Return to Sport and Graft Failure Rates After Primary Anterior Cruciate Ligament Reconstruction With a Bone–Patellar Tendon–Bone Versus Hamstring Tendon Autograft: A Systematic Review and Meta-analysis

John Connors; Antonio Cusano; Jayson Saleet; Kévin A. Hao; Kristian Efremov; Robert L. Parisien; Romain Seil; Xinning Li

doi:10.1177/03635465241295713

January 21, 2025The American Journal of Sports Medicine

Return to Sport and Graft Failure Rates After Primary Anterior Cruciate Ligament Reconstruction With a Bone–Patellar Tendon–Bone Versus Hamstring Tendon Autograft: A Systematic Review and Meta-analysis

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Key Points

To compare return-to-sport rates, activity levels, and graft failure rates following primary anterior cruciate ligament reconstruction using bone–patellar tendon–bone versus hamstring tendon autografts.
Systematic review and meta-analysis synthesizing clinical evidence on primary anterior cruciate ligament reconstruction.
Evaluated outcomes between bone–patellar tendon–bone (BTB) autografts and hamstring tendon (HT) autografts.
Rates of return to sport and return to previous activity levels did not differ between bone–patellar tendon–bone and hamstring tendon autografts (numerical event rates, effect sizes, and p-values not reported in abstract).
Graft rerupture frequencies showed no divergence between the two autograft techniques (numerical event rates, effect sizes, and p-values not reported in abstract).

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Implication

A systematic review and meta-analysis reveals equivalent return-to-sport and graft rerupture rates between autograft types in ACL reconstruction, indicating comparable clinical efficacy.

Abstract

Primary ACL reconstruction using BTB autografts demonstrated similar rates of RTS, return to previous activity levels, and reruptures compared with reconstruction using HT autografts.

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Connors et al. (2025) studied this question.

synapsesocial.com/papers/69d7c400f39344339dd18035 https://doi.org/10.1177/03635465241295713

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Return to Sport and Graft Failure Rates After Primary Anterior Cruciate Ligament Reconstruction With a Bone–Patellar Tendon–Bone Versus Hamstring Tendon Autograft: A Systematic Review and Meta-analysis

Key Points

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Implication

Abstract

Discussion

Cite This Study

Return to Sport and Graft Failure Rates After Primary Anterior Cruciate Ligament Reconstruction With a Bone–Patellar Tendon–Bone Versus Hamstring Tendon Autograft: A Systematic Review and Meta-analysis

Key Points

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Implication

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