{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T19:01:59Z","timestamp":1789844519223,"version":"4.0.1"},"reference-count":56,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":34,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare clinical and radiological outcomes of anterior cruciate ligament reconstruction (ACLR) using non\u2010detached hamstring tendon (NDHT) versus conventional detached hamstring tendon (DHT) technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Embase, PubMed, Ovid Medline and CINAHL databases were searched from inception to October 2025. Inclusion criteria included comparative studies of clinical or radiographic outcomes between NDHT and DHT. Studies were excluded if they were non\u2010comparative or if they involved extra\u2010articular procedures. The primary outcome was the post\u2010operative International Knee Documentation Committee (IKDC) score. Secondary outcomes included Lysholm, Tegner, KT\u20101000 (knee testing 1000 [laxity arthrometer]) scores, rate of return\u2010to\u2010sport (RTS), retear rate and graft maturation. Data were pooled using random\u2010effects models with significance set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05. Sensitivity analyses included randomized trials only.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 11 studies (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009731; 354 NDHT, 377 DHT patients) met inclusion criteria. IKDC scores at \u226512 months (mean difference [MD]\u2009=\u20090.67, 95% confidence interval [CI]: \u20132.67 to 3.94,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.69), Lysholm scores at \u22656 months (MD\u2009=\u2009\u20131.02, 95% CI: \u20132.52 to 0.49,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.19), Tegner scores at \u22656 months (MD\u2009=\u20090.18, 95% CI: \u20130.19 to 0.55,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.34), KT\u20101000 arthrometer at \u226524 months (MD\u2009=\u2009\u20130.29, 95% CI: \u20130.67 to 0.30,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.14), RTS rates at \u226512 months (risk ratio [RR]\u2009=\u20091.00, 95% CI: 0.94 to 1.07,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.89) and retear rates at \u226512 months (RR\u2009=\u20090.63, 95% CI: 0.17 to 2.40,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.50). None of these findings changed in sensitivity analysis. The NDHT demonstrated significantly better graft maturation at 6 and 12 months (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), but these differences disappeared by 24 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Preserving the tibial insertion of the hamstring graft in ACLR (NDHT) resulted in comparable clinical outcomes to those of the detached technique (DHT), with no significant differences observed between the two approaches. Future studies should assess potential cost and time benefits of NDHT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70705","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T11:16:08Z","timestamp":1777979768000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Non\u2010detached hamstring tendon anterior cruciate ligament reconstruction demonstrates comparable outcomes to the traditional detached hamstring tendon technique: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0480-8440","authenticated-orcid":false,"given":"Khaled","family":"Skaik","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Sciences McGill University Montreal Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Son","sequence":"additional","affiliation":[{"name":"Michael G. 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