Purpose: This study aimed to evaluate the clinical and functional outcomes, as well as the associated morbidity, of anterior cruciate ligament (ACL) reconstruction using quadriceps tendon grafts, with and without bone block. Methods: This prospective cohort study involved 52 competitive Spanish federal soccer players aged 16–40. This study compared the outcomes of ACL reconstruction using Bone‐Quadriceps Tendon Autograft (BQTA) and Quadriceps Tendon Autograft (QTA). Functional, clinical and patient‐reported outcomes were assessed preoperatively and at 3‐, 6‐ and 12‐month postoperative intervals. Both groups followed standardized surgical and rehabilitation protocols. Statistical analyses were performed to identify differences in recovery patterns and morbidity, thereby providing insights into the optimal graft selection tailored to patient‐specific needs and activity levels. Results: A total of 52 patients with ACL injuries were evaluated. No significant differences were observed in the outcomes at the final follow‐up. Key metrics such as the Lysholm Knee Score (mean difference = 1.2, 95% CI: [−0.8, 3.2], p = 0.21), Visual Analogue Scale for pain (mean difference = 0.3, 95% CI: [−0.5, 1.1], p = 0.68), peak torque, hamstring/quadriceps ratios and Limb Symmetry Index showed no significant differences between the groups. Notably, 2 patellar fractures and one quadriceps tendon avulsion occurred in the BQTA, highlighting the higher morbidity associated with this particular graft. Conclusion: Similar functional and clinical results were observed with BQTA and QTA after ACL reconstruction in football players. Major complications were associated with the extraction of the bone block exclusively in the BQTA, which can guide the surgeon in choosing the type of quadriceps graft. Level of Evidence: Level II.

Background: Survival rates of pediatric and childhood cancer are about 80% in 5 years, which suggests that side effects may appear a while after oncological treatment and can be associated with other health impairments. Early rehabilitation interventions, such as exercise-based physiotherapy, help reduce side effects and maintain an adequate physical condition, thereby improving daily capacity and health-related quality-of-life (HRQoL). The purpose of this systematic review with meta-analysis is to demonstrate which are the most common strategies performed in child and adolescent survivors of childhood cancer to improve their HRQoL and their physical condition. Methods: Two reviewers searched four databases to identify studies that evaluated the effects of physiotherapy and exercise interventions in child and adolescent survivors of childhood cancer. Results: Nine studies performing different exercise interventions were included. The most commonly evaluated outcomes were HRQoL, fatigue, and depression. Seven studies were included in the meta-analysis, with no significant results achieved. Conclusions: Aerobic interventions are the most common strategies performed in child and adolescent survivors of childhood cancer to improve their HRQoL. Depression and fatigue seem to improve with these interventions, but more research is needed to confirm these results. Our meta-analysis revealed inconsistent results supporting the use of exercise interventions in this population.