SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2014
Clinical outcomes of remnant preserving augmentation in anterior cruciate ligament reconstruction: a systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Remnant preservation may improve proprioception after anterior cruciate ligament reconstruction.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Pooled it
- Is Remnant Preservation in Anterior Cruciate Ligament Reconstruction Superior to the Standard Technique? A Systematic Review and Meta-Analysis.BioMed research international · 2019Pooled it
- [Effectiveness of a novel remnant-preserving anterior cruciate ligament reconstruction with bidirectional barbed suture].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2019Trial
- No clinical difference in 10-year outcomes between standard and minimal graft debridement techniques in patients undergoing anterior cruciate ligament reconstruction using autologous hamstrings: a randomized controlled trial.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Trial
- Extracellular Vesicle-Mediated Communication Between Anterior Cruciate Ligament and Bone Marrow Cells Modulates Hamstring Tenocyte Behavior and Apoptosis.The Kaohsiung journal of medical sciences · 2026Article
- Effect of human adipose stem cell-derived mitochondrial transplantation on the activity of chronically injured anterior cruciate ligament cells.Bone & joint research · 2025Article
- Younger age, medial meniscectomy and remnant-sacrificing reconstruction techniques affect residual pivot shift after anterior cruciate ligament reconstruction using hamstring tendons.Journal of experimental orthopaedics · 2025Article
- Effect of lyophilized exosomes derived from umbilical cord stem cells on chronic anterior cruciate ligament cell injury.Journal of orthopaedic surgery and research · 2024Article
- Bone marrow stromal and anterior cruciate ligament remnant cell co-culture-derived extracellular vesicles promote cell activity in both cell types.Journal of cellular and molecular medicine · 2024Article
- Remnant-Sparing Anterior Cruciate Ligament Reconstruction Results in Similar Clinical, Functional, and Quality-of-Life Outcomes to Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Risk Factors for Symptomatic Cyclops Lesion Formation after Anterior Cruciate Ligament Reconstruction.Revista brasileira de ortopedia · 2023Article
- Effects of Preserving Anatomically Positioned and Adequate Remnant ACL Tissue in Double-Bundle ACL Reconstruction.Orthopaedic journal of sports medicine · 2023Article
- Anterior cruciate ligament remnant preservation attenuates apoptosis and enhances the regeneration of hamstring tendon graft.Bone & joint research · 2023Article
- Occurrence Rate of Cyclops Lesion After Anatomic Double-Bundle ACL Reconstruction: Comparison Between Remnant Tissue Preservation and Resection Methods.Orthopaedic journal of sports medicine · 2022Article
- Article
- Differential regional perfusion of the human anterior cruciate ligament: quantitative magnetic resonance imaging assessment.Journal of experimental orthopaedics · 2022Article
- Ligamentization and Remnant Integration: Review and Analysis of Current Evidence and Implications for Scapholunate Reconstruction.Journal of wrist surgery · 2021Article
- Clinical outcome of a new remnant augmentation technique with anatomical double-bundle anterior cruciate ligament reconstruction: Comparison among remnant preservation, resection, and absent groups.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2021Article
- Preservation of the Tibial Stump During Anterior Cruciate Ligament Reconstruction Surgery Did Not Increase the Rate of Surgery for Symptomatic Cyclops Lesions.Orthopaedic journal of sports medicine · 2021Article
- Extracorporeal shock wave promotes activation of anterior cruciate ligament remnant cells and their paracrine regulation of bone marrow stromal cells' proliferation, migration, collagen synthesis, and differentiation.Bone & joint research · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe objective of this study was to systematically review the current evidence to see whether the remnant preservation techniques could obtain better clinical outcomes than the standard anterior cruciate ligament reconstruction procedure.
methodsThe authors systematically searched online databases to identify the studies which compared the remnant preservation techniques with the standard techniques. Two reviewers independently extracted data and evaluated the methodological quality of each study. Clinical outcomes in terms of knee stability, clinical scores, vascularization, proprioception, tibial tunnel enlargement and complications were qualitatively compared.
resultsThirteen studies met the inclusion criteria for review. Compared with the standard procedure, significantly better results regarding knee stability in the remnant preserving group were reported in two of nine studies in the instrumented knee laxity, one of eight studies in the Lachman test and none of eight studies regarding the pivot shift test. Five studies assessed International Knee Documentation Committee scores but found no differences. One of two studies indicated significantly earlier revascularization according to the signal/noise quotient value of the graft on magnetic resonance imaging. One of two studies indicated significantly better proprioceptive function in terms of joint position sense using the reproduction of passive positioning test. Two of two studies showed significantly less tibial tunnel enlargement in the remnant preserving group. None of the studies showed significant increase in the risk of cyclops lesion formation and the loss of knee range of motion in the remnant augmentation group.
conclusionsThe current evidence suggests that the short-term clinical outcomes of patients with the remnant augmentation technique are comparable, if not superior, with that of patients undergoing the standard technique, although it is insufficient to justify the remnant preserving augmentation as a routine treatment for anterior cruciate ligament ruptures. LEVEL OF EVIDENCE: Systematic review, Level IV.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.