Evidence map›Paper›PMID 28547586›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018

Both isolated and multi-ligament posterior cruciate ligament reconstruction results in improved subjective outcome: results from the Danish Knee Ligament Reconstruction Registry.

Martin Lind, Torsten Grønbech Nielsen, Kristian Behrndtz

Abstract read
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In one paragraph

Article 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. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Posterior Cruciate Ligament Reconstruction Improves Sexual Health Postoperatively.Arthroscopy, sports medicine, and rehabilitation · 2025
    Article
  5. Article
  6. Meniscal Lesions in Multi-Ligament Knee Injuries.Indian journal of orthopaedics · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Low posterior tibial slope is associated with increased risk of PCL graft failure.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Combined posterolateral knee reconstruction: ACL-based injuries perform better compared to PCL-based injuries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  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

3 authors at 2 institutions in 1 country.

Martin LindSportstrauma Division, Department of Orthopedics, Aarhus University Hospital, Aarhus, Denmark. Martinlind@dadlnet.dk.ORCID http://orcid.org/0000-0002-7204-813X
Torsten Grønbech NielsenSportstrauma Division, Department of Orthopedics, Aarhus University Hospital, Aarhus, Denmark.
Kristian BehrndtzSportstrauma Division, Department of Orthopedics, Aarhus University Hospital, Aarhus, Denmark.
Aarhus University Hospital · DKAarhus University · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere are few descriptions of outcomes after posterior cruciate ligament (PCL) reconstruction in the literature due to the rarity of this type of knee injury. Since 2005, the Danish Knee Ligament Reconstruction Registry (DKRR) has monitored outcomes of PCL reconstructions. This study describes the epidemiology of PCL reconstruction and subsequent outcomes in a Danish population.

methodsOf 23,253 knee ligament reconstructions performed in 2005-2015, 581 were registered as PCL reconstructions in the DKRR. The types of reconstruction were classified as isolated (n = 237) or multi-ligament (n = 344), and the cause of injury and concomitant meniscus and cartilage injury data were extracted. The outcome at 1-year follow-up was based on the Knee Injury and Osteoarthritis Outcome Score (KOOS) and Tegner activity level. The outcome data were compared with data on 21.820 primary anterior cruciate ligament (ACL) reconstructions.

resultsIsolated PCL reconstruction was performed in 43% of cases. Meniscus lesions and cartilage lesions were seen in 19 and 15% of cases, respectively. The main causes of PCL injuries were sports (43%) and traffic accidents (33%). The KOOS improved from pre-operative to 1-year follow-up for both isolated PCL reconstructions and multi-ligament PCL reconstructions but did not reach the levels of those recorded in ACL reconstructions. Multi-ligament reconstructions showed the highest improvement in KOOS. The Tegner activity levels for isolated and multi-ligament PCL reconstructions were 4 (0-7) and 4 (0-8), respectively.

conclusionsPCL reconstructions represented only 2.6% of all knee ligament reconstructions in Denmark. Sports and traffic accidents were the main causes of injury. Meniscus and cartilage injuries were less frequent in PCL injuries as compared to ACL injuries. Isolated PCL and multi-ligament PCL reconstructions showed significant improvements in subjective outcomes but did not reach those observed in ACL reconstructions. Patients should be counselled about expected outcomes after PCL reconstruction. LEVEL OF EVIDENCE: III.

Indexed as

AdultDenmarkFemaleFollow-Up StudiesHumansKnee InjuriesLigaments, ArticularLysholm Knee ScoreMaleMiddle AgedPosterior Cruciate LigamentPosterior Cruciate Ligament ReconstructionRegistriesTreatment OutcomeClinical registryEpidemiologyKneeKnee ligamentPosterior cruciate ligament

Identifiers

PMID28547586
OpenAlexW2617619829

What OpenQuestion holds

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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.