Evidence map›Paper›PMID 29978305›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019

Anterior cruciate ligament reconstruction performed within 12 months of the index injury is associated with a lower rate of medial meniscus tears.

Ying Ren Mok, Keng Lin Wong, Taufiq Panjwani, Chloe Xiaoyun Chan, Shi Jie Toh, Lingaraj Krishna

Abstract read
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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

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  11. 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 · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ying Ren MokNational University Hospital Sports Centre, Department of Orthopaedic Surgery, National University Health System, NUHS Tower Block, Level 11, 1E Kent Ridge Road, Singapore, 119288, Singapore. ying_ren_mok@nuhs.edu.sg.
Keng Lin WongNational University Hospital Sports Centre, Department of Orthopaedic Surgery, National University Health System, NUHS Tower Block, Level 11, 1E Kent Ridge Road, Singapore, 119288, Singapore.
Taufiq PanjwaniNational University Hospital Sports Centre, Department of Orthopaedic Surgery, National University Health System, NUHS Tower Block, Level 11, 1E Kent Ridge Road, Singapore, 119288, Singapore.
Chloe Xiaoyun ChanYong Loo Lin School of Medicine, National University of Singapore, 12 Science Drive 2, Singapore, 117549, Singapore.
Shi Jie TohNational University Hospital Sports Centre, Department of Orthopaedic Surgery, National University Health System, NUHS Tower Block, Level 11, 1E Kent Ridge Road, Singapore, 119288, Singapore.
Lingaraj KrishnaNational University Hospital Sports Centre, Department of Orthopaedic Surgery, National University Health System, NUHS Tower Block, Level 11, 1E Kent Ridge Road, Singapore, 119288, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo verify the correlation of time to surgery with the prevalence of concomitant intra-articular injuries detected on arthroscopy during anterior cruciate ligament (ACL) reconstruction.

methodsThe medical records of 653 patients who underwent ACL reconstruction surgery were retrospectively analyzed. Univariate and multivariate logistic regression analysis was performed to identify factors that were associated with the presence of at least one intra-articular injury, medial meniscus tears, lateral meniscus tears and chondral injuries at the time of surgery. Further univariate analysis was conducted to determine the earliest time-point for surgery, after which the rate of concomitant injuries was significantly higher.

resultsLonger time to surgery (OR 1.019 95% CI 1.010, 1.028, p = 0.000), male sex (OR 1.695 95% CI 1.074, 2.675 p = 0.023), and higher BMI (OR 1.050 95% CI 1.006, 1.097 p = 0.025) were correlated with a higher prevalence of medial meniscus tears. There was an increased prevalence of medial meniscus tears when surgery was carried out more than 12 months after the index injury (OR 2.274 95% CI 1.469, 3.522, p = 0.000). The correlation between longer time to surgery and chondral injuries approached statistical significance (OR 1.006 95% CI 0.999, 1.012, p = 0.073). However, a longer time to surgery was not associated with an increased prevalence of lateral meniscus tears (OR 1.003 95% CI 0.998, 1.009, p = n.s.).

conclusionsLonger time to surgery is associated with an increased prevalence of medial meniscus tears in ACL reconstruction. Surgery performed within 12 months of the index injury reduces the prevalence of medial meniscus tears. Prioritizing males and overweight patients for counselling and early intervention can be considered. LEVEL OF EVIDENCE: Therapeutic level III retrospective cohort study.

Indexed as

AdolescentAdultAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionFemaleHumansLogistic ModelsMaleMiddle AgedPostoperative ComplicationsPrevalenceRetrospective StudiesRisk FactorsTibial Meniscus InjuriesTime FactorsTreatment OutcomeAnterior cruciate ligamentCartilage lesionsMeniscus tearsTiming

Identifiers

PMID29978305

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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.