Return to sports after anterior cruciate ligament surgery with hamstring or patella tendon autograft - a systematic review
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Return to sports after anterior cruciate ligament surgery with hamstring or patella tendon autograft - a systematic review. / Bouju, Sif; Lauritzen, Jes B.; Journé, Alexandre; Jørgensen, Henrik L.
In: Danish Medical Journal, Vol. 71, No. 7, A09230599, 2024.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Return to sports after anterior cruciate ligament surgery with hamstring or patella tendon autograft - a systematic review
AU - Bouju, Sif
AU - Lauritzen, Jes B.
AU - Journé, Alexandre
AU - Jørgensen, Henrik L.
N1 - Publisher Copyright: Published under Open Access CC-BY-NC-BD 4.0. https://creativecommons.org/licenses/by-nc-nd/4.0/.
PY - 2024
Y1 - 2024
N2 - INTRODUCTION: In orthopaedics, anterior cruciate ligament (ACL) reconstructions are among the most common surgical interventions. Two methods are preferably used: autografts from the hamstring tendon (HT) or patella tendon (PT). The purpose of this meta-analysis was to compare these two methods when returning to sports. METHODS: Eleven studies were included based on a literature search conducted in PubMed. The primary outcome was return to preinjury sport level in athletes. Post-operative results such as the Lysholm score, the International Knee Documentation Committee (IKDC) subjective score, the Tegner Activity Score and KT-1000 arthrometry and autograft re-rupture rates were analysed as secondary outcomes. RESULTS: The analysis showed no significant difference in return to preinjury sports level at a two-year follow-up between patients operated with hamstring or patella autograft. Considering the secondary outcomes, no significant differences were recorded in Lysholm score, IKDC score or re-rupture rate. The Tegner Activity Scale demonstrated a significantly higher activity level in the PT group than in the HT group (OR 0.79, p = 0.003). At the two-year follow-up, the KT-1000 arthrometer analysis also showed a significant difference in laxity, which was higher for the HT autografts (OR -0.31, p = 0.02). CONCLUSION: This study showed no significant differences between hamstring and patella autografts. Even so, the choice of method when operated for ACL rupture remains crucial for the individual and should be a weighted decision made jointly by the patient and the physician.
AB - INTRODUCTION: In orthopaedics, anterior cruciate ligament (ACL) reconstructions are among the most common surgical interventions. Two methods are preferably used: autografts from the hamstring tendon (HT) or patella tendon (PT). The purpose of this meta-analysis was to compare these two methods when returning to sports. METHODS: Eleven studies were included based on a literature search conducted in PubMed. The primary outcome was return to preinjury sport level in athletes. Post-operative results such as the Lysholm score, the International Knee Documentation Committee (IKDC) subjective score, the Tegner Activity Score and KT-1000 arthrometry and autograft re-rupture rates were analysed as secondary outcomes. RESULTS: The analysis showed no significant difference in return to preinjury sports level at a two-year follow-up between patients operated with hamstring or patella autograft. Considering the secondary outcomes, no significant differences were recorded in Lysholm score, IKDC score or re-rupture rate. The Tegner Activity Scale demonstrated a significantly higher activity level in the PT group than in the HT group (OR 0.79, p = 0.003). At the two-year follow-up, the KT-1000 arthrometer analysis also showed a significant difference in laxity, which was higher for the HT autografts (OR -0.31, p = 0.02). CONCLUSION: This study showed no significant differences between hamstring and patella autografts. Even so, the choice of method when operated for ACL rupture remains crucial for the individual and should be a weighted decision made jointly by the patient and the physician.
U2 - 10.61409/A09230599
DO - 10.61409/A09230599
M3 - Journal article
C2 - 38903025
AN - SCOPUS:85196876001
VL - 71
JO - Danish Medical Journal
JF - Danish Medical Journal
SN - 2245-1919
IS - 7
M1 - A09230599
ER -
ID: 396942950