Evidence map›Paper›PMID 28741153›Full record

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

Recovery of ACL function after dynamic intraligamentary stabilization is resultant to restoration of ACL integrity and scar tissue formation.

Atesch Ateschrang, Sufian S Ahmad, Ulrich Stöckle, Steffen Schroeter, Willem Schenk, Marc Daniel Ahrend

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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 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
6.7field-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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 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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  16. Short-Term Outcome of Multi-Ligament Knee Injury among Sudanese Patients.Open access Macedonian journal of medical sciences · 2019
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  17. 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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  18. Article
  19. Primary repair of the anterior cruciate ligament: real innovation or reinvention of the wheel?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
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  20. Surgeon experience with dynamic intraligamentary stabilization does not influence risk of failure.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018
    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

6 authors at 2 institutions in 2 countries.

Atesch AteschrangBG Trauma Center Tübingen, Eberhard Karls University, Schnarrenbergstr. 95, 72076, Tübingen, Germany.
Sufian S AhmadDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital of Bern, Bern, Switzerland. sufiansamy@gmail.com.
Ulrich StöckleBG Trauma Center Tübingen, Eberhard Karls University, Schnarrenbergstr. 95, 72076, Tübingen, Germany.
Steffen SchroeterBG Trauma Center Tübingen, Eberhard Karls University, Schnarrenbergstr. 95, 72076, Tübingen, Germany.
Willem SchenkWest Suffolk Hospital, Hardwick Lane, Bury St Edmunds, Suffolk, IP33 2QZ, UK.
Marc Daniel AhrendBG Trauma Center Tübingen, Eberhard Karls University, Schnarrenbergstr. 95, 72076, Tübingen, Germany.
University Hospital of Bern · CHWest Suffolk Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDynamic intraligamentary stabilization (DIS) is recognized as a ligament preserving technique for the treatment of acute anterior cruciate ligament (ACL) injuries. The aim of this study was to assess the integrity and morphology of the recovered ACL after DIS repair.

methodsThe cohort comprised 47 patients with an acute proximal ACL rupture undergoing DIS repair. All patients underwent diagnostic arthroscopy after a minimum postoperative interval of 6 months for semi-quantitative evaluation of ACL integrity, function and scar tissue formation. Tegner, Lysholm and International Knee Documentation Committee (IKDC) scores as well as objective anteroposterior (ap) translation were assessed at 6 weeks, 3-, 6-  and 12 months postoperatively.

resultsFull restoration of the ACL volume was affirmed in 30 (63.8%) patients and two-third restoration in 13 (27.7%). Hypertrophic scar formation was observed in 23 (48.9%) patients. Forty-four patients (93.6%) demonstrated sufficient ACL tensioning intraoperatively upon anterior stress. At final follow-up, the median Tegner activity level was 5.5 (3-10), Lysholm and IKDC scores were 100 (64-100) and 94 (55-100) points, respectively. The mean ap-translation differed from the normal knee by 2.1 ± 2.2 mm. Deficient ACL recovery was noted in four patients (8.5%), none of which required secondary reconstructive surgery.

conclusionThe results demonstrate that clinical recovery of ACL function after DIS repair is resultant to both restoration of ACL volume and scar tissue formation. Factors influencing the degree of scar tissue formation need further investigation to enable future attempts of guiding a balanced biological healing response. LEVEL OF EVIDENCE: IV.

Indexed as

Outcome Assessment, Health CareAdolescentAdultAnterior Cruciate LigamentAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionArthroscopyCicatrixFemaleHumansJoint InstabilityLysholm Knee ScoreMaleRecovery of FunctionYoung AdultACLACL reconstructionDynamic intraligamentary stabilizationLigamysReconstructionRepairRuptureStabilisationTear

Identifiers

PMID28741153
OpenAlexW2738264783

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.