Quadriceps Tendon Autografts Are Associated With Increased Short-term Reoperation Rates for Extension Deficit or Pain and Inferior Patient-Reported Outcomes Compared With Hamstring Tendon Autografts: An Analysis of 5653 Cases of Primary Anterior Cruciate Ligament Reconstruction

The authors aimed to compare nonrevision reoperation rates and patient-reported outcome measures (PROM) between primary anterior cruciate ligament reconstruction (ACLR) using quadriceps tendon (QT), hamstring tendon (HT), and bone-patellar tendon-bone (BPTB) autografts. They found that QT autografts were associated with significantly higher reoperation rates for extension deficit or pain and inferior PROM scores compared to HT autografts at a two-year follow-up. This suggests that while QT autografts are becoming more popular, they may not provide the same short-term outcomes as HT autografts.