Hamstring v patellar tendon autografts: When to operate is importantBMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7550.1153-a (Published 11 May 2006) Cite this as: BMJ 2006;332:1153
EDITOR—Blau et al's meta-analysis shows that there is little to choose between hamstring and patellar tendon grafts in knee reconstruction.1 Patients and their doctors also need help in deciding when to operate and when to decide for a conservative approach. As Blau et al point out, the referring practitioner decides the surgical technique by choosing the surgeon. The decision to operate at all is also made by the surgeon, unfortunately often based on fee for service objectives, although the outcomes remain controversial.
It would be of great interest to patients and doctors to add an additional control group of conservatively treated patients (no surgery) into the evaluation of long term outcomes of anterior cruciate ligament rupture and its appropriate treatment.
Competing interests None declared.