ArticleOrthopaedic journal of sports medicine2026
Comparison of Braided and Nonbraided Hamstring Tendon Grafts in ACL Reconstruction: Impact on Graft Thickness, Rerupture Rates, and Clinical Outcomes.
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. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Comparison of clinical outcomes of triple-strand braid vs conventional quad-strand hamstring grafts in anterior cruciate ligament reconstruction.International orthopaedics · 2026Article
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5 authors.
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Abstract
Purpose: To compare braided and nonbraided hamstring tendon grafts in anterior cruciate ligament (ACL) reconstruction, specifically examining graft thickness, rerupture rates, and clinical outcomes, in order to assess whether braided grafts offer measurable advantages. Study Design: Cohort study; Level of evidence, 3. Methods: This retrospective study included 154 patients who underwent single-bundle ACL reconstruction between January 2017 and October 2022. Patients were divided into braided (n = 78) and nonbraided (n = 76) hamstring autograft groups. Graft diameter was measured intraoperatively at the midportion using calibrated sizing tubes after standardized preconditioning. The cohort was predominantly male (92.2%). Primary outcomes included graft diameter, rerupture rates, and Knee injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC) score, and Lysholm score at baseline and 6, 12, and 24 months. Comparative analysis used the Mann-Whitney Results: Braided grafts showed a greater mean diameter (9.39 ± 0.63 mm) compared with nonbraided grafts (8.87 ± 0.74 mm) ( Conclusion: Braided hamstring tendon grafts reliably achieved increased graft thickness, whereas the lower rerupture rate was numerical only, was not statistically significant, and was statistically fragile. Braiding can be considered an intraoperative option to optimize graft diameter without compromising clinical outcomes, but the findings should be interpreted as exploratory.
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