Evidence map›Paper›PMID 30022240›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019

Revision ACL reconstruction with autograft: long-term functional outcomes and influencing factors.

Connor Boyle, Ravikanth Pagoti, Khemerin Hun Eng, Samuel E McMahon, Richard Nicholas

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

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8citing papers in PubMed, 2 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

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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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

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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.

Connor BoyleNHS Lothian, Edinburgh, UK. connorboyle@doctors.org.uk.ORCID http://orcid.org/0000-0003-2124-607X
Ravikanth PagotiMusgrave Park Hospital, Belfast, UK.
Khemerin Hun EngQueen's University Belfast, Belfast, UK.
Samuel E McMahonMusgrave Park Hospital, Belfast, UK.
Richard NicholasMusgrave Park Hospital, Belfast, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo present the long-term functional outcomes of revision anterior cruciate ligament (ACL) reconstruction with autograft and factors that influence the outcomes.

methodsRetrospective study of 51 consecutive revision ACL reconstructions performed using autograft under the care of a single surgeon with interference screw fixation. Bone-patellar tendon-bone graft was used in 35 (69%) and hamstring tendons in 16 (31%). The subjective IKDC activity level and Lysholm Knee functional scores were collected at mean follow-up of 9.0 years (range 5.17-14.75 years).

resultsFive (9.8%) had re-ruptured and one patient had a total knee replacement. Functional scores were available for 43 patients (84.3%). Twenty-eight had IKDC activity level I or II (65%), level III in 12 (28%) and level IV in 3 (7%). The average Lysholm score was 86.2 ± 12.88, and there is a statistically significant relationship with age (95% CI: - 0.88, - 0.60) (P < 0.05). For each additional 10 years of age, there is a reduction of 5.18 points. No statistically significant effect of sex has been detected. The mean Lysholm score was lower in patients who had partial medial meniscectomy (77.33), although this was not statistically significant (P = 0.06). Regression analysis of the Lysholm score means by chondral damage category adjusted for age, showed that the Grade 3 or 4 group shows a reduction of about 25 points for every 10 years increase in age (95% CI; P = 0.05).

conclusionRevision ACL reconstruction with autograft affords satisfactory long-term outcomes. Expectations should be carefully managed in patients with increasing age associated with severe chondral damage and previous medial meniscectomy.

Indexed as

Bone-Patellar Tendon-Bone GraftingAdolescentAdultAge FactorsAnterior Cruciate Ligament InjuriesAutograftsFemaleFollow-Up StudiesHamstring TendonsHumansKnee JointLysholm Knee ScoreMaleMeniscectomyRecurrenceReoperationAnterior cruciate ligamentFunctional outcomesRevision surgery

Identifiers

PMID30022240

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