Patellar tendon or four-strand hamstring? A systematic review of autografts for anterior cruciate ligament reconstruction

Forster, M.C.; Forster, I

doi:10.1016/j.knee.2004.06.008

Cited by 79 publications

(86 citation statements)

References 23 publications

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“…10,[12][13][14] Lots of studies reported that the ACL reconstruction with a hamstring tendon autograft produced satisfactory clinical results. [15][16][17][18][19][20] However, a desire to avoid the sacrifice of autogenous tissue and to minimize surgical trauma and postoperative morbidity has promoted the consideration of allograft sources. 21 Because there are many obvious advantages of an allograft including smaller incision, a shorter operation time, a lack of donor-site morbidity, no size limitation and more appropriate for multiple ligamentous injury, and so on, several studies have shown that allograft is a reasonable alternative to autograft for ACL reconstruction.…”

mentioning

confidence: 99%

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With a Hamstring Tendon Autograft and Fresh-Frozen Allograft: A Prospective, Randomized, and Controlled Study

Tian

Wang

et al. 2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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mentioning

confidence: 99%

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With a Hamstring Tendon Autograft and Fresh-Frozen Allograft: A Prospective, Randomized, and Controlled Study

Tian

Wang

et al. 2016

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…We found conflicting meta-analyses in two topics: choice of graft in ACL reconstruction (n = 7) (Table 1) [5,8,10,12,28,33,36], and hyaluronic acid for treating osteoarthritis of the knee (n = 5) ( Table 2) [1,7,18,19,35]. For these two topics, we could extract data on pain for hyaluronic acid, and the Lachman test, pivot shift, and extension lag for graft choice in ACL reconstruction.…”

Section: Resultsmentioning

confidence: 99%

“…For ACL graft choice the studies by Biau et al [5], Forster and Forster [8], and Goldblatt et al [12] had the highest methodologic quality, but still presented conflicting conclusions (Tables 1 and 3). As mentioned above, the qualitative assessment of studies showed differences only in the surgical procedures, suggesting confounding by this variable [34].…”

Section: No Conflictmentioning

confidence: 99%

A Systematic Review of Conflicting Meta-Analyses in Orthopaedic Surgery

Vavken

Dorotka²

2009

Clinical Orthopaedics &Amp; Related Research

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Meta-analyses are important evaluations in orthopaedic surgery, not only to create clinical guidelines, but also because their findings are included in public health and health policy decision making. However, with increasing numbers of meta-analyses, discordant and frankly conflicting conclusions have been reported. We searched for conflicting meta-analyses, ie, those arriving at different conclusions despite following the same research question, identified potential reasons for these differences, and assessed the statistical significance and clinical importance of differences. We identified conflicting meta-analyses on graft choice in ACL reconstruction and the use of hyaluronic acid. We found significant differences in individual results only for meta-analyses on hyaluronic acid, but the 95% confidence intervals of the magnitude of differences included values as much as 40% for ACL meta-analyses. However, our findings suggest most conflicts derive from differences in the interpretation of pooled results rather than in the actual results. Thus conclusions and interpretations from meta-analyses should be scrutinized as critically as those from any other type of study and subjected to reassessment if deemed necessary.

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“…Yayımlanmış sistematik derleme sonuçlarından bazıları patellar tendon (PT) bazıları da hamstring tendonu lehinedir (11)(12). Birçoğu her iki greft tipinin de güçlü ve zayıf yönlerini vurgulamaktadır ancak bunların birbirlerine üstünlükleri konusunda bir sonuca varamamışlardır (13)(14)(15)(16)(17)(18). Bu konudaki araştırmaların devam etmesine karşın PT otogrefti halen bazı araştırmacılar tarafından altın standart olarak kabul edilmektedir (11,19).…”

Section: Introductionunclassified

Ön Çapraz Bağ Rekonstrüksiyonu Sonrası Gelişen Diz Önü Ağrısının Kas Gücü, Fonksiyonel Skorlar, Denge ve Propriosepsiyon Üzerine Etkisi

