Evidence map›Paper›PMID 40689103›Full record

ReviewJournal of experimental orthopaedics2025

Hamstring autograft, bone-patellar-tendon-bone autograft and synthetic graft in primary anterior cruciate ligament reconstruction: A meta-analysis of comparative studies.

Michele Mercurio, Erminia Cofano, Orlando Cosentino, Katia Corona, Fabrizio Mocini, Umberto Rossi, Olimpio Galasso, Giorgio Gasparini, Simone Cerciello

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

9 authors.

Michele MercurioDepartment of Orthopaedic and Trauma Surgery "Magna Graecia" University, "Mater Domini" University Hospital Catanzaro Italy.ORCID https://orcid.org/0000-0002-8742-5612
Erminia CofanoDepartment of Orthopaedic and Trauma Surgery "Magna Graecia" University, "Mater Domini" University Hospital Catanzaro Italy.ORCID https://orcid.org/0000-0003-2445-7753
Orlando CosentinoDepartment of Orthopaedic and Trauma Surgery "Magna Graecia" University, "Mater Domini" University Hospital Catanzaro Italy.ORCID https://orcid.org/0000-0002-0550-326X
Katia CoronaDepartment of Medicine and Health Sciences "Vincenzo Tiberio" University of Molise Campobasso Italy.ORCID https://orcid.org/0000-0002-7894-1789
Fabrizio MociniCasa di Cura Villa Betania Rome Italy.
Umberto RossiDepartment of Orthopaedics and Traumatology Fondazione Policlinico Universitario A. Gemelli IRCCS - Sacred Heart Catholic University Rome Italy.
Olimpio GalassoDepartment of Medicine, Surgery and Dentistry University of Salerno Baronissi Italy.ORCID https://orcid.org/0000-0002-4915-046X
Giorgio GaspariniDepartment of Orthopaedic and Trauma Surgery "Magna Graecia" University, "Mater Domini" University Hospital Catanzaro Italy.ORCID https://orcid.org/0000-0002-8256-7697
Simone CercielloDepartment of Life Sciences, Health and Health Professions Link Campus University Rome Italy.ORCID https://orcid.org/0000-0003-2474-3696

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Anterior cruciate ligament reconstruction (ACLR) yields favourable results, but failure and reinjury rates are still a concern. Graft choice is a modifiable risk factor for surgeons to avoid failure. The topic of optimal graft selection remains a subject of ongoing debate. Graft choices include autografts, allografts and synthetic grafts. The purpose of this meta-analysis was to compare functional outcomes and complications between autografts, hamstring (HT) tendon and bone-patellar-tendon-bone, and synthetic graft in primary ACLR. Methods: The PubMed, MEDLINE, Scopus and Cochrane Central databases were used for the research, and nine studies were included. The first author, journal name, year of publication, patient demographics, type of surgery, type of graft used for ACLR, time from injury to surgery, and follow-up period were recorded. The data extracted for quantitative analysis included Lysholm activity scale score, Tegner activity scale score, International Knee Documentation Committee (IKDC) score, laxity measured with the KT-1000 knee arthrometer (KT-1000), number of complications, re-rupture, and re-intervention rates. Random and fixed effect models were used for the meta-analysis of pooled mean differences (MDs) and odds ratios (ORs). Results: A total of 734 patients were identified, 377 of whom underwent ACLR with autograft and 326 with synthetic graft. The mean age was 28.7 ± 20.3 and 31.6 ± 9.3 years for the ACLR with autograft and ACLR with synthetic graft groups. The mean follow-up durations were 82.3 ± 38 and 81.4 ± 39.2 months. Comparable postoperative Lysholm knee score ( Conclusions: Compared to ACLR with HT autograft, the ACLR with synthetic graft showed statistically but not clinically important decreased knee laxity. Comparable functional outcomes, complication and re-rupture rates were found between the two groups. Level of Evidence: Level I, meta-analysis.

Indexed as

anterior cruciate ligamentanterior cruciate ligament reconstructionautograftbone patellar tendon bone graftgraft failurehamstringsynthetic graft

Identifiers

PMID40689103
PMCPMC12272514

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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.