No Difference in Outcome of Anterior Cruciate Ligament Reconstruction with “Bone-patellar Tendon-bone versus Semitendinosus-gracilis Graft with Preserved Insertion”: A Randomized Clinical Trial

Following Anterior Cruciate Ligament Reconstruction With Bone–Patellar Tendon–Bone Autograft, the Incidence of Anterior Knee Pain Ranges From 5.4% to 48.4% and the Incidence of Kneeling Pain Ranges From 4.0% to 75.6%: A Systematic Review of Level I Studies

“…Four studies 14 , 15 , 16 , 17 reported both anterior knee pain and kneeling pain in patients undergoing ACLR with BPTB autograft, whereas 6 additional studies 18 , 19 , 20 , 21 , 22 , 23 reported only anterior knee pain and the remaining 5 studies 24 , 25 , 26 , 27 , 28 reported only kneeling pain. The incidence of anterior knee pain, calculated from 354 patients across 10 studies, 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ranged from 5.4% to 48.4% ( Fig 2 , Table 2 ).…”

“…The incidence of postoperative pain with kneeling was determined to range from 4.0% to 75.6% in 490 patients from 9 studies ( Fig 3 , Table 2 ). 14 , 15 , 16 , 17 , 24 , 25 , 26 , 27 , 28 The incidence of patients reporting any knee pain, either anterior or kneeling pain, ranged from 9.7% to 86.4% across the 15 included studies ( Fig 4 ). 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28

Fig 2 Forest plot and 95% CIs for incidence of patients reporting anterior knee pain following ACLR with BPTB autograft.

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“… 14 , 15 , 16 , 17 , 24 , 25 , 26 , 27 , 28 The incidence of patients reporting any knee pain, either anterior or kneeling pain, ranged from 9.7% to 86.4% across the 15 included studies ( Fig 4 ). 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28

Fig 2 Forest plot and 95% CIs for incidence of patients reporting anterior knee pain following ACLR with BPTB autograft. (ACLR, anterior cruciate ligament reconstruction; BPTB, bone–patellar tendon–bone; CIs, confidence intervals.)

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Return to Baseline Physical Activity After Bone–Patellar Tendon–Bone Versus Hamstring Tendon Autografts for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Randomized Controlled Trials

“…Regarding HT groups, 6 studies used a 2-strand semitendinosus and gracilis (STG) 3,10,22,31,44,51 ; only 1 used a 2-strand semitendinosus (ST) (a 6- to 7-mm graft fixed with femoral Endobutton [Acufex Microsurgical, Mansfield, MA] and tibial staples) 40 ; 14 used a 4-strand graft (double loop semigracilis or folded graft) § ; and 4 used 3- or 4-strand ST or STG grafts 2,23,25,27 without differentiating between the 2. The remaining studies used 4-strand ST graft, 6 STG graft with preserved insertion, 17 or 5- or 6-strand STG grafts. 24,33 Also, 2 studies had 3 different types of interventions.…”

“…Four studies published significant results. Three favored BPTB: Gupta et al 17 (RR, 1.32; 95% CI, 1.02-1.72; n = 154); Maletis et al 29 (RR, 1.92; 95% CI, 1.11-3.33; n = 96); and Taylor et al 45 (RR, 1.53; 95% CI, 1.06-2.20). Ro ¨pke et al 40 favored HT autograft (RR, 0.35; 95% CI, 0.18-0.71; n = 40).…”