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The purpose of this study was to compare the 5-year clinical and functional outcomes of the soft tissue quadriceps tendon (QT) to those of the hamstring tendon (HT) autograft METHODS: A retrospective review of patients undergoing ACL reconstruction using either soft tissue QT or double tendon HT autograft with at least 5 years of follow up was conducted. Surgical technique included anteromedial portal creation for the femoral tunnel and transtibial technique for the tibia. Graft fixation was achieved with interference composite screws for the QT and combination of interference composite screw and suture button for the HT cohort. The two groups were compared for differences in outcomes including International Knee Documentation Committee (IKDC) score, Lysholm score, return to sport, and complications.A total of 37 patients with QT autograft and 46 HT autografts were included in the study with a mean follow up of 69.9 months and 70.9 months, respectively. The QT group demonstrated a larger graft size on average (9.64mm vs. 7.90mm, p0.001). The IKDC and Lysholm scores were similar between the two groups at 2-years postoperatively. At 5-years postoperatively, the QT group demonstrated significantly greater IKDC (p 0.018) and Lysholm (p 0.007) scores. The cohorts demonstrated similar rates of achieving minimal clinically important difference (MCID) thresholds at both 2 and 5 years postoperatively. The two groups also demonstrated comparable rates of return to sport, time to return, and postoperative complications.Although the QT autograft demonstrated increased patient reported outcome scores when compared to the HT at 5-years postoperatively, there was no clinically significant difference between the cohorts at 2 or 5 years postoperatively. The QT autograft is an effective alternative to HT autograft with non-inferior results to the hamstring autograft at mid-term follow up.Retrospective Comparison Study; Level of Evidence III LEVEL OF EVIDENCE: III, retrospective cohort study.

To discuss the surgical outcomes of patients identified to have the wave sign without an accompanying labral tear treated with and without stabilization of the chondrolabral junction in conjunction with femoral osteoplasty.A retrospective study was performed in patients with cartilage delamination (wave sign) treated with femoral osteoplasty alone (FO group) or femoral osteoplasty with chondrolabral stabilization (CLS group). Patient-reported outcomes including the modified Harris Hip Score, Hip Outcome Score (HOS)-Activities of Daily Living, and HOS-Sports-Specific Subscale were obtained at a minimum of 2 years postoperatively. Other outcomes included rates of revision hip arthroscopy and conversion to hip arthroplasty.The study consisted of 47 patients in the FO group and 38 in the CLS group. Both groups showed significant increases in all patient-reported outcomes over the study period compared with preoperative values. The final modified Harris Hip Score was 72.8 ± 9.2 in the FO group and 79.9 ± 9.3 in the CLS group (P.001). The HOS-Activities of Daily Living in the FO and CLS groups was 81.4 ± 10.3 and 87.2 ± 7.5, respectively (P.001). There was no difference in the HOS-Sports-Specific Subscale between the FO group (74.4 ± 10.3) and the CLS group (78.0 ± 14.6) at final follow-up (P = .198). Revision hip arthroscopy was required in 5 patients in the FO group (13%) and 3 in the CLS group (6.3%). No patient in either group required conversion to hip arthroplasty throughout the study period.Chondrolabral stabilization in conjunction with femoral osteoplasty is an effective treatment in patients with the wave sign without labral tears.Level III, retrospective cohort study.