Risk of Revision and Reoperation After ACL Reconstruction: Comparison of Quadriceps Tendon, Patellar Tendon, and Hamstring Autografts Stratified by Patient Sex and Age: A Cohort Study of 27,715 Patients From 2012 to 2023

In young female patients, HT ACLR was associated with a 2.3 and 1.8 times higher revision risk when compared to QT and PT ACLR, respectively. No differences in risk of revision were noted between QT and PT ACLR. The risk for ipsilateral reoperation varied across patient age and sex, with higher risks observed for specific reoperation reasons with QT and PT compared to HT ACLR. Surgeons should consider these data when discussing risks and benefits of the different graft options for ACLR, especially with their female patients.