Evidence map›Paper›PMID 41982312›Full record

ArticleOrthopaedic journal of sports medicine2026

Autograft Augmentation of Patellar Tendon Rupture Allows Better Functional Outcomes and Less Reoperation Than Steel Wire Cerclage.

Paul Sempere, Romir Patel, Victor Germon, Jean-Noel Argenson, Henri Peuchot, Matthieu Ollivier, Christophe Jacquet

Abstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Paul SempereInstitute of Movement and Locomotion (IML), Department of Orthopedics and Traumatology, Sainte-Marguerite Hospital, Marseille, France.
Romir PatelInstitute of Movement and Locomotion (IML), Department of Orthopedics and Traumatology, Sainte-Marguerite Hospital, Marseille, France.
Victor GermonInstitute of Movement and Locomotion (IML), Department of Orthopedics and Traumatology, Sainte-Marguerite Hospital, Marseille, France.
Jean-Noel ArgensonInstitute of Movement and Locomotion (IML), Department of Orthopedics and Traumatology, Sainte-Marguerite Hospital, Marseille, France.
Henri PeuchotInstitute of Movement and Locomotion (IML), Department of Orthopedics and Traumatology, Sainte-Marguerite Hospital, Marseille, France.
Matthieu OllivierInstitute of Movement and Locomotion (IML), Department of Orthopedics and Traumatology, Sainte-Marguerite Hospital, Marseille, France.
Christophe JacquetInstitute of Movement and Locomotion (IML), Department of Orthopedics and Traumatology, Sainte-Marguerite Hospital, Marseille, France.ORCID https://orcid.org/0009-0006-4065-6049

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patellar tendon rupture is uncommon but can severely impair knee extension and functional recovery. Most injuries occur during sports involving eccentric quadriceps loading, often with valgus stress. Traditional repair using transosseous sutures reinforced with steel wire cerclage provides initial stability but carries drawbacks, including hardware irritation, stiffness related to immobilization, and the frequent need for secondary removal. Biological augmentation with hamstring tendon autograft has emerged as an alternative that avoids hardware-related morbidity while potentially improving tendon healing. Hypothesis: Hamstring tendon autograft augmentation would yield superior functional outcomes and knee motion without increasing complications or rerupture, and it would reduce reoperations by avoiding routine hardware removal compared with steel wire cerclage reinforcement for acute patellar tendon rupture. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective multicenter analysis across 5 sports medicine centers identified patients treated between February 2011 and May 2023 for isolated patellar tendon rupture or inferior pole patellar avulsion. A total of 81 patients met inclusion criteria. Patients underwent either hamstring tendon autograft augmentation (autograft augmentation group [AAG]; n = 43; semitendinosus ± gracilis through transosseous tunnels) or steel wire cerclage (synthetic augmentation group [SAG]; n = 38). The primary outcome was the Lysholm Knee Score. Secondary outcomes included the Knee injury and Osteoarthritis Outcome Score (KOOS) subscales, the University of California Los Angeles Activity Scale, the Forgotten Joint Score-12, knee range of motion, return to preinjury sport and work, complications, reoperations, and patellar height (Caton-Deschamps). Minimum follow-up was 24 months. Results: AAG demonstrated higher Lysholm and KOOS scores (most domains, Conclusion: In this multicenter cohort with ≥2-year follow-up, hamstring tendon autograft augmentation produced superior functional outcomes, greater flexion, higher return to sport, and fewer complications and reoperations compared with steel wire cerclage, without increasing rerupture risk. These findings support autograft augmentation as a preferable reinforcement strategy for active patients with acute patellar tendon rupture.

Indexed as

extensor mechanism.hamstring augmentationpatellar tendon rupturesteel cerclage

Identifiers

PMID41982312
PMCPMC13071286

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.