A study on ACL reconstruction with hamstring and quadriceps tendon autografts in patients aged 50 years and older showed satisfactory functional improvements and return to sport. Lysholm, Tegner, and VAS pain scores improved from pre-injury to 2-year follow-up with no differences between tendon types. Both autograft types had similar return to sport rates, although hamstring autograft patients did not return to winter sports at the same rate. There were no cases of graft failure, tendon rupture, or patella fracture at 2-year follow-up. The study concluded that both hamstring and quadriceps tendon autografts resulted in satisfactory functional improvements and return to pre-injury sport levels.
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