Background: The anterior cruciate ligament (ACL) is crucial for knee stability, and its rupture is a common injury among young and active individuals. Autograft selection remains a key factor in optimizing surgical outcomes after ACL reconstruction. Objective: To compare the clinical and functional outcomes of arthroscopic ACL reconstruction using minimally invasive quadriceps tendon (QT) autografts versus hamstring tendon (HT) autografts. Patients and Methods: This prospective comparative study enrolled 30 patients with ACL-deficient knees who underwent single-bundle arthroscopic ACL reconstruction and were followed for two years. Patients were randomized into HT (n=15) and QT (n=15) groups. Outcomes were assessed using the Lysholm score (eight subscales and total), International Knee Documentation Committee (IKDC) criteria, Lachman test, pivot shift, functional leg hop test, and radiographic evaluation. Results: Both groups showed significant postoperative improvements. The median Lysholm total score increased from 66 (IQR: 60–73) to 96 (94–100) in the HT group and from 65 (56–73) to 98 (95–100) in the QT group (both P<0.001), with no significant intergroup difference (P=0.761). IKDC parameters including Lachman and pivot shift tests improved significantly within each group (P<0.001), while effusion and extension remained unchanged (P>0.05). Regression analysis revealed that older age (β=−0.58, P=0.017) and longer time-to-surgery (β=−0.31, P=0.042) were negatively associated with Lysholm score improvement, whereas concomitant medial (β=17.09, P=0.001) and lateral meniscal injuries (β=11.42, P<0.001), as well as higher preoperative activity level III (β=11.59, P=0.002), predicted greater improvement. Conclusion: Arthroscopic ACL reconstruction using either HT or QT autografts provides comparable functional and clinical outcomes.
(2025). Comparative Study between Minimally Invasive Quadriceps VS Hamstring Tendon Autografts in Arthroscopic ACL Reconstruction. The Egyptian Journal of Hospital Medicine, 101(1), 4990-5000. doi: 10.21608/ejhm.2025.457671
MLA
. "Comparative Study between Minimally Invasive Quadriceps VS Hamstring Tendon Autografts in Arthroscopic ACL Reconstruction", The Egyptian Journal of Hospital Medicine, 101, 1, 2025, 4990-5000. doi: 10.21608/ejhm.2025.457671
HARVARD
(2025). 'Comparative Study between Minimally Invasive Quadriceps VS Hamstring Tendon Autografts in Arthroscopic ACL Reconstruction', The Egyptian Journal of Hospital Medicine, 101(1), pp. 4990-5000. doi: 10.21608/ejhm.2025.457671
VANCOUVER
Comparative Study between Minimally Invasive Quadriceps VS Hamstring Tendon Autografts in Arthroscopic ACL Reconstruction. The Egyptian Journal of Hospital Medicine, 2025; 101(1): 4990-5000. doi: 10.21608/ejhm.2025.457671