Crum RJ, Kay J, Lesniak BP, et al. - A systematic review was conducted to evaluate the existing literature on objective and patient-reported outcomes and complications post-anterior cruciate ligament reconstruction (ACLR) with bone-quadriceps-tendon (B-QT) and soft tissue-quadriceps tendon (S-QT) to further verify the role for either graft type in primary ACLR. Researchers carried out to search PubMed, EMBASE, and MEDLINE in October 2019 for English-language, human studies of all evidence levels on patients undergoing primary ACLR with B-QT or S-QT autograft. This study included 24 of 1,381 satisfied criteria with twenty studies applying B-QT [1,534 patients, mean age 29.6 years (range: 14-59), mean follow-up 41.2 months (range: 12-120)] and five studies using S-QT in 181 patients of mean age 32.4 years (range: 15-58) with a mean follow-up of 25.5 months (range: 12-46). The main data from this review report that more B-QT individuals demonstrated postoperative rotatory instability than S-QT and no variations were observed in graft rupture between the two graft choices. It seems that the B-QT group featured much wider major and minor complication profiles, while unable to draw statistical conclusions due to heterogeneity in reporting.