The ACL reconstructions included 6,736 patellar tendon autografts and 38,666 hamstring autografts. A total of 156 patients in the patellar tendon group and 1,042 patients in the hamstring group ...

ACL reconstruction with hamstring tendon graft may yield decreased knee flexion strength vs. reconstruction with patellar tendon graft. Outcomes were assessed at a minimum follow-up of 18 years.