Gülbahar¹,

Akgün²,

Karasel³

et al. 2013

Tftr

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ÖzetAmaç: Bu çalışmanın amacı patellar tendon (PT) otogrefti ile ön çapraz bağ (ÖÇB) rekonstrüksiyonu yapılmış olgularda diz önü ağrısının klinik sonuçlara, aktivite düzeyine, kas gücü, fonksiyonel testler, propriosepsiyon ve denge üzerine etkisinin araştırılmasıdır. Gereç ve Yöntem: PT grefti ile ÖÇB rekonstrüksiyonu yapılmış ve hızlandırılmış rehabilitasyon programı uygulanmış yaş ortalaması 27,6 olan 38 hasta çalışmaya alındı. Hastaların izokinetik diz ekstansör ve fleksör kas güçleri Cybex ® izokinetik dinamometre ile ölçüldü. Statik denge Sport-KAT ® ile değerlendirildi. Proprioseptif fonksiyonları da izokinetik test ve tedavi cihazı ile 90 derece diz fleksiyonundan sırası ile 40, 20 ve 5 dereceye aktif repozisyonlama şeklinde değerlendirildi. Fonksiyonel kapasiteleri tek adım, üç adım ve çapraz atlama mesafeleri ile değerlendirildi. Subjektif semptomları Lysholm skalası, aktivite düzeyleri Tegner aktivite skalasıyla ölçüldü. Diz önü ağrısı 10 santimetrelik vizüel analog skala ile değerlendirildi. Bulgular: Çalışmaya alınan 38 hastanın 15'inde (%39,5) diz önü ağrısı kaydedildi. Diz önü ağrısı olan hastaların Lysholm, Tegner skorları diz önü ağrısı olmayan gruba göre anlamlı olarak düşük saptandı (p<0,05). İzokinetik kas gücü değerlendirmeleri, fonksiyonel testleri, denge değerlendirmeleri ve propriosepsiyon ölçümlerinde iki grup arasında istatistiksel olarak anlamlı fark saptanmadı (p>0,05). Tüm değerlendirmeler için güç analizi yapıldı. Sonuç: PT otogrefti ile ÖÇB rekonstrüksiyonu sonrası gelişen diz önü ağrısının; Lysholm ve Tegner aktivite skorlarını etkilerken, kas gücü, denge, propriosepsiyon, ve fonksiyonel durumlarını etkilemediği görülmüştür. Türk Fiz T›p Re hab Derg 2013;59:90-6. Anah tar Ke li me ler: Ön çapraz bağ, rekonstrüksiyon, diz önü ağrısı, patellofemoral ağrı, patellar tendon otogrefti Sum maryObjective: The aim of this study was to evaluate the effect of anterior knee pain on clinical outcome, activity level, strength, functional tests, proprioception, and balance in patients who had anterior cruciate ligament (ACL) reconstruction with a patellar tendon (PT) autograft. Materials and Methods: Thirty-eight patients with a mean age of 27,6, who had undergone ACL reconstruction with a PT autograft and followed with a modified accelerated rehabilitation program, were included in the study. Isokinetic muscle strength of knee extension and flexion were measured using a Cybex ® isokinetic dynamometer. Sport-KAT ® device was used to assess the static balance. For proprioceptive assessment, an isokinetic dynamometer was used. Active repositioning was measured at knee flexions of 40°, 20°, and 5°. Activity level of the patients was assessed with Tegner activity scale and subjective functional results were evaluated using the Lysholm knee score. Single leg hop, triple leg hop, and one-legged crossover hop tests were used for objective functional testing. Anterior knee pain was evaluated with a 1-10 centimeters visual analog scale. Results: Fifteen patients (39.5%) had anterior knee pain. Lysholm and...

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Patellar tendon or four-strand hamstring? A systematic review of autografts for anterior cruciate ligament reconstruction

Cited by 79 publications

References 23 publications

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With a Hamstring Tendon Autograft and Fresh-Frozen Allograft: A Prospective, Randomized, and Controlled Study

Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction With a Hamstring Tendon Autograft and Fresh-Frozen Allograft: A Prospective, Randomized, and Controlled Study

A Systematic Review of Conflicting Meta-Analyses in Orthopaedic Surgery

Ön Çapraz Bağ Rekonstrüksiyonu Sonrası Gelişen Diz Önü Ağrısının Kas Gücü, Fonksiyonel Skorlar, Denge ve Propriosepsiyon Üzerine Etkisi

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