Evidence map›Paper›PMID 30083970›Full record

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

Meniscal allograft transplantation combined with anterior cruciate ligament reconstruction provides good mid-term clinical outcome.

Stefano Zaffagnini, Alberto Grassi, Iacopo Romandini, Maurilio Marcacci, Giuseppe Filardo

Abstract read
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In one paragraph

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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
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

17 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
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  4. Meniscus allograft transplantation for biologic knee preservation: gold standard or dilemma?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Meniscal allograft transplantation shows a mismatch between anatomic and clinical failures.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
  14. Revision ACL Reconstruction: Principles and Practice.Indian journal of orthopaedics · 2021
    Review
  15. Meniscal allograft transplantation: a review of indications, techniques, and outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Review
  16. [Mid-term effectiveness of arthroscopic anterior cruciate ligament reconstruction combined with meniscus allograft transplantation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2019
    Article
  17. Review
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 at 2 institutions in 1 country.

Stefano ZaffagniniII Clinica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Alberto GrassiII Clinica, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Iacopo RomandiniLaboratorio NABI, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. iacoporoma@gmail.com.ORCID http://orcid.org/0000-0002-2376-3102
Maurilio MarcacciDepartment of Biomedical Sciences, Knee Joint Reconstruction Center, 3rd Orthopaedic Division, Humanitas Clinical Institute, Humanitas University, Milan, Italy.
Giuseppe FilardoLaboratorio NABI, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Istituto Ortopedico Rizzoli · ITHumanitas University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAim of this study is to document if combined meniscal allograft transplantation (MAT) and ACL reconstruction can improve knee function, reduce pain and allow patients with meniscal defect and ACL lesion to resume sport activities.

methodsFifty MAT, arthroscopically performed without bone plugs and combined with one-stage primary or revision ACL reconstruction, with or without high tibial osteotomy (HTO), were included. Patients (aged 38.2 ± 10.6 years, 87% males) were evaluated at a mean follow-up of 5 years with Lysholm, Tegner and VAS scores. Patient satisfaction was also recorded, together with complications and failures.

resultsVAS and Lysholm scores improved significantly (from 63.7 to 24.5 and from 60.6 to 82.7, respectively, p < 0.001), while the Tegner score did not reach pre-injury values (p < 0.001), but it improved significantly compared to pre-surgery values (from 2.8 to 4.6, p < 0.001). Medial MAT reported significantly better results compared to lateral MAT. Patients undergoing concomitant HTO reported a significantly higher decrease of VAS. Younger patients with higher pre-operative pain and lower activity level presented higher satisfaction. Eight patients needed a reoperation. Three patients were considered surgical failures while four were considered clinical failures, for a total of 15% failures.

conclusionsMeniscal allograft transplantation combined with ACL reconstruction represents a safe and suitable treatment, which should be considered as a suitable option in the clinical practice. All evaluated patient profiles, ACL injury in a patient with post-meniscectomy syndrome, failed ACL reconstruction in patients with a meniscus defect, and ACL reconstruction in patients with malalignment due to meniscal defect, benefited from the combined MAT procedure at medium-term follow-up. LEVEL OF EVIDENCE: IV.

Indexed as

Anterior Cruciate Ligament ReconstructionAdultAllograftsArthroscopyFemaleFollow-Up StudiesHumansLysholm Knee ScoreMaleMenisci, TibialOsteotomyPatient SatisfactionReoperationTibiaTibial Meniscus InjuriesVisual Analog ScaleAnterior cruciate ligamentKneeMeniscal allograft transplantationOsteotomy

Identifiers

PMID30083970
OpenAlexW2885100196

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.