Evidence map›Paper›PMID 27549214›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017

Impact of surgical timing on the outcome of anterior cruciate ligament reconstruction.

Elmar Herbst, Christian Hoser, Peter Gföller, Caroline Hepperger, Elisabeth Abermann, Katharina Neumayer, Volker Musahl, Christian Fink

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Early or delayed anterior cruciate ligament reconstruction: Is one superior? A systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019
    Pooled it
  3. No risk of arthrofibrosis after acute anterior cruciate ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018
    Trial
  4. Article
  5. [Early Surgical Treatment Options for Anterior Cruciate Ligament Injury].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024
    Article
  11. Article
  12. Article
  13. Acute and subacute anterior cruciate ligament reconstructions are associated with a higher risk of revision and reoperation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
  14. Low annual hospital volume of anterior cruciate ligament reconstruction is not associated with higher revision rates.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
  15. Article
  16. The intercondylar fossa-A narrative review.Clinical anatomy (New York, N.Y.) · 2022
    Review
  17. Review
  18. Posterior cruciate ligament injuries: what do we really know?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  19. Review
  20. 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

8 authors.

Elmar HerbstDepartment of Orthopaedic Sports Medicine, Klinikum rechts der Isar, TU Munich, Ismaninger Str. 22, 81675, Munich, Germany.
Christian HoserGelenkpunkt, Sports and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria.
Peter GföllerGelenkpunkt, Sports and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria.
Caroline HeppergerGelenkpunkt, Sports and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria.
Elisabeth AbermannGelenkpunkt, Sports and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria.
Katharina NeumayerDepartment of Traumatology, Bezirkskrankenhaus St. Johann in Tirol, Bahnhofstraße 14, 6380, St. Johann in Tirol, Austria.
Volker MusahlDepartment of Orthopaedic Surgery, Center for Sports Medicine, University of Pittsburgh, 3200 S Water Street, Pittsburgh, PA, 15203, USA.
Christian FinkGelenkpunkt, Sports and Joint Surgery, Olympiastraße 39, 6020, Innsbruck, Austria. c.fink@gelenkpunkt.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of the present study is the comparison of acute ACL reconstruction with or without meniscus repair within 48 h after injury and a delayed surgery during the inflammation-free interval. It was hypothesized that acute ACL reconstruction results in inferior patient reported outcomes and higher frequency of range of motion deficits.

methodsThe effect of acute (within 48 h) and delayed (during the inflammation-free interval) ACL surgery was prospectively studied on 160 consecutive patients with ACL injury between January 2010 and December 2011. Subgroup analyses were performed to evaluate patients with an additional meniscus repair separately from isolated ACL surgeries. During the study period, partial meniscectomies were recorded to evaluate time dependent meniscus reparability. Patient reported outcomes, objective IKDC and manual stability measurements were documented during the 24-month follow-up period. The Pearson Chi-squared test was used to evaluate objective outcome measures. The Mann-Whitney U test was performed to analyse the results of patient reported outcomes. Statistical significance was set at p < 0.05.

resultsFor patients who underwent isolated ACL reconstruction, no statistical significant difference was observed at any time point regarding objective and subjective outcome measures. Significantly fewer patients who underwent acute combined ACL reconstruction and meniscus repair had an extension deficit between 3° and 5° at 12 months following surgery (3.7 vs. 22.2 %, p < 0.05). No difference regarding cyclops removal, re-injury of ACL or meniscus was found between the two surgical timing groups. Further, surgical timing did not influence the reparability of the meniscus.

conclusionAn acute ACL reconstruction within 48 h is preferable in highly active patients or competitive athletes. LEVEL OF EVIDENCE: Prospective cohort study, Level II.

Indexed as

Time-to-TreatmentAdultAnterior Cruciate LigamentFemaleFollow-Up StudiesHamstring TendonsHumansKnee JointLysholm Knee ScoreMaleProspective StudiesRange of Motion, ArticularTibial Meniscus InjuriesYoung AdultACLAcuteChronicMeniscusMeniscus repairOutcomeRange of motionReconstruction

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.