About this trial
This prospective multicenter cohort study aims to compare clinical and functional outcomes between hamstring tendon and quadriceps tendon autografts in anterior cruciate ligament (ACL) reconstruction in female athletes. Participants will be followed for two years after surgery to evaluate graft failure rates, return to sport, knee stability, and patient-reported outcomes.
Eligibility criteria
Qualifiers
Female patients aged 16 to 35 years with skeletal maturity
Active athlete: minimum two training sessions per week during the six months prior to injury in pivoting sports
Confirmed complete ACL rupture by MRI and clinical examination
Primary ACL reconstruction (first ligament surgery on the index knee)
Disqualifiers
Previous ligament surgery on either knee
Multiligament injury: simultaneous PCL, grade III MCL or LCL injury
Neuromuscular, rheumatological or systemic pathology interfering with rehabilitation or functional assessments
Pre-existing radiological osteoarthritis grade Kellgren-Lawrence ≥2 in the index knee
Trial design
Treatments tested in this trial
- Hamstring tendon autograft ACL reconstruction
- Quadriceps tendon autograft ACL reconstruction