Clinical outcomes of quadrupled hamstring tendon use for anterior cruciate ligament reconstruction in the paediatric population: A systematic review

IF 2 4区医学 Q3 ORTHOPEDICS

Knee Pub Date : 2025-07-29 DOI:10.1016/j.knee.2025.07.006

Omar E.S. Mostafa , Muaaz Tahir , Loiy Alkhatib , Amit Meena , Darren de SA , Ejaz Mughal , Peter D’Alessandro , Nicolas Nicolaou , Shahbaz S. Malik

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Abstract

Background

This study aimed to perform a systematic review to assess complication rates and clinical outcomes after use of quadrupled hamstring tendon graft for anterior cruciate ligament reconstruction (ACLR) in the paediatric population.

Methods

A systematic literature search was conducted following PRISMA guidelines and registered prospectively. Comparative and non-comparative studies that explicitly used quadrupled hamstring tendon for ACLR in skeletally immature patients were included. Patient-reported outcome measures, radiographic measurements and functional outcomes were reviewed. Quality assessment was performed using the Newcastle Ottawa Score.

Results

Thirty-four studies met the eligibility criteria with 1384 patients. The mean age was 13.5 years with 47.3 % males and mean follow up of 44.2 months. The overall complication rate was 14.2 %, graft failure was 6.5 % and revision surgery was 2.6 %. The mean postoperative Lysholm score was 93.0, the Tegner score was 7.3, and the IKDC score was 91.4. Return to activity was 88 %. The mean KT-1000 was 1.59 mm. The mean postoperative mLDFA was 91.0°, mMPTA was 87.2° and femorotibial angle was 2.59°.

Conclusion

Quadrupled hamstring tendon graft in ACLR offers good to excellent patient reported outcomes and low incidence of growth arrest. The graft re-rupture rate is up to 6.5%.

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四足腘绳肌腱用于儿科前交叉韧带重建的临床结果：一项系统综述

本研究旨在对儿科人群使用四足腘绳肌腱移植进行前交叉韧带重建（ACLR）后的并发症发生率和临床结果进行系统回顾。方法按照PRISMA指南进行系统文献检索，并进行前瞻性注册。包括明确使用四肢腘绳肌腱治疗骨骼未成熟患者ACLR的比较和非比较研究。回顾了患者报告的结果测量、影像学测量和功能结果。使用纽卡斯尔渥太华评分进行质量评估。结果34项研究纳入1384例患者，符合入选标准。平均年龄13.5岁，男性47.3%，平均随访44.2个月。总并发症发生率为14.2%，移植物失败率为6.5%，翻修手术率为2.6%。术后Lysholm评分平均为93.0，Tegner评分平均为7.3，IKDC评分平均为91.4。恢复活动的比例为88%。KT-1000平均为1.59 mm。术后平均mLDFA为91.0°，mMPTA为87.2°，股胫角为2.59°。结论四足肌腱移植治疗ACLR疗效良好，生长停止发生率低。移植物再破裂率高达6.5%。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee 医学-外科

CiteScore

3.80

自引率

5.30%

发文量

171

审稿时长

6 months

期刊介绍： The Knee is an international journal publishing studies on the clinical treatment and fundamental biomechanical characteristics of this joint. The aim of the journal is to provide a vehicle relevant to surgeons, biomedical engineers, imaging specialists, materials scientists, rehabilitation personnel and all those with an interest in the knee. The topics covered include, but are not limited to: • Anatomy, physiology, morphology and biochemistry; • Biomechanical studies; • Advances in the development of prosthetic, orthotic and augmentation devices; • Imaging and diagnostic techniques; • Pathology; • Trauma; • Surgery; • Rehabilitation.