Background:The ideal graft for anterior cruciate ligament (ACL) reconstruction (ACLR) in young athletes has a high return-to-sport (RTS) rate and a low reinjury rate. Quadriceps tendon autografts are being used with increasing frequency for ACLR in this population, despite a paucity of evidence to support their use.Purpose:To report the RTS rate, ipsilateral reinjury rate, and contralateral ACL injury rate in a young athletic population undergoing primary ACLR using an all–soft tissue quadriceps tendon (ASTQT) autograft.Study Design:Cases series; Level of evidence, 4.Methods:Patients aged 14 to 22 years who underwent primary ACLR using an ASTQT autograft by a single surgeon between January 1, 2005, and April 30, 2020, were identified via electronic medical records and contacted ≥24 months after ACLR to complete a survey regarding subsequent ipsilateral or contralateral ACL injuries and RTS. Patients who had undergone previous ACLR (ipsilateral or contralateral) were excluded.Results:A total of 656 patients (330 male, 326 female; mean age, 17.9 years) were identified, and 395 patients completed the survey (60.2%; 174 male, 221 female; mean age, 17.8 years) with a mean follow-up of 73 ± 29 months (range, 24-139 months). The RTS rate was high (male: 87.7%; female: 82.8%; P = .19). Male and female patients had similar rates of revision ACLR (male: 12.6%; female: 10.0%; P = .40) and contralateral ACL injuries (male: 13.8%; female: 11.3%; P = .46).Conclusion:A high RTS rate and similar rates of ipsilateral and contralateral ACL injuries were found for male and female patients in a young athletic population undergoing primary ACLR using an ASTQT autograft. These results help one to better understand the utility of ASTQT grafts to support successful ACLR in young athletic populations, for which ASTQT grafts appear to yield favorable outcomes.

中文翻译：

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在年轻活跃人群中使用全软组织股四头肌肌腱重建前交叉韧带后的性别特异性结果


背景：年轻运动员前交叉韧带（ACL）重建（ACLR）的理想移植物具有高恢复运动（RTS）率和低再损伤率。尽管缺乏证据支持其使用，但自体股四头肌腱移植物在该人群中用于 ACLR 的使用频率不断增加。目的：报告接受初次 ACLR 的年轻运动人群的 RTS 率、同侧再损伤率和对侧 ACL 损伤率使用全软组织股四头肌肌腱 (ASTQT) 自体移植物。研究设计：病例系列；证据级别，4。方法：2005 年 1 月 1 日至 2020 年 4 月 30 日期间，由一名外科医生使用 ASTQT 自体移植物进行初次 ACLR 的年龄为 14 至 22 岁的患者，通过电子病历进行识别，并在 ≥24 个月后进行联系ACLR 完成有关随后的同侧或对侧 ACL 损伤和 RTS 的调查。排除既往接受过 ACLR（同侧或对侧）的患者。 结果：共确定了 656 名患者（男性 330 名，女性 326 名；平均年龄 17.9 岁），其中 395 名患者完成了调查（60.2%；男性 174 名， 221 名女性；平均年龄 17.8 岁），平均随访时间为 73 ± 29 个月（范围：24-139 个月）。 RTS 率较高（男性：87.7%；女性：82.8%；P = .19）。男性和女性患者的 ACLR 翻修率（男性：12.6%；女性：10.0%；P = .40）和对侧 ACL 损伤率相似（男性：13.8%；女性：11.3%；P = .46）。结论：A在使用 ASTQT 自体移植物进行初次 ACLR 的年轻运动人群中，男性和女性患者中发现 RTS 发生率较高，同侧和对侧 ACL 损伤的发生率相似。 这些结果有助于人们更好地了解 ASTQT 移植物在支持年轻运动员群体成功获得 ACLR 方面的效用，而 ASTQT 移植物似乎能产生良好的结果。