Evidence map›Paper›PMID 28477270›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018

There is no difference between quadriceps- and hamstring tendon autografts in primary anterior cruciate ligament reconstruction: a 2-year patient-reported outcome study.

Armin Runer, Guido Wierer, Elmar Herbst, Caroline Hepperger, Mirco Herbort, Peter Gföller, Christian Hoser, Christian Fink

Abstract read
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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 10 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  8. Bone Versus All Soft Tissue Quadriceps Tendon Autografts for Anterior Cruciate Ligament Reconstruction: A Systematic Review.Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · 2021
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  12. Quadriceps versus hamstrings autograft in anterior cruciate ligament reconstruction: a randomized control trial.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Armin RunerGelenkpunkt, Sport- and Joint Surgery, Olympiastrasse 36, 6020, Innsbruck, Austria.
Guido WiererGelenkpunkt, Sport- and Joint Surgery, Olympiastrasse 36, 6020, Innsbruck, Austria.
Elmar HerbstGelenkpunkt, Sport- and Joint Surgery, Olympiastrasse 36, 6020, Innsbruck, Austria.
Caroline HeppergerGelenkpunkt, Sport- and Joint Surgery, Olympiastrasse 36, 6020, Innsbruck, Austria.
Mirco HerbortDepartment of Trauma, Hand and Reconstructive Surgery, Westphalian Wilhelms University Muenster, Muenster, Germany.
Peter GföllerGelenkpunkt, Sport- and Joint Surgery, Olympiastrasse 36, 6020, Innsbruck, Austria. p.gfoeller@gelenkpunkt.com.
Christian HoserGelenkpunkt, Sport- and Joint Surgery, Olympiastrasse 36, 6020, Innsbruck, Austria.
Christian FinkGelenkpunkt, Sport- and Joint Surgery, Olympiastrasse 36, 6020, Innsbruck, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGraft choice for anterior cruciate ligament (ACL) reconstruction is crucial, however the optimal graft source remains a topic of controversy. The purpose of this study is to compare subjective and functional patient-reported outcomes (PRO) after single-bundle ACL reconstruction using quadriceps tendon (QT) or hamstring tendon (HT) autografts for single-bundle ACL reconstruction. We hypothesize that there is no difference in patient-reported functional outcomes after ACL reconstruction using either HT- or QT autograft.

methodsAll data were extracted from a prospectively collected ACL registry. A total of 80 patients with at least 2-year follow-up were included in this study. A total of 40 patients with primary ACL reconstruction using a QT autograft harvested via a minimally invasive technique were matched by sex, age and pre-injury Tegner and Lysholm score to 40 patients who received HT autografts. Subjective and functional PRO scores including Lysholm score, Tegner activity level and visual analogue scale for pain were obtained at 6, 12 and 24 months after index surgery.

resultsNo significant difference between the QT and the HT group was seen at any follow-up in regard to any of the PRO scores for function or pain. 24 months post-surgery the mean Tegner activity score of the HT group was significantly (p = 0.04) lower compared to the pre-injury status. At final follow-up, 27 patients (67.5%) in the QT group and 32 patients (80.0%) in the HT returned to their pre-injury activity level (n.s.). A total of 37 patients (92.5%) of the QT cohort and 35 patients (87.5%) of the HT cohort reported "good" or "excellent" results according to the Lysholm score (n.s.). "No pain" or "slight pain" during severe exertion was reported by 33 patients (82.5%) with QT autograft and 28 patients (82.4%) with HT autograft (n.s.).

conclusionThere is no significant difference between PRO 2 years post-operative using either QT or HT autografts. Both QT and HT grafts show acceptable and comparable PRO scores making the QT a reliable graft alternative to HT for primary ACL reconstruction. LEVEL OF EVIDENCE: III.

Indexed as

Anterior Cruciate Ligament ReconstructionTransplantation, AutologousAdultAnterior Cruciate Ligament InjuriesAutograftsCohort StudiesFemaleHamstring TendonsHumansLysholm Knee ScoreMaleMiddle AgedPatient Reported Outcome MeasuresProspective StudiesQuadriceps MuscleSelf ReportACL reconstructionAnterior cruciate ligamentAnterior knee painHamstring tendonPatient-reported outcomeQuadriceps tendon

Identifiers

PMID28477270

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.