Quadriceps Tendon ACL Grafts Linked to More Reoperations Than Hamstring Grafts

A retrospective cohort study of 5653 primary ACL reconstructions compared reoperation rates and patient-reported outcomes across quadriceps tendon (QT), hamstring tendon (HT), and bone-patellar tendon-bone (BPTB) autografts. The study reported that QT grafts had higher overall reoperation rates (19.2% vs 8.9% HT and 6.9% BPTB), driven mainly by reoperations for extension deficit or pain, and were independently associated with this outcome after adjusting for confounders. The study also reported that QT grafts showed lower odds of achieving minimal important change and patient acceptable symptom state compared with HT grafts, and that female patients and those with larger grafts had higher odds of extension deficit or pain reoperations.

Most relevant for: Patients undergoing primary anterior cruciate ligament reconstruction, particularly those being considered for quadriceps tendon autograft.

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