No Postoperative Difference Between Bone-Block Versus All-Soft Tissue Quadriceps Tendon Autografts for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis

The authors aimed to determine whether there are significant differences in outcomes between quadriceps tendon autografts harvested with a patellar bone block (QTBB) versus as an all-soft tissue graft (QTST) for anterior cruciate ligament reconstruction (ACLR). Their systematic review and meta-analysis of 44 studies revealed no clinically meaningful differences in patient-reported outcomes, graft integrity, return to sports rates, or complication rates between the two graft types. Overall, the findings suggest that both graft options are comparable in the short term for primary ACLR.