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September 20, 2025Journal of Arthroscopic Surgery and Sports Medicine5 citations

Comparative functional outcome study of superficial quadriceps tendon versus hamstring tendon autograft in arthroscopic anterior cruciate ligament reconstruction

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VDVarrdhaman H DhariwalPRPrabhakar RajamanickamMKMohankumar Kannaiyan

Key Points

  • Both the quadriceps and hamstring tendon autografts show similar functional outcomes after ACL reconstruction.
  • The study focused on 80 patients undergoing arthroscopic ACL reconstruction and measured outcomes using IKDC and TL scores.
  • Results showed no significant differences between graft types, with P-values greater than 0.05.
  • The findings support the use of either graft option for effective knee joint functionality.

Abstract

Objectives: The aim of this study was to evaluate the functional outcomes of arthroscopic anterior cruciate ligament (ACL) reconstruction using a quadriceps tendon graft and a hamstring tendon. Functional outcomes are measured using the Tegner Lysholm (TL) score and the International Knee Documentation Committee (IKDC) score, which provide a comprehensive evaluation of knee function and patient recovery. Materials and Methods: Patients aged 18 and above with Grade 3 anterior tibial translation were included in the study. Radiological confirmation was obtained through magnetic resonance imaging to support the diagnosis. Arthroscopic ACL reconstruction was then performed using a quadriceps tendon or hamstring autograft. Postoperatively, all patients were monitored, and functional knee assessment scores were recorded and compared with pre-operative values. Postoperatively, radiographs were done at 6 months, 1 year, and 2 years. Results: In our study, 80 patients underwent the procedure. Both the quadriceps and hamstring groups that underwent arthroscopic primary ACL reconstruction have similar outcomes in terms of IKDC and TL functional scores, with both having a P-value greater than 0.05. Conclusion: The quadriceps tendon autograft and the hamstring tendon autograft are equally effective for providing good functional scores to the knee joint.

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Cite This Study

Dhariwal et al. (2025) studied this question.

synapsesocial.com/papers/68d46abb31b076d99fa67e6ehttps://doi.org/10.25259/jassm_29_2025
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