SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024
Outcomes of hamstring graft with preserved tibial insertion for ACL reconstruction: systematic review and meta-analysis.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Arthroscopic Posterior Cruciate Ligament Reconstruction Using a Pedicled Semitendinosus Autograft Through a Trans-Septal Approach: A Technical Note.Arthroscopy techniques · 2026Article
- Non-detached hamstring tendon anterior cruciate ligament reconstruction demonstrates comparable outcomes to the traditional detached hamstring tendon technique: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2026Article
- Skeletally immature patients undergoing over-the-top anterior cruciate ligament (ACL) reconstruction using hamstring autograft with preserved tibial insertion and lateral extraarticular tenodesis (LET) exhibit good early graft MRI signal similar to adult patients.Journal of experimental orthopaedics · 2026Article
- Augmented Over-The-Top Technique for Revision Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2025Article
- Patellar Tendon Reconstruction for Chronic Patellar Tendon Rupture Using Hamstring Tendons: The Reverse Double Figure-of-Eight Technique.Arthroscopy techniques · 2025Article
- Modified Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction in 291 High-Level Athletes: Clinical Outcomes at Minimum 2.5-Year Follow-Up.Medicina (Kaunas, Lithuania) · 2025Article
- Anatomical Inside-Out Remnant-Preserving Anterior Cruciate Ligament Reconstruction: A Surgical Technique for Biological Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2025Article
- Pedicular Hamstring With 2 Adjustable Loops for Anterior Cruciate Ligament Reconstruction: The Double-Loop Technique.Arthroscopy techniques · 2025Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEvaluate the outcomes of ACL (Anterior Cruciate Ligament) reconstruction techniques that use a hamstring graft with a preserved tibial insertion and compare them to standard techniques.
methodsA systematic literature review and meta-analysis was done of the PubMed, MEDLINE, Cochrane and Ovid databases to identify published clinical studies on ACL reconstruction in which a non-detached hamstring tendon (NDHT) was used as a graft and to compare them to studies in which a detached hamstring tendon (DHT) or other techniques were used. The eligible studies were analyzed for the knee laxity, Lachman test, pivot shift test, joint range of motion, anterior drawer, pain, re-tear, revision surgery, Lysholm score, Tegner score, ACL-RSI scale, KOOS, IKDC, SNQ and Howell scale.
resultsTwelve articles in which NDHT was used for ACL reconstruction were analyzed. There was no significant difference between NDHT and DHT in the Lachman > 1 (p = .07), pivot shift test > 1 (p = .40), re-tears (p = .62), pain (p = .85) and the Tegner score (p = .95). However, the outcomes were somewhat better with the NDHT technique for the Lachman (RR = 0.30; 95% CI 0.08-1.12), pivot shift test (RR = 0.50; 95% CI 0.10-2.49) and re-tears (RR = 0.66; 95% CI 0.13-3.42). The other criteria were not included in the meta-analysis because of lack of data or because specific outcome scores were used in each article.
conclusionNDHT techniques provide similar results to DHT for ACL reconstruction and tend to produce better stability and a lower re-tear rate.
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