Evidence map›Paper›PMID 29572129›Full record

ArticleOsteoarthritis and cartilage2018

Subchondral trabecular bone integrity changes following ACL injury and reconstruction: a cohort study with a nested, matched case-control analysis.

C E Birch, K S Mensch, M J Desarno, B D Beynnon, T W Tourville

Abstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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. Article
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  9. Combined Injury to the ACL and Lateral Meniscus Alters the Geometry of Articular Cartilage and Meniscus Soon After Initial Trauma.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2020
    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

5 authors.

C E BirchUniversity of Vermont, Department of Orthopaedics and Rehabilitation, San Antonio, TX, USA. Electronic address: birchch@gmail.com.
K S MenschUniversity of Texas Health Science Center at San Antonio, Department of Orthopaedics, Burlington, VT, USA. Electronic address: Menschk@uthscsa.edu.
M J DesarnoUniversity of Vermont, Department of Medical Biostatistics, Burlington, VT, USA. Electronic address: Michael.DeSarno@uvm.edu.
B D BeynnonUniversity of Vermont, Department of Orthopaedics and Rehabilitation, San Antonio, TX, USA. Electronic address: bruce.beynnon@med.uvm.edu.
T W TourvilleUniversity of Vermont, Department of Orthopaedics and Rehabilitation, San Antonio, TX, USA; University of Vermont, Department of Rehabilitation and Movement Science, Burlington, VT, USA. Electronic address: timothy.tourville@med.uvm.edu.

Funding

Biomarkers of Cartilage Metabolism and OAR01AR051477 · NIAMS · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI BEYNNON, BRUCE · 2004 to 2008
$1.7M
NIAMS NIH HHS R01 AR051477
6 · The paper itself

Abstract

objectiveThere is limited information regarding changes in bone architecture following anterior cruciate ligament (ACL) injury. The objective of this study was to evaluate differences in tibial fractal signature in the medial and lateral compartments following ACL injury and describe how these values change following ACL-reconstruction and return to activity.

designThis was a prospective cohort study with a nested case-control analysis. ACL-injured subjects and matched controls were evaluated at pre-surgical baseline and post ACL reconstruction follow-up at a mean of 46 months. Serial Fractal Dimensions (FD) of tibial subchondral bone architecture were calculated in medial and lateral regions of interest in the horizontal and vertical dimensions.

resultsIn the medial and lateral compartments, there were significant differences in the vertical FD signature for ACL-injured subjects at final follow-up, when compared to the contralateral healthy tibia (medial P < 0.0001; lateral P < 0.0001) and the control group (medial P = 0.01; lateral P < 0.0001). Similarly, in the lateral compartment, there were significant differences in the horizontal FD profile for ACL-injured subjects at final follow-up, when compared to the contralateral healthy tibia (P = 0.003) and the controls (P < 0.0001). There were no significant side-to-side differences in FDs among healthy control subjects in the medial or lateral compartments at baseline or final follow-up.

conclusionAt 46-month follow-up, FD profiles are significantly different, and show an overall lower FD signature, for ACL-injured knees when compared to the contralateral healthy knee and uninjured controls. Additionally, this study provided the first side-to-side symmetry data of medial and lateral FD values in healthy controls.

Indexed as

Anterior Cruciate Ligament ReconstructionAdultAnterior Cruciate Ligament InjuriesCancellous BoneCase-Control StudiesCohort StudiesFemaleHumansMaleACLFractal signature analysisKneeOsteoarthritisPost-traumaticSubchondral bone

Identifiers

PMID29572129
PMCPMC5962427

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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.