Evidence map›Paper›PMID 27672574›Full record

ArticleWorld journal of orthopedics2016

Arterial complications, venous thromboembolism and deep venous thrombosis prophylaxis after anterior cruciate ligament reconstruction: A systematic review.

Rob Paulus Augustinus Janssen, Max Reijman, Daan Martijn Janssen, Jan Bernardus Antonius van Mourik

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in World journal of orthopedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05931627 (The Implications of Tourniquet Use on Early Quadriceps Function in Anterior Cruciate Ligament Reconstructions), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
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.

NCT05931627 naterminatednot on this mapstarted 2024, after this paper: background citation

The Implications of Tourniquet Use on Early Quadriceps Function in Anterior Cruciate Ligament Reconstructions: A Randomized Controlled Trial

TypeinterventionalSponsorOrthoCarolina Research Institute, Inc.Ran2024 to 2026Enrolled1ConditionsACL - Anterior Cruciate Ligament Deficiency, ACL Injury, ACL TearArmsPatients undergoing ACL reconstruction with or without a tourniquet
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  9. Anterior cruciate ligament tear increases the risk of venous thromboembolism: a population-based cohort study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
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  13. Incidence and risk factors for symptomatic venous thromboembolism following anterior cruciate ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
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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

4 authors at 2 institutions in 2 countries.

Rob Paulus Augustinus JanssenRob Paulus Augustinus Janssen, Max Reijman, Daan Martijn Janssen, Jan Bernardus Antonius van Mourik, Department of Sports Medicine and Orthopaedic Surgery, Máxima Medical Center, 5600PD, Eindhoven, The Netherlands.
Max ReijmanRob Paulus Augustinus Janssen, Max Reijman, Daan Martijn Janssen, Jan Bernardus Antonius van Mourik, Department of Sports Medicine and Orthopaedic Surgery, Máxima Medical Center, 5600PD, Eindhoven, The Netherlands.
Daan Martijn JanssenRob Paulus Augustinus Janssen, Max Reijman, Daan Martijn Janssen, Jan Bernardus Antonius van Mourik, Department of Sports Medicine and Orthopaedic Surgery, Máxima Medical Center, 5600PD, Eindhoven, The Netherlands.
Jan Bernardus Antonius van MourikRob Paulus Augustinus Janssen, Max Reijman, Daan Martijn Janssen, Jan Bernardus Antonius van Mourik, Department of Sports Medicine and Orthopaedic Surgery, Máxima Medical Center, 5600PD, Eindhoven, The Netherlands.
Creative Research Enterprises (United States) · USMáxima Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo summarize the current knowledge on vascular complications and deep venous thrombosis (DVT) prophylaxis after anterior cruciate ligament (ACL) reconstruction.

methodsA systematic review was conducted according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement. MEDLINE, EMBASE, Cochrane, Web of Science, CINAHL, PubMed publisher, and Google scholar medical literature databases were searched up to November 10, 2015. Any arthroscopic surgical method of primary or revision intra-articular ACL reconstruction of all graft types in humans was included. A risk of bias assessment was determined.

resultsFourty-seven studies were included in the review. Pseudaneurysms were the most frequently reported arterial complication after ACL reconstruction, irrespective of graft type or method of graft fixation with an incidence of 0.3%. The time to diagnosis of arterial complications after ACL reconstruction varied from days to mostly weeks but even years. After ACL reconstruction without thromboprophylaxis, the incidence of DVT was 9.7%, of which 2.1% was symptomatic. The incidence of pulmonary embolism was 0.1%. Tourniquet time > 2 h was related to venous thromboembolism. Thromboprophylaxis is indicated in patients with risk factors for venous thromboembolism.

conclusionAfter ACL reconstruction, the incidence of arterial complications, symptomatic DVT and pulmonary embolism was 0.3%, 2.1% and 0.1% respectively. Arterial complications may occur with all types of arthroscopic ACL reconstruction, methods of graft fixation as well as any type of graft. Patients considered to be at moderate or high risk of venous thromboembolism should routinely receive thromboprophylaxis after ACL reconstruction.

Indexed as

Anterior cruciate ligament reconstructionArterial complicationPseudoaneurysmPulmonary embolismThromboprophylaxisVenous thromboembolism

Identifiers

PMID27672574
PMCPMC5027016
OpenAlexW2413918001

What OpenQuestion holds

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LicenceCC BY-NC
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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.