Evidence map›Paper›PMID 29115973›Full record

SynthesisJournal of orthopaedic surgery and research2017

Anteromedial versus transtibial technique in single-bundle autologous hamstring ACL reconstruction: a meta-analysis of prospective randomized controlled trials.

Haitao Chen, Kai Tie, Yongjian Qi, Bin Li, Biao Chen, Liaobin Chen

Abstract readComparative StudyMeta-AnalysisReview
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. [Progress of different methods for femoral tunnel positioning in anterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
    Pooled it
  3. Pooled it
  4. Anatomic ACL reconstruction reduces risk of post-traumatic osteoarthritis: a systematic review with minimum 10-year follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Pooled it
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  16. ACL Reconstruction Graft Angle and Outcomes: Transtibial vs Anteromedial Reconstruction.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020
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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

6 authors.

Haitao ChenDepartment of Orthopaedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Kai TieDepartment of Orthopaedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Yongjian QiDepartment of Orthopaedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Bin LiDepartment of Orthopaedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Biao ChenDepartment of Orthopaedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Liaobin ChenDepartment of Orthopaedic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China. lbchen@whu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to compare the clinical outcome and postoperative complication between single-bundle anterior cruciate ligament (ACL) reconstruction with an anteromedial (AM) technique and a transtibial (TT) technique.

methodsThe study includes clinical randomized controlled trials comparing the clinical outcomes of ACL reconstruction using the autologous hamstring tendon with an AM method and a TT method published up to September 2017 were retrieved from PubMed, Cochrane Library, and Embase databases. Relevant data were extracted and the Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality. Stata/SE 12.0 was used to perform a meta-analysis of the clinical outcome.

resultsFive RCTs were included, with a total of 479 patients: 239 patients and 240 patients in the AM group and the TT group, respectively. Assessing postoperative stability, better results were found in the AM group for the negative rate of the Lachman test (P < 0.05), the negative rate of the pivot-shift test (P < 0.05) and the side-to-side difference (P < 0.05). Assessing postoperative functional outcome, the AM group yielded superior results in proportion with International Knee Documentation Committee (IKDC) grade A (P < 0.05) and the Lysholm scores (P < 0.05) but had a comparable IKDC score (P > 0.05). In terms of postoperative complication, no significant difference was found between the AM group and the TT group (P > 0.05).

conclusionsThe outcome of single-bundle ACL reconstruction with the AM technique is better than that with the TT technique in terms of postoperative stability and functional recovery of the knee.

Indexed as

Anterior Cruciate LigamentAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionHamstring TendonsHumansKnee JointProspective StudiesRandomized Controlled Trials as TopicRecovery of FunctionTibiaAnterior cruciate ligamentAnteromedialMeta-analysisReconstructionTranstibial

Identifiers

PMID29115973
PMCPMC5678560

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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.