ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
No effect of graft size or body mass index on risk of revision after ACL reconstruction using hamstrings autograft.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
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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.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Smaller hamstrings autograft size after primary ACL reconstruction is associated with higher odds for graft failure: A meta-analysis on autografts sizes covering 46,268 patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Hamstring graft diameter above 7 mm has a lower risk of failure following anterior cruciate ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Graft-to-Footprint Mismatch Is Not Associated with Early ACL Reconstruction Failure: A Retrospective Cohort Study.Sports (Basel, Switzerland) · 2026Article
- Lack of association between revision ACL reconstruction and preoperative, intraoperative and post-operative factors at primary ACL reconstruction in children and adolescents.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Six-Strand Hamstring Autograft Technique for Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2025Article
- Obesity Correlates With 90-Day Postoperative Complications but Not 5-Year Retearing Rates After Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2025Article
- Comparison of clinical, radiological, and second-look arthroscopic outcomes between hamstring autograft and tibialis allograft following remnant-tensioning anterior cruciate ligament reconstruction.Archives of orthopaedic and trauma surgery · 2025Article
- The Effect of Technical Characteristics of Revision ACL Reconstruction on Functional Outcomes.Journal of clinical practice and research · 2025Article
- Patient Age and Activity Level, Posterior Tibial Slope, and Use of Allograft Are Significant Risk Factors for Anterior Cruciate Ligament Reconstruction Failure: A Systematic Review.Arthroscopy, sports medicine, and rehabilitation · 2025Review
- Demographic and Injury Characteristics as Potential Risk Factors for Anterior Cruciate Ligament Injuries: A Multicentric Cross-Sectional Study.Journal of clinical medicine · 2024Article
- Relationship Between Revision Rate, Osteoarthritis, and Obesity for ACL Reconstruction: A Nationwide Retrospective Cohort Study.Orthopaedic journal of sports medicine · 2024Article
- Article
- A hamstring autograft diameter ≤ 8 mm is a safe option for smaller, lighter and female athletes who want to return to pivoting sports after ACL reconstruction : Results from a retrospective evaluation of a local ACL register.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Posterior tibial slope (PTS) ≥ 10 degrees is a risk factor for further anterior cruciate ligament (ACL) injury; BMI is not.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Dimensions of the anterior cruciate ligament and thickness of the distal femoral growth plate in children: a MRI-based study.Archives of orthopaedic and trauma surgery · 2023Article
- Effect of Cross-sectional Area of the Hamstring Tendon Autograft on Failure Rate or Clinical Outcomes After Double-Bundle ACL Reconstruction: Tendon Autograft.Orthopaedic journal of sports medicine · 2023Article
- Early Return to Play After Anterior Cruciate Ligament Reconstruction: Is It Worth the Risk?Annals of rehabilitation medicine · 2022Article
- Age, time from injury to surgery and quadriceps strength affect the risk of revision surgery after primary ACL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Effectiveness of thicker hamstring or patella tendon grafts to reduce graft failure rate in anterior cruciate ligament reconstruction in young patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Relation of peroneus longus autograft dimensions with anthropometric parameters in anterior cruciate ligament reconstruction: Importance of the distal leg diameter.Joint diseases and related surgery · 2021Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe current study investigated the distribution of hamstrings graft size and body mass index and any potential effect on the risk of revision surgery in a large prospective cohort of patients undergoing ACL reconstruction. More specifically, the aim of the study was to investigate whether larger graft size or smaller BMI would decrease the risk of revision after ACL reconstruction.
methodsA total of 4029 patients, prospectively registered in the Norwegian Knee Ligament Registry, were included in the study. Univariate Kaplan-Meier survival analyses (with log-rank tests) and the Cox proportional hazard (PH) regression model were applied to compare risk of revision between groups of patients. Mutual adjustment for gender, age, activity at the time of injury and fixation method of the graft was performed.
resultsGraft sizes spanned from 5.5 to 11.0 mm and the median of 8.0 mm was reported in 42% of patients in the cohort. BMI was reported from 15 to 57 with a median of 25. 46% of patients were classified as overweight (WHO standards), while 23% of patients were obese. At a median of 2.5 years after surgery, 150 patients had undergone revision surgery. Although certain effects were seen in the unadjusted analyses, neither graft size (diameter) nor patient BMI did affect the risk of undergoing revision surgery in the adjusted analyses.
conclusionsGraft size and BMI was not found to be independent risk factors for undergoing ACL revision surgery. In contrast to other studies, graft size of 8 mm or larger did not have a better outcome than smaller graft sizes. A relatively large group of overweight patients undergoing ACL surgery reflects the general increase in weight seen in Western societies. Although the current study differs from previous findings, it might indicate that graft diameter is less important than previously stated. LEVEL OF EVIDENCE: Cohort study, II.
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