Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 12 2 2026 05 18 86 90 EN Mahesh Shinde Assistant Professor, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Mihir Patel Additional Professor, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Bibhas DasGupta Professor and Head, Department of Orthopaedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Juhu Mumbai, Maharashtra Atharva Sharma Senior Resident, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Kshitij Sarwey Senior Resident, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Sanket Jethliya Senior Resident, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Shreyas Revankar Senior Resident, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Deepanshu Garg Senior Resident, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Rohan Bahl Senior Resident, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Samreen Chunawala Medical Student, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Sidharth Mitra Medical Student, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Juily Satam Senior Resident, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Yash Nav Singh Medical Student, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India Kiara Thakur Medical Student, Department of Orthopedics, H.B.T Medical College and Dr R.N. Cooper Hospital, Mumbai, India 2025 09 11 2026 05 17 Background: The quadriceps tendon (QT) graft provides better biomechanical strength, less donor site morbidity, and adjustable size, despite the fact that hamstring and bone-patellar tendon-bone (BPTB) grafts are frequently utilized. Recent research indicates similar results of other grafts, despite early reservations. In order to validate the QT graft's efficacy and dependability in clinical settings, this study will detail the surgical procedure for anterior cruciate ligament (ACL) repair and evaluate its three main dimensions: length, diameter, and thickness. Methods: Fifty patients with ACL injuries who received QT transplants participated in this 24-month prospective research. Patients with isolated ACL injuries and a normal body mass index (BMI) between the ages of 20 and 50 were eligible. Grafts were harvested, processed, and their thickness, diameter, and length were measured. Suspensory fixation was done and anatomical tunnels were made. The following day, rehabilitation got underway. A proforma was used to collect and analyze the data. Informed consent and institutional ethics approval were acquired. Results: In a study of 50 patients with ACL restoration, 84% had QT grafts of appropriate length (mean: 28.7 cm), while 70% had sufficient quadrupled lengths (mean: 7 cm). The majority of grafts’ diameter (96%, mean: 8.6 mm) and thickness (94%, mean: 6.8 mm) fell within the acceptable parameters. These findings show that QT grafts consistently produced adequate dimensions for ACL restoration, demonstrating their dependability and efficacy. Conclusion: The QT graft offers a consistent, adequate tissue source for ACL reconstruction, ideal for active patients needing strong, durable grafts. https://jost.tums.ac.ir/index.php/jost/article/view/711 https://jost.tums.ac.ir/index.php/jost/article/download/711/468