Hamstring tendon autograft better than bone–patellar tendon–bone autograft in ACL reconstruction—a cumulative meta-analysis and clinically relevant sensitivity analysis applied to a previously published analysis

doi:10.1080/17453670710014455

Cited by 13 publications

(11 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The same results were demonstrated in the meta-analysis by Poolman et al and Biauet al, who found Lachman to be in favor of the BPTB group in their overall analyses, but when restricted to the four-strand HT autograft with femoral fixation of endobutton, the two autografts seemed to be equal regarding this outcome [10,12]. Mohtadi et al while they reported significantly lower rates for positive Lachman for the BPTB group compared to the HT group, they did not find the same results in any of the subgroup analysis they conducted, except the subgroup analysis of quasi-RCTs, and this is strong evidence of the impact non-RCTs have on the general results [15].…”

Section: Discussionsupporting

confidence: 67%

“…The remaining five reported a total number of patients [15][16]20,[23][24], one reported the total sample and specified the graft the majority received, but a small number remained unknown [19]. Another one reported a number of series [9] and three did not specify the sample size [12,14,17]. Twenty-one of the studies reported on short-term outcomes [5][6][7][8][9][10][11][12][13][15][16][17][18][19][21][22][23][24][25]27,30], four on long-term outcomes [14,20,[28][29], and another reported one on all three, short-, mid-, and long-term outcomes [26].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Another one reported a number of series [9] and three did not specify the sample size [12,14,17]. Twenty-one of the studies reported on short-term outcomes [5][6][7][8][9][10][11][12][13][15][16][17][18][19][21][22][23][24][25]27,30], four on long-term outcomes [14,20,[28][29], and another reported one on all three, short-, mid-, and long-term outcomes [26].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Goldblatt et al and Chen et al reported a trend toward favoring BPTB autograft [8,27]. Biau et al, Poolman et al, and Mohtadi et al found that BPTB had significantly lower rates for positive Lachman compared to HT[10,12,15]. Only three found no statistically important difference between the two grafts[7,8,25], with two of them reporting a trend toward favoring the HT graft[7][8] and the third one[25] reporting only on the female population.…”

mentioning

confidence: 99%

See 3 more Smart Citations

A Systematic Approach for Stronger Documentation of Anterior Cruciate Ligament Graft Choice

Arida¹,

Mastrokalos²,

Panagopoulos³

et al. 2021

Cureus

View full text Add to dashboard Cite

Numerous studies have focused on determining the optimal choice between the two most used anterior cruciate ligament (ACL) reconstruction autografts. In order to address this matter, we performed a systematic review of every meta-analysis published on the PubMed platform between 2001 and 2020, comparing the functional outcomes, the static stability parameters, as well as the postoperative and longterm complications of the patellar tendon (BPTB) autograft and hamstrings (HT). We retrieved a total of 26 meta-analyses that met our criteria, and the characteristics and outcomes of every meta-analysis, as well as subgroup analysis regarding the type of the study design, number of strands of HT autograft, and fixation method, were extensively recorded. The majority of the meta-analyses showed that there were no significant differences between BPTB and HT in terms of functional outcomes and static stability parameters while HT autografts seem to be superior to BPTB regarding kneeling pain and anterior knee pain. Other outcomes seem to be affected by the number of strands of the HT autograft, the fixation technique, and the type of study design, indicating superiority of the four-strand HT autograft with the use of an extra-cortical button fixation. Overall, there is no clear superiority of BPTB over HT autografts for ACL reconstruction, as both types present similar outcomes in the majority of postoperative parameters. Autograft selection should be individualized according to each patient's needs and more RCTs are warranted in order to reach safer results on the appropriate autograft type.

show abstract

Section: Discussionsupporting

confidence: 67%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

A Systematic Approach for Stronger Documentation of Anterior Cruciate Ligament Graft Choice

Arida¹,

Mastrokalos²,

Panagopoulos³

et al. 2021

Cureus

View full text Add to dashboard Cite

show abstract

“…Casteleyn states that the real benchmark of success in the treatment of ACL ruptures has to be the avoidance of treatment morbidity, secondary surgery, and osteoarthritis [ 11 ]. In the meta-analysis of Biau et al [ 7 ], 13–22 % of the patients complained of persisting knee pain, mainly associated with donor-site morbidity. The DIS technique requires no additional ligament extraction, thus minimizing the surgical trauma.…”

