Evidence map›Paper›PMID 28593387›Full record

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

Increased odds of patient-reported success at 2 years after anterior cruciate ligament reconstruction in patients without cartilage lesions: a cohort study from the Swedish National Knee Ligament Register.

Eric Hamrin Senorski, Eduard Alentorn-Geli, Volker Musahl, Freddie Fu, Ferid Krupic, Neel Desai, Olof Westin, Kristian Samuelsson

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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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

8 authors.

Eric Hamrin SenorskiDepartment of Health and Rehabilitation, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Eduard Alentorn-GeliFundación García-Cugat, Barcelona, Spain.
Volker MusahlDepartment of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Freddie FuDepartment of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Ferid KrupicDepartment of Orthopedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, 431 80, Mölndal, Gothenburg, Sweden.
Neel DesaiDepartment of Orthopedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, 431 80, Mölndal, Gothenburg, Sweden.
Olof WestinDepartment of Orthopedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, 431 80, Mölndal, Gothenburg, Sweden.
Kristian SamuelssonDepartment of Orthopedics, Institute of Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, 431 80, Mölndal, Gothenburg, Sweden. kristian@samuelsson.cc.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate whether the surgical technique of single-bundle anterior cruciate ligament (ACL) reconstruction, the visualization of anatomic surgical factors and the presence or absence of concomitant injuries at primary ACL reconstruction are able to predict patient-reported success and failure. The hypothesis of this study was that anatomic single-bundle surgical procedures would be predictive of patient-reported success.

methodsThis cohort study was based on data from the Swedish National Knee Ligament Register during the period of 1 January 2005 through 31 December 2014. Patients who underwent primary single-bundle ACL reconstruction with hamstring tendons were included. Details on surgical technique were collected using an online questionnaire comprising essential anatomic anterior cruciate ligament reconstruction scoring checklist items, defined as the utilization of accessory medial portal drilling, anatomic tunnel placement, the visualization of insertion sites and pertinent landmarks. A univariate logistic regression model adjusted for age and gender was used to determine predictors of patient-reported success and failure, i.e. 20th and 80th percentile, respectively, in the Knee injury and Osteoarthritis Outcome Score (KOOS), 2 years after ACL reconstruction.

resultsIn the 6889 included patients, the surgical technique used for single-bundle ACL reconstruction did not predict the predefined patient-reported success or patient-reported failure in the KOOS

conclusionSurgical techniques used in primary single-bundle ACL reconstruction did not predict the KOOS 2 years after the reconstruction. However, the absence of concomitant injuries at index surgery predicted patient-reported success in the KOOS. The results provide further evidence that concomitant injuries at ACL reconstruction affect subjective knee function and a detailed knowledge of the treatment of these concomitant injuries is needed. LEVEL OF EVIDENCE: Retrospective cohort study, Level III.

Indexed as

Anterior Cruciate Ligament ReconstructionAdolescentAdultAnterior Cruciate Ligament InjuriesCartilage, ArticularFemaleFollow-Up StudiesHumansLogistic ModelsMaleMiddle AgedPatient Reported Outcome MeasuresRegistriesRetrospective StudiesSwedenYoung AdultACLAnatomicAnterior cruciate ligamentCartilageChecklistKOOSMeniscusPatient-reported outcomeRegister

Identifiers

PMID28593387
PMCPMC5876276

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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.