March 18, 2026 · The American journal of sports medicine · DOI: 10.1177/03635465261428123

Risk of Revision and Reoperation After ACL Reconstruction: Comparison of Quadriceps Tendon, Patellar Tendon, and Hamstring Autografts Stratified by Patient Sex and Age: A Cohort Study of 27,715 Patients From 2012 to 2023

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The authors aimed to evaluate the risk of revision and reoperation after anterior cruciate ligament reconstruction (ACLR) based on the type of autograft used, while considering patient sex and age. Their findings indicate that young females have a significantly higher revision risk with hamstring tendon grafts compared to quadriceps and patellar tendon grafts, while the risk of reoperation varies by age and sex, highlighting the importance of graft selection in surgical decision-making.

Christopher R Lehman, Heather A Prentice, Chelsea Reyes, Colin Mansfield, Justin S Yang, Gregory B Maletis

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