Section: Discussionmentioning

confidence: 99%

Dynamic intraligamentary stabilization: novel technique for preserving the ruptured ACL

Eggli

Kohlhof

Zumstein

et al. 2014

Knee Surg Sports Traumatol Arthrosc

101

131

View full text Add to dashboard Cite

PurposeReplacement of the torn anterior cruciate ligament (ACL) with a transplant is today`s gold standard. A new technique for preserving and healing the torn ACL is presented. Hypothesis: a dynamic intraligamentary stabilization (DIS) that provides continuous postinjury stability of the knee and ACL in combination with biological improvement of the healing environment [leucocyte- and platelet-rich fibrin (L-PRF) and microfracturing] should enable biomechanically stable ACL self-healing.MethodsTen sportive patients were treated by DIS employing an internal stabilizer to keep the unstable knee in a posterior translation, combined with microfracturing and platelet-rich fibrin induction at the rupture site to promote self-healing. Postoperative clinical [Tegner, Lysholm, International Knee Documentation Committee (IKDC), visual analogue scale patient satisfaction score] and radiological evaluation, as well as assessment of knee laxity was performed at 6 weeks, 3, 6, 12, and 24 months.ResultsOne patient had a re-rupture 5 months postoperative and was hence excluded from further follow-ups. The other nine patients presented the following outcomes at 24 months: median Lysholm score of 100; IKDC score of 98 (97–100); median Tegner score of 6 (range 9–5); anterior translation difference of 1.4 mm (−1 to 3 mm); median satisfaction score of 9.8 (9–10). MRI showed scarring and continuity of the ligament in all patients.ConclusionsDIS combined with microfracturing and L-PRF resulted in stable clinical and radiological healing of the torn ACL in all but one patient of this first series. They attained normal knee scores, reported excellent satisfaction and could return to their previous levels of sporting activity.Level of evidenceCase series with no comparison group, Level IV.

show abstract

Accessory bands of the hamstring tendons: A clinical anatomical study

et al. 2010

View full text Add to dashboard Cite

Gracilis and semitendinosus tendons are commonly used as grafts in ligamentous reconstruction. Awareness of accessory bands of these tendons is essential in preventing inadvertent diversion of the tendon harvester into the main tendon resulting in premature tendon amputation and inadequate tendon graft. The aim of this study was to describe the characteristics of these accessory bands. Twenty five patients undergoing arthroscopic anterior cruciate ligament reconstruction using hamstring tendons were included. The number of accessory bands and distance of the most proximal band from the distal periosteal insertion point on the tibial crest was recorded for both gracilis and semitendinosus. In most cases gracilis had two accessory bands; the average distance of the most proximal band from the tibial crest insertion being 5.1 cm. Semitendinosus had three bands in most cases, the average distance of the most proximal band from the tibial crest insertion being 8.1 cm. Five (20%) semitendinosus but no gracilis tendons had an accessory band originating greater than 10 cm from the tibial crest insertion. Semitendinosus had more accessory bands compared to gracilis. A significant proportion (20%) of semitendinosus and none of the gracilis tendons had bands originating greater than 10 cm proximal to the tibial crest insertion. This knowledge about the accessory bands of the hamstrings can guide toward safe harvesting of these tendons.

show abstract

Hamstring tendon autograft better than bone–patellar tendon–bone autograft in ACL reconstruction—a cumulative meta-analysis and clinically relevant sensitivity analysis applied to a previously published analysis

Abstract: Hamstring tendon autograft better than bone-patellar tendon-bone autograft in ACL reconstruction-a cumulative meta-analysis and clinically relevant sensitivity analysis applied to a previously published analysis

Cited by 13 publications

References 14 publications

A Systematic Approach for Stronger Documentation of Anterior Cruciate Ligament Graft Choice

A Systematic Approach for Stronger Documentation of Anterior Cruciate Ligament Graft Choice

Dynamic intraligamentary stabilization: novel technique for preserving the ruptured ACL

Accessory bands of the hamstring tendons: A clinical anatomical study

Contact Info

Product

Resources

About