sport, 90.3% to their pre-injury sport, and 73.1% to their pre-injury sport at the same or higher level. Of those who returned to their pre-injury sport, 70.2% reported performing at their pre-injury level. Of those who returned to their pre-injury sport at the same or higher level, 79.4% reported performing at their pre-injury level. In the revision cohort, 85.1% of athletes successfully returned to some sport, 57.4% to their pre-injury sport and 40.4% to their pre-injury sport at the same or higher level. Of athletes in the revision cohort who returned to their pre-injury sport, 55.6% reported performing at their pre-injury level. Of those who returned at the same or higher level, 57.9% reported performing at their pre-injury level. Conclusion: Quadriceps tendon autografts yielded high RTS rates in highly active male athletes after primary reconstruction and rates in the revision setting comparable to previous literature. A high proportion of the patients felt they could perform as well as prior to their injury. Level of Evidence: Level III, retrospective cohort study.