Evidence map›Paper›PMID 40265044›Full record

ReviewJournal of experimental orthopaedics2025

4-Strand hamstring versus single-bundle quadriceps tendon grafts in anterior cruciate ligament reconstruction at 2 years: A systematic review and meta-analysis of randomised controlled trials.

Jonathan Elias, Mitchell Kaplan, Kunal Shah, Michael Bickford, Chelsea McNamara, Elizabeth Ford, Sean McMillan

Abstract readReview
In one paragraph

Review in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Review
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

7 authors.

Jonathan EliasRowan-Virtua School of Osteopathic Medicine Stratford New Jersey USA.ORCID 0009-0007-7130-5804
Mitchell KaplanRowan-Virtua School of Osteopathic Medicine Stratford New Jersey USA.ORCID 0009-0005-4138-4519
Kunal ShahRowan-Virtua School of Osteopathic Medicine Stratford New Jersey USA.ORCID 0009-0006-5159-7996
Michael BickfordRowan-Virtua School of Osteopathic Medicine Stratford New Jersey USA.ORCID 0009-0001-6296-9226
Chelsea McNamaraRowan-Virtua School of Osteopathic Medicine Stratford New Jersey USA.ORCID 0000-0002-2178-8453
Elizabeth FordInspira Health Network Vineland New Jersey USA.
Sean McMillanRowan-Virtua School of Osteopathic Medicine Stratford New Jersey USA.ORCID 0000-0003-4428-0414

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To compare the 2-year postoperative outcomes of hamstring tendon (HT) grafts to quadriceps tendon (QT) grafts in anterior cruciate ligament (ACL) reconstruction. We hypothesised no significant differences between the two methods. Methods: A systematic review and meta-analysis were conducted following the 2020 PRISMA guidelines. Five online databases (Cochrane, Embase, PubMed, Scopus and Web of Science) were screened for prospective randomised controlled trials (RCT). IKDC, Lysholm, Tegner, side-to-side KT-1000 scores and ages were collected. Statistical analysis was conducted with SPSS v29. Between the two groups, a test of between-subgroup homogeneity Results: Five RCTs were included in the final analysis. The HT group included 87 patients, and the QT group included 93 patients. The mean ages for the HT and QT groups were 28.3 ± 6.6 and 26.5 ± 8.4 years, respectively. HTs yielded clinically higher IKDC scores ( Conclusions: Compared with the use of the QT graft, the HT graft for ACL reconstruction may result in greater knee function and stability, while QT ACL reconstruction may be associated with increased levels of postsurgical activity in terms of return to sports and work. Future long-term RCTs are needed to confirm our findings. Level of Evidence: Level I.

Indexed as

ACLgrafthamstringquadricepsreconstruction

Identifiers

PMID40265044
PMCPMC12012644

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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.