Evidence map›Paper›PMID 28210790›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017

Factors influencing the success of anterior cruciate ligament repair with dynamic intraligamentary stabilisation.

Anna M Krismer, Lampros Gousopoulos, Sandro Kohl, Atesch Ateschrang, Hendrik Kohlhof, Sufian S Ahmad

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article 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 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
8.7field-weighted citation impact, top 2% 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.

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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Dynamic intraligamentary stabilization for ACL repair: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Occurrence of inadequate ACL healing after Dynamic Intraligamentary Stabilization and functional outcome-a multicentre case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022
    Article
  14. Article
  15. Article
  16. Article
  17. Suture tape augmentation ACL repair, stable knee, and favorable PROMs, but a re-rupture rate of 11% within 2 years.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  18. Article
  19. Article
  20. Review
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

6 authors at 3 institutions in 2 countries.

Anna M KrismerDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University of Bern, Bern, Switzerland.
Lampros GousopoulosDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University of Bern, Bern, Switzerland.
Sandro KohlDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University of Bern, Bern, Switzerland. Sandro.Kohl@insel.ch.ORCID http://orcid.org/0000-0002-1268-4732
Atesch AteschrangDepartment of Traumatology and Reconstructive Surgery, BG Trauma Center Tübingen, Eberhard-Karls University of Tübingen, Schnarrenbergstr. 95, Tübingen, Germany.
Hendrik KohlhofDepartment of Orthopaedic Surgery and Traumatology, University Hospital of Bonn, Bonn, Germany.
Sufian S AhmadDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University of Bern, Bern, Switzerland.
University of Bern · CHBG Klinik Tübingen · DEUniversity Hospital Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrimary repair of the anterior cruciate ligament (ACL) has regained interest of clinicians with recent development of novel repair techniques. Dynamic intraligamentary stabilisation was introduced in an attempt to promote healing by shielding cyclic loads acting upon the ACL during the healing phase. The aim of this study was to identify negative factors likely to influence success of this procedure.

methodsBetween 2009 and 2014, 264 patients with an acute ACL rupture undergoing dynamic intraligamentary stabilisation were included in this study. Patients were evaluated for anterior/posterior laxity; range of motion and patient reported outcome measures. Adverse events and re-operations were noted. Failure was defined as AP Translation >3 mm, re-rupture or conversion to ACL reconstruction. Minimum follow-up was 24 months. Univariate and multivariate regression models were utilized to determine predictors of failure.

resultsAn overall complication rate of 15.1% was noted comprising 9.5% (n = 25) re-ruptures, 4.1% (n = 11) persistent instability, and 1.5% (n = 4) > 10° fixed flexion deformity. Two factors were identified as negative predictors of failure: (1) pursuit of competitive sport activities with a Tegner pre-injury score >7 (Odds Ratio (OR) 4.4, CI 1.2-15.9, p = 0.02) and (2) mid-substance ACL rupture location (OR 2.5, 1.1-5.7, p = 0.02). When neither of those risk factors occurred the failure rate was limited to 3.9%.

conclusionsCorrect patient selection and narrowing of indications are necessary to maintain high success rates of the procedure. Mid-substance ACL ruptures and a high pre-injury sports activity level are two predictors of inferior outcome. LEVEL OF EVIDENCE: II.

Indexed as

AdolescentAdultAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionChildFemaleHumansJoint InstabilityMaleRange of Motion, ArticularReoperationRuptureTreatment OutcomeYoung AdultAnterior cruciate ligament (ACL)Dynamic intraligamentary stabilisation (DIS)Predictive factorsRerupture

Identifiers

PMID28210790
OpenAlexW2588863517

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.