Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
No risk of arthrofibrosis after acute anterior cruciate ligament reconstruction.
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. Cited by 20 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Persistent knee extension deficits are common after anterior cruciate ligament reconstruction: a systematic review and meta-analysis of randomised controlled trials.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Optimal Timing of Anterior Cruciate Ligament Reconstruction in Patients With Anterior Cruciate Ligament Tear: A Systematic Review and Meta-analysis.JAMA network open · 2022Pooled it
- Muscle atrophy following anterior cruciate ligament reconstruction: A narrative review.Histology and histopathology · 2026Review
- [Early Surgical Treatment Options for Anterior Cruciate Ligament Injury].Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca · 2025Review
- Safety and Early Return to Sports for Early ACL Reconstruction in Young Athletes: A Retrospective Study.Medicina (Kaunas, Lithuania) · 2024Article
- Impact of Surgical Timing on Functional Outcomes after Anterior Cruciate Ligament Reconstruction.Journal of clinical medicine · 2024Article
- Delaying anterior cruciate ligament reconstruction for more than 3 or 6 months results in lower risk of revision surgery.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Article
- Article
- Delayed ACL reconstruction increases rates of concomitant procedures and risk of subsequent surgery.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Anterior cruciate ligament remnant preservation attenuates apoptosis and enhances the regeneration of hamstring tendon graft.Bone & joint research · 2023Article
- The Development of a Return to Performance Pathway Involving A Professional Soccer Player Returning From A Multi-Structural Knee Injury: A Case Report.International journal of sports physical therapy · 2023Article
- Acute and subacute anterior cruciate ligament reconstructions are associated with a higher risk of revision and reoperation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Return to preinjury sports after anterior cruciate ligament reconstruction is predicted by five independent factors.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- A Systematic Review of Randomized Controlled Trials in Anterior Cruciate Ligament Reconstruction: Standard Techniques Are Comparable (299 Trials With 25,816 Patients).Arthroscopy, sports medicine, and rehabilitation · 2021Review
- Pre-operative Joint Inflammation has no Bearing on Outcome of Arthroscopic Anterior Cruciate Ligament Reconstruction at 1-Year Follow-Up; a Prospective Study.Indian journal of orthopaedics · 2021Article
- Timing of anterior cruciate ligament reconstruction and preoperative pain are important predictors for postoperative kinesiophobia.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Acute ACL reconstruction shows superior clinical results and can be performed safely without an increased risk of developing arthrofibrosis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- "ACL surgery: when to do it?"Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Article
- Factors Associated With a Delay in Achieving Full Knee Extension Before Anterior Cruciate Ligament Reconstruction.Orthopaedic journal of sports medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare acute ACL reconstruction (ACLR) within 8 days of injury with delayed reconstruction after normalized range of motion (ROM), 6-10 weeks after injury. It was hypothesized that acute ACL reconstruction with modern techniques is safe and can be beneficial in terms of patient-reported outcomes and range of motion.
methodsSample size calculation indicated 64 patients would be required to find a 5° difference in ROM at 3 months. Seventy patients with high recreational activity level, Tegner level 6 or more, were randomized to acute (within 8 days) or delayed (6-10 weeks) ACLR between 2006 and 2013. During the first 3 months following surgery patients were contacted weekly by SMS and asked 'How is your knee functioning?', with answers given on a Visual-Analog Scale (0-10). ROM was assessed after 3 months by the rehab physiotherapist. Patient-reported outcomes, objective IKDC and manual stability measurements were collected by an independent physiotherapist not involved in the rehab at the 6-month follow-up.
resultsAt 3-month follow-up, 91% of the patients were assessed with no significant differences in flexion, extension or total ROM demonstrated between groups. At the 6-month follow-up, the acute group had significantly less muscle atrophy of the thigh muscle compared to the contralateral leg. Furthermore, a significantly higher proportion of patients in the acute group passed or were close to passing the one leg hop test (47 versus 21%, p = 0.009). No difference was found between the groups in the other clinical assessments. Additionally, no significant difference between the groups was found in terms of associated injuries.
conclusionAcute ACLR within 8 days of injury does not appear to adversely affect ROM or result in increased stiffness in the knee joint when compared to delayed surgery. LEVEL OF EVIDENCE: II.
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Registered trials
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.