ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
MRI analysis of peripheral soft tissue composition, not body mass index, correlates with outcomes following anterior cruciate ligament reconstruction.
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. It is linked to trial NCT05986617 (Wearable Bioimpedance Analyzer for Tracking Body Composition Changes), which is not on this map. Cited by 6 papers.
What it found
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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.
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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.
Wearable Bioimpedance Analyzer for Tracking Body Composition Changes
Who cites it
6 citing papers in PubMed, 7 citations in OpenAlex.
- The relationship between plain radiograph soft tissue thickness and perioperative outcomes following anatomic total shoulder arthroplasty: a preliminary study.JSES international · 2026Article
- Does computed tomography-based local soft tissue composition more accurately predict outcomes following anatomic total shoulder arthroplasty compared with body mass index?: a pilot study.JSES international · 2025Article
- Phase angle and extracellular edema predict risk of postoperative complications in total joint arthroplasties.Journal of electrical bioimpedance · 2025Article
- Magnetic Resonance Imaging in the Year Prior to Total Knee Arthroplasty: A Potential Overutilization of Healthcare Resources.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- Whole-body phase angle correlates with pre-operative markers in total joint arthroplasty.Journal of electrical bioimpedance · 2023Article
- Body Composition Changes in the Immediate Peri-operative Period Following Total Joint Arthroplasty.Journal of electrical bioimpedance · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo utilize MRI to assess the relationship between BMI, peripheral soft tissue composition about the knee, and surgical outcomes in patients undergoing primary ACL reconstruction. It was hypothesized that a fatty periarticular soft tissue composition may be better than BMI at predicting poor outcomes after ACL reconstruction.
methodsFifty-eight patients who underwent primary acute ACL reconstruction were identified from the surgical database and their data were retrospectively reviewed. Patients were selected based on availability of 2-year IKDC outcome scores, BMI data, and preoperative MRI studies. To approximate peripheral soft tissue composition, novel measurements of axial MRI images were employed using PACS ROI measurement tool. Relationships were assessed between IKDC outcome scores and measures of body habitus including BMI, total knee area, knee fatty-connective tissue area, and fatty-connective tissue to bone size ratio.
resultsThe median BMI was 24.3 kg/m
conclusionsPeriarticular soft tissue composition, as approximated by the novel MRI analysis of this study, is a better predictor of outcomes following ACL reconstruction than is BMI. This information can be utilized in guiding surgeon and patient expectations following surgery, either via a direct application of these measurements or heightened awareness of the importance of peripheral body habitus. LEVEL OF EVIDENCE: III.
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