SynthesisJournal of orthopaedic surgery and research2021
Patellar tendon versus artificial grafts in anterior cruciate ligament reconstruction: a systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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.
The trial behind it
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Who cites it
16 citing papers in PubMed, 29 citations in OpenAlex.
- Autologous Iliac Crest Bone Graft After Anterior Cruciate Ligament Reconstruction Failure in Patients With Both Femoral and Tibial Tunnel Enlargement.Arthroscopy techniques · 2026Article
- Artificial Tendons' Responsiveness to Mechanical Stress and Biological Performance Following Cork Extract Functionalization.ACS applied bio materials · 2025Article
- Hamstring autograft, bone-patellar-tendon-bone autograft and synthetic graft in primary anterior cruciate ligament reconstruction: A meta-analysis of comparative studies.Journal of experimental orthopaedics · 2025Review
- Ipsilateral Autologous Peroneus Longus and Bone Patellar Tendon Graft for Revision Anterior Cruciate Ligament Reconstruction Leads to Similar Functional Outcome.Journal of orthopaedic case reports · 2025Article
- New Graft Choices for ACL Reconstruction: Update Article.Revista brasileira de ortopedia · 2024Article
- Unicompartmental knee arthroplasty combined with posterior cruciate ligament reconstruction: a case report.BMC musculoskeletal disorders · 2024Article
- Arthroscopic Modified Broström Repair with Suture-Tape Augmentation of the Calcaneofibular Ligament for Lateral Ankle Instability.Arthroscopy techniques · 2024Article
- A fast, easy and reliable method for hamstrings graft size prediction in anterior cruciate ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Anterior Cruciate Ligament Reconstruction Using Autologous Hamstrings Augmented with Ligament Augmentation and Reconstruction Systems (LARS) or Synthetic Meshwork of LARS Compared with Four-Strand Hamstring Tendon Grafts Alone, a Prospective, Randomized Clinical Study with 2- to 8-Year Follow-Up.Indian journal of orthopaedics · 2023Article
- Revision ACL reconstruction using quadriceps, hamstring and patellar tendon autografts leads to similar functional outcomes but hamstring graft has a higher tendency of graft failure.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Anterior cruciate ligament failure and management.EFORT open reviews · 2023Review
- Anterior Cruciate Ligament Reconstruction with Quadrupled Semitendinosus Graft or Synthetic Ligament: Knee Stability and Clinical Outcomes at Three Years Follow-Up.Advances in orthopedics · 2023Article
- Current strategies for enhancement of the bioactivity of artificial ligaments: A mini-review.Journal of orthopaedic translation · 2022Review
- Minimizing the risk of graft failure after anterior cruciate ligament reconstruction in athletes. A narrative review of the current evidence.Journal of experimental orthopaedics · 2022Review
- GRAFTS FOR ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION: SYSTEMATIC REVIEW AND META-ANALYSIS.Acta ortopedica brasileira · 2022Review
- Optimal Graft Choice in Athletic Patients with Anterior Cruciate Ligament Injuries: Review and Clinical Insights.Open access journal of sports medicine · 2022Review
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of anterior cruciate ligament reconstruction (ACLR) is to restore the function of the knee joint, protect the cartilage, and reduce the occurrence of osteoarthritis. However, due to the structural limitations of the human body, it is not possible to perform ACLR with conventional sutures. To restore normal functioning of the anterior cruciate ligament (ACL), a new ligament must be reconstructed in the position of the previous ACL.
objectiveTo compare autografts and synthetic grafts in terms of postoperative knee stability and function SEARCH
methodsThe protocol for this study was registered with PROSPERO (CRD42021243451). Two reviewers independently searched the PubMed, Embase, and the Cochrane Library databases from database inception though February 10, 2021. The following search method was used: ((Autograft) OR (Autologous) OR (Autotransplant)) OR Artificial Ligament AND (Anterior Cruciate Ligament Injury [MeSH Terms]) AND (Randomized controlled trial [MeSH Terms]). Methodological quality was assessed by the Cochrane risk of bias tool. SELECTION CRITERIA: We only included randomized controlled trials (level I) that compared autograft and synthetic graft interventions in participants with ACL injury. We included trials that evaluated ACLR using at least one outcome (Lachman test, pivot shift test, IKDC grades, or complications).
resultsA total of 748 studies were identified in the initial literature search, and seven studies that examined only bone-patellar tendon-bone (BPTB) grafts compared with artificial grafts met the predetermined inclusion criteria. The results showed that BPTB grafts were associated with significantly better pivot shift test and Lachman test results and better IKDC grades and lower complication rates than synthetic grafts.
conclusionsThis review indicates that for adults, BPTB grafts perform more favorably than synthetic grafts in ACLR in terms of knee stability, function, and complication. More research is needed to compare autologous tendons and allogeneic tendons with artificial ligaments, especially in elderly individuals. LEVEL OF EVIDENCE: Level I, systematic review and meta-analysis.
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Registered trials
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