ArticleJournal of experimental orthopaedics2026
Non-detached hamstring tendon anterior cruciate ligament reconstruction demonstrates comparable outcomes to the traditional detached hamstring tendon technique: A systematic review and meta-analysis.
Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Abstract
Purpose: To compare clinical and radiological outcomes of anterior cruciate ligament reconstruction (ACLR) using non-detached hamstring tendon (NDHT) versus conventional detached hamstring tendon (DHT) technique. Methods: Embase, PubMed, Ovid Medline and CINAHL databases were searched from inception to October 2025. Inclusion criteria included comparative studies of clinical or radiographic outcomes between NDHT and DHT. Studies were excluded if they were non-comparative or if they involved extra-articular procedures. The primary outcome was the post-operative International Knee Documentation Committee (IKDC) score. Secondary outcomes included Lysholm, Tegner, KT-1000 (knee testing 1000 [laxity arthrometer]) scores, rate of return-to-sport (RTS), retear rate and graft maturation. Data were pooled using random-effects models with significance set at Results: A total of 11 studies ( Conclusions: Preserving the tibial insertion of the hamstring graft in ACLR (NDHT) resulted in comparable clinical outcomes to those of the detached technique (DHT), with no significant differences observed between the two approaches. Future studies should assess potential cost and time benefits of NDHT. Level of Evidence: Level IV.
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