Document Type
Article
Version Deposited
Published Version
Publication Date
4-22-2025
Publication Title
Journal of Experimental Orthopaedics
DOI
10.1002/jeo2.70244
Abstract
PURPOSE: To compare the 2-year postoperative outcomes of hamstring tendon (HT) grafts to quadriceps tendon (QT) grafts in anterior cruciate ligament (ACL) reconstruction. We hypothesised no significant differences between the two methods.
METHODS: A systematic review and meta-analysis were conducted following the 2020 PRISMA guidelines. Five online databases (Cochrane, Embase, PubMed, Scopus and Web of Science) were screened for prospective randomised controlled trials (RCT). IKDC, Lysholm, Tegner, side-to-side KT-1000 scores and ages were collected. Statistical analysis was conducted with SPSS v29. Between the two groups, a test of between-subgroup homogeneity
RESULTS: Five RCTs were included in the final analysis. The HT group included 87 patients, and the QT group included 93 patients. The mean ages for the HT and QT groups were 28.3 ± 6.6 and 26.5 ± 8.4 years, respectively. HTs yielded clinically higher IKDC scores (
CONCLUSIONS: Compared with the use of the QT graft, the HT graft for ACL reconstruction may result in greater knee function and stability, while QT ACL reconstruction may be associated with increased levels of postsurgical activity in terms of return to sports and work. Future long-term RCTs are needed to confirm our findings.
LEVEL OF EVIDENCE: Level I.
Recommended Citation
Elias, Jonathan; Kaplan, Mitchell; Shah, Kunal; Bickford, Michael; McNamara, Chelsea; Ford, Elizabeth; and McMillan, Sean, "4-Strand Hamstring Versus Single-Bundle Quadriceps Tendon Grafts in Anterior Cruciate Ligament Reconstruction at 2 years: A Systematic Review and Meta-Analysis of Randomised Controlled Trials" (2025). Rowan-Virtua School of Osteopathic Medicine Departmental Research. 287.
https://rdw.rowan.edu/som_facpub/287
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Published Citation
Elias J, Kaplan M, Shah K, Bickford M, McNamara C, Ford E, McMillan S. 4-Strand hamstring versus single-bundle quadriceps tendon grafts in anterior cruciate ligament reconstruction at 2 years: A systematic review and meta-analysis of randomised controlled trials. J Exp Orthop. 2025 Apr 22;12(2):e70244. doi: 10.1002/jeo2.70244. PMID: 40265044; PMCID: PMC12012644.
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