@article{ref1,
title="Return to sports after anterior cruciate ligament surgery with hamstring or patella tendon autograft - a systematic review",
journal="Danish medical journal",
year="2024",
author="Bouju, Sif and Lauritzen, Jes B. and Journé, Alexandre and Jørgensen, Henrik L.",
volume="71",
number="7",
pages="A09230599-A09230599",
abstract="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. <br><br>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. <br><br>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). <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="2245-1919",
doi="10.61409/A09230599",
url="http://dx.doi.org/10.61409/A09230599"
}