Evidence map›Paper›PMID 28523340›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018

Patient and surgical characteristics that affect revision risk in dynamic intraligamentary stabilization of the anterior cruciate ligament.

Philipp Henle, Kathrin S Bieri, Manuel Brand, Emin Aghayev, Jessica Bettfuehr, Janosch Haeberli, Martina Kess, Stefan Eggli

Erratum issuedAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 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
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  11. 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
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  14. 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
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  15. Distal remnant length can be measured reliably and predicts primary repair of proximal anterior cruciate ligament tears.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
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  18. Improved results of ACL primary repair in one-part tears with intact synovial coverage.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
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  19. Surgeon experience with dynamic intraligamentary stabilization does not influence risk of failure.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018
    Article
  20. Anterior cruciate ligament repair - past, present and future.Journal of experimental orthopaedics · 2018
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Philipp HenleDepartment of Knee Surgery and Sports Traumatology, Sonnenhof Orthopaedic Center, Bern, Switzerland.
Kathrin S BieriSwiss RDL, Institute of Social and Preventive Medicine, University of Bern, Finkenhubelweg 11, 3012, Bern, Switzerland. kathrin.bieri@ispm.unibe.ch.
Manuel BrandFaculty of Medicine, University of Bern, Bern, Switzerland.
Emin AghayevSwiss RDL, Institute of Social and Preventive Medicine, University of Bern, Finkenhubelweg 11, 3012, Bern, Switzerland.
Jessica BettfuehrInstitute of Mathematical Statistics and Actuarial Science, University of Bern, Bern, Switzerland.
Janosch HaeberliDepartment of Knee Surgery and Sports Traumatology, Sonnenhof Orthopaedic Center, Bern, Switzerland.
Martina KessDepartment of Knee Surgery and Sports Traumatology, Sonnenhof Orthopaedic Center, Bern, Switzerland.
Stefan EggliDepartment of Knee Surgery and Sports Traumatology, Sonnenhof Orthopaedic Center, Bern, Switzerland.
Klinik Sonnenhof · CHUniversity of Bern · CHInstitute of Social and Preventive Medicine · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFailure of dynamic intraligamentary stabilization (DIS) that requires revision surgery of the anterior cruciate ligament (ACL) has not been studied. The aim of this study was to investigate the incidence of revision ACL surgery, and the patient characteristics and surgery-related factors that are associated with an increased risk of ACL revision after DIS.

methodsThis study analysed a prospective, consecutively documented single-centre case series using standardized case report forms over a 2.5-year follow-up period. The primary endpoint was revision ACL surgery. We used Kaplan-Meier analysis to examine the revision-free survival time, and a multiple logistic regression model of potential risk factors including age, sex, BMI, smoking status, previous contralateral ACL injury, Tegner activity score, interval to surgery, rupture pattern, hardware removal, and postoperative side-to-side difference in knee laxity. Relative risk was calculated for subgroups of significant risk factors.

resultsIn total, 381 patients (195 male) with a mean age of 33 ± 12 years were included in the analysis. The incidence of revision ACL surgery was 30/381 (7.9%). Younger age (p = 0.001), higher Tegner activity score (p = 0.003), and increased knee laxity (p = 0.015) were significantly associated with revision ACL surgery. The increased relative risk for patients who were less than 24 years old, participated in activities at a Tegner level >5 points, or had >2 mm of side-to-side difference in knee laxity was 1.6, 3.7, and 2.3, respectively.

conclusionYoung age, high level of sport activity, and high knee laxity observed in follow-up examinations increased the likelihood for revision surgery after DIS. Patients undergoing DIS should be informed of their potentially increased risk for therapy failure and carefully monitored during recovery. LEVEL OF EVIDENCE: Case series, Level IV.

Indexed as

AdultAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionFemaleFollow-Up StudiesHumansKaplan-Meier EstimateLogistic ModelsMaleMiddle AgedProspective StudiesReoperationRisk FactorsTreatment OutcomeYoung AdultACL repairACL sutureAnterior cruciate ligamentDynamic intraligamentary stabilizationFailureLigamysOutcomesRevision surgeryRisk factors

Identifiers

PMID28523340
OpenAlexW2614439429

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.