ArticleJournal of experimental orthopaedics2025
Use of hamstring autografts for ACL reconstruction significantly decreased the risk of reporting problems with kneeling at a 5-year follow-up.
Article 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 3 papers.
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Who cites it
3 citing papers in PubMed.
- Knee and ankle functional outcome after anterior cruciate ligament reconstruction with a peroneus longus tendon autograft : A prospective clinical study.Orthopadie (Heidelberg, Germany) · 2026Article
- Anterior Cruciate Ligament Reconstruction: Clinical Outcomes and Biomechanical Considerations of Graft Selection-A Narrative Review.Medicina (Kaunas, Lithuania) · 2026Review
- Use of hamstring autografts for ACL reconstruction significantly decreased the risk of reporting problems with kneeling at a 5-year follow-up.Journal of experimental orthopaedics · 2025Article
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Authors and funding
8 authors.
Funding
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Abstract
Purpose: To compare 5-year patient-reported outcomes between hamstring tendon (HT) and bone-patellar tendon-bone (BPTB) autografts in primary anterior cruciate ligament reconstruction (ACLR), with particular focus on kneeling difficulties, extension deficits, and other functional limitations that have not been examined in long-term follow-up studies. Methods: This retrospective analysis of prospectively collected data from the Norwegian Knee Ligament Register included 10,329 patients who underwent primary ACLR between 2004 and 2017 using either HT ( Results: Among 10,329 patients available for evaluation from 19,564 eligible procedures (53% follow-up response rate), HT grafts demonstrated a significantly reduced risk of kneeling difficulties (SP5) at 5-year follow-up compared to BPTB grafts (OR 0.57, 95% CI 0.51-0.62, Conclusions: This represents the first 5-year comparative study examining graft-specific differences in kneeling difficulties and extension deficits following ACLR. HT autografts significantly reduced the risk of kneeling problems and improved KOOS Sport/Recreation outcomes compared to BPTB grafts, while showing comparable results for pain and extension. These findings provide evidence for personalised discussions about graft selection. Level of Evidence: Level III.
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