Evidence map›Paper›PMID 27277002›Full record

Trial reportJournal of orthopaedic surgery and research2016

Immediate post-operative pain in anterior cruciate ligament reconstruction surgery with bone patellar tendon bone graft versus hamstring graft.

Ravi Gupta, Dheeraj Kapoor, Love Kapoor, Anubhav Malhotra, Gladson David Masih, Anil Kapoor, Shweta Joshi

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ravi GuptaDepartment of Orthopaedics, Government Medical College and Hospital, Chandigarh, India. ravikgupta2000@yahoo.com.
Dheeraj KapoorDepartment of Anaesthesia, Government Medical College and Hospital, Chandigarh, India.
Love KapoorDepartment of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.
Anubhav MalhotraDepartment of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.
Gladson David MasihDepartment of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.
Anil KapoorDepartment of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.
Shweta JoshiDepartment of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain in the immediate post-operative period after anterior cruciate ligament (ACL) surgery, apart from an unpleasant experience for the patient, can act as a barrier for static quadriceps contractions and optimum execution of the initial rehabilitation protocol resulting in slow recovery and a later return to full function for a sportsperson. There is no report in the literature comparing pain in the immediate post-operative period after using the two most widely used autografts, bone patellar tendon bone (BPTB) graft and hamstring graft.

methodsThe present study compared the visual analogue scale (VAS) pain score in the immediate post-operative period after arthroscopic ACL reconstruction with the BPTB and hamstring autografts. Both groups consisted of 50 patients each. The mean age of the BPTB and hamstring cohorts was 26.9 ± 7.3 years (age range 18-59 years) and 26.7 ± 9.0 years (age range 17-52 years), respectively. Unpaired t test was applied to compare pain scores between the BPTB and hamstring cohorts.

resultsIn the present study, patients in the BPTB cohort showed higher mean pain scores across all the post-operative time intervals except at 6 h. However, the difference in the mean VAS pain score at post-operative 6, 12,18, 24, 36 and 48 h in the two groups was statistically not significant (p value of 1, 0.665, 0.798, 0.377, 0.651 and 0.215 at 6, 12, 18, 24, 36 and 48 h, respectively).

conclusionsOur study concludes that the arthroscopic ACL reconstruction with BPTB autograft and hamstring autograft is associated with similar pain in the immediate post-operative period. As a result, aggressive physiotherapy regime is not affected by the type of graft being used for ACL reconstruction, as the pain scores in the immediate post-operative period are similar for both techniques.

trial registrationClinical Trials Registry-India, CTRI/2016/01/006502.

Indexed as

AdolescentAdultAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionBone-Patellar Tendon-Bone GraftsFemaleFollow-Up StudiesHamstring MusclesHumansMaleMiddle AgedPain MeasurementPostoperative PainProspective StudiesTransplantation, AutologousYoung AdultACL surgeryBPTB graftHamstring graftImmediate post-operativePain score

Identifiers

PMID27277002
PMCPMC4898387

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Registered trials

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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.