Sixty athletes with primary anterior cruciate ligament (ACL) tears were randomized to receive an ACL reconstruction with the use of a quadriceps tendon patellar bone (QTB) autograft or a bone patellar tendon bone (BPTB) autograft. Outcomes of interest included the Lysholm knee score, Tegner score, International Knee Documentation Committee (IKDC) score, the KT-1000 arthrometer for knee stability, patient satisfaction on a Visual Analog Scale (VAS), and pain during kneeling and squatting. Outcomes were assessed at 1 year and 10 years post-operation. Results demonstrated similar Lysholm Knee scores, Tegner scores ,and KT-1000 anterior translation stability at both 1 and 10 years post-operation in both the QTB and BPTB groups (p>0.05 for all). Furthermore, IKDC scores and VAS patient satisfaction scores were not statistically significantly different between the two groups at 10 years post-operation (p>0.05 for both). However, pain during kneeling and squatting was significantly greater in the BPTB group compared to the QTB group at both 1 and 10 years post-operation.