Quadriceps Tendon (QT) Vs. Peroneus Longus (PL) Autografts for ACL Reconstruction: A Meta-Analysis of Biomechanical and Functional Outcomes

To accomplish both short-term recovery and long-term knee functionality, surgeons must carefully choose the appropriate graft for an Anterior Cruciate Ligament (ACL) replacement. Although hamstring and patellar tendon autografts were traditionally the preferred option, autografts of the quadriceps tendon (QT) and peroneus longus (PL) have become more popular because of their unique biomechanical characteristics and capacity to support functional recovery. Compared to traditional options, both grafts have a high load-to-failure ratio and may reduce donor-site issues; nevertheless, their effects on knee strength, stability, range of motion, and re-injury risk are still up for debate. In order to illustrate the benefits and drawbacks of QT and PL autografts, this meta-analysis evaluates their biomechanical performance and functional results in ACL restoration by directly contrasting them with other widely utilized grafts. Through the evaluation of data from many trials and the advancement of ACL surgical techniques, this study helps surgeons choose the optimum graft for each patient.