Methods of Graft Fixation in Arthroscopic Anterior Cruciate Ligament Reconstruction using Hamstring Tendon Graft: A Systematic Review and Meta Analysis | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 3, March 2025, Page 174-179 PDF (640.09 K) | ||||
| Document Type: Original Article | ||||
| DOI: https://doi.org/10.21608/aimj.2025.446483 | ||||
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| Authors | ||||
Ibrahim Ahmed Mostafa; Abdelhameed AlSaid Hendy; Ahmed Mahmoud Mohamed Salama 
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| Department of Orthopedic Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt. | ||||
| Abstract | ||||
| Background: The anterior cruciate ligament (ACL) injury is one of the most frequent injuries of the knees in orthopedic operations. Aim: To review the effectiveness of various graft fixation methods used in arthroscopic ACL reconstruction with hamstring tendon graft. outcomes or graft failure rates, but suggests tailoring the choice to individual patient and surgeon's experience. Materials and methods: The study utilized several databases, including MEDLINE, AMED, CINAHL, EMBASE, and the Cochrane Library, to search for published research on anterior cruciate ligaments. High-quality papers published after 2009 were included, with a focus on studies in English. The web search was conducted from August 2023 to August 2024. Results: The pooled estimate for follow-up duration was 13.77 months (95% CI: 11.67 to 15.87, p-value less than 0.001), meaning the average monitoring time across studies was about 14 months. The statistically significant p-value indicates that this finding is reliable, and the confidence interval suggests that most studies reported follow-up times within a similar range. The pooled Tegner score was 5.35 (95% CI: 4.89 to 5.80, p < 0.001), indicating that the functional activity levels measured by the Tegner scale were moderately high in the included studies. The confidence interval is relatively narrow, reflecting a reliable estimate, and the p-value supports statistical significance. Conclusion: This study reviews various fixation methods, finding no significant difference in clinical | ||||
| Keywords | ||||
| ACL; Arthroscopic; Graft | ||||
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