Number One Overall Graft Pick? Hamstring vs Bone-Patellar-Tendon-Bone vs Quadriceps Tendon

Number One Overall Graft Pick? Hamstring vs Bone-Patellar-Tendon-Bone vs Quadriceps Tendon: A Prospective Cohort Study

The main purpose of this study is to determine if there is a difference in graft re-injury/failure rates between participants that have had an ACL reconstruction with a STG, BPTB or QT autograft. Additionally, to compare quality of life, patient reported outcomes and functional performance after ACL reconstruction with STG, BPTB and QT.

The main purpose of this study is to determine if there is a difference in graft re-injury/failure rates between participants that have had an ACL reconstruction with a STG, BPTB or QT autograft. Additionally, to compare quality of life, patient reported outcomes and functional performance after ACL reconstruction with STG, BPTB and QT.

Quasi-randomized clinical trial

Inclusion Criteria:

• - confirmed diagnosis of a complete primary unilateral ACL rupture based on all of the following:
• history of a traumatic injury episode
• physical exam findings of increased anterior translation of the tibia on the femur (Lachman test and/or anterior drawer test)
• positive pivot shift test
• patients must be 14 to </= 50 years (at time of surgery)
• x-rays showing skeletal maturity (i.e. tibial tubercle fused) and no fractures
• MRI prior to surgery (note: if the radiologist's report states an incomplete or partial ACL on MRI but the surgeon diagnoses the patient with a complete unilateral tear based on the clinical criteria above, then the patient will be considered eligible. Final eligibility will be determined intra-operatively.)

Exclusion Criteria:

• - ACL rupture on contra-lateral limb
• Partially torn ACL *final determination made intra-operatively
• Concomitant medial collateral, lateral collateral, or posterior collateral ligament tears requiring surgical repair *final determination made intra-operatively
• Severe chondromalacia (Grade IV on the ICRS scale) *final determination made intra-operatively
• ACL reconstruction using allograft tissue
• Confirmed connective tissue disorder
• Unwillingness to be followed for 24 months post-operatively
• History of rheumatoid arthritis
• Pregnancy (at the time of surgery)
• Psychiatric illness that precludes informed consent
• Unable to speak, read or understand the English language
• Major medical illness (life expectancy less than 1 year or unacceptably high operative risk)