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Harvesting of Peroneus Longus Tendon Autograft
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Hamstring Tendon Regeneration After Harvesting: A Systematic Review.

Mathijs A M Suijkerbuijk1, Max Reijman2, Susanne J M Lodewijks2

  • 1Department of Orthopaedic Surgery, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, the Netherlands a.suijkerbuijk@erasmusmc.nl.

The American Journal of Sports Medicine
|December 31, 2014
PubMed
Summary

Hamstring tendons used for anterior cruciate ligament (ACL) reconstruction regenerate in most patients, primarily between 1 month and 1 year post-surgery. Factors influencing this hamstring tendon regeneration remain unclear due to limited research.

Keywords:
clinical outcomedeterminantshamstring tendon regenerationtime course

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Area of Science:

  • Orthopedic Surgery
  • Regenerative Medicine
  • Biomedical Engineering

Background:

  • Hamstring tendons are frequently utilized as autografts for anterior cruciate ligament (ACL) reconstruction.
  • The consequences of hamstring tendon harvesting, including regeneration rates and influencing factors, lack comprehensive systematic review.
  • Understanding hamstring tendon regeneration is crucial for optimizing ACL reconstruction outcomes.

Purpose of the Study:

  • To systematically review and summarize the existing literature on hamstring tendon regeneration rates following ACL reconstruction.
  • To delineate the typical time course of hamstring tendon regeneration.
  • To identify potential determinants that influence the regeneration process.

Main Methods:

  • A comprehensive systematic literature search was conducted across multiple databases (Embase, Medline, Web of Science, Cochrane, PubMed, Google Scholar) up to June 2014.
  • Studies were included if they involved hamstring tendon harvesting, assessed regeneration, had at least 10 human subjects, and were RCTs, prospective/retrospective cohort studies, or case-control studies.
  • Data on regeneration rates were pooled, and a risk of bias assessment was performed.

Main Results:

  • Eighteen publications met the inclusion criteria, indicating a mean regeneration rate of 70% or higher for semitendinosus and gracilis tendons.
  • Regeneration was observed in 79% of semitendinosus and 72% of gracilis tendons over one year post-harvest.
  • No significant differences in regeneration rates were associated with patient sex, age, height, weight, or immobilization duration.

Conclusions:

  • Hamstring tendons demonstrate substantial regeneration in the majority of patients following ACL reconstruction, predominantly occurring between one month and one year post-harvest.
  • Current research lacks sufficient data to identify significant determinants of hamstring tendon regeneration.
  • The long-term function and strength of regenerated hamstring tendons require further investigation.