Evidence map›Paper›PMID 30361837›Full record

ArticleMusculoskeletal surgery2019

Current practice: postoperative and return to play trends after ACL reconstruction by fellowship-trained sports surgeons.

N E Marshall, R A Keller, J Dines, C Bush-Joseph, O Limpisvasti

Abstract read
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In one paragraph

Article in Musculoskeletal surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Return to sport after anterior cruciate ligament injury: Panther Symposium ACL Injury Return to Sport Consensus Group.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
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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.

N E MarshallKerlan Jobe Orthopaedic Clinic, 6801 Park Terrace Dr., Los Angeles, CA, 90045, USA. natemarshall10@gmail.com.
R A KellerKerlan Jobe Orthopaedic Clinic, 6801 Park Terrace Dr., Los Angeles, CA, 90045, USA.
J DinesThe Hospital for Special Surgery, 541 E 71st St., New York, NY, 10021, USA.
C Bush-JosephMidwest Orthopedics at Rush, 1611 W Harrison St., Chicago, IL, 60612, USA.
O LimpisvastiKerlan Jobe Orthopaedic Clinic, 6801 Park Terrace Dr., Los Angeles, CA, 90045, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdvances in anterior cruciate ligament (ACL) reconstruction have allowed for many progressions in postoperative management. However, there is no standardized protocol for immediate postoperative management or return to play. Our objective was to evaluate current trends in immediate postoperative and return to sport practices after ACL reconstruction. LEVEL OF EVIDENCE: Cross sectional study, Level IV.

methodsSurveys were obtained from four large sports fellowship alumni networks. Demographics included years of practice and ACLs performed per year. Postoperative questions included weight bearing status, brace use and continuous passive motion (CPM) use. Return to play included time for return, brace use and metrics used for clearance to sport.

resultsA total of 143 surveys were completed (32% response rate). Average years in practice were 15.1 years. Average ACL reconstructions performed per year was 20-50 in 44% and 50-100 in 29%. 26% used CPM in all patients, 8% if concomitant meniscal repair and 66% never. Bracing after surgery was used in 84% and 48% after return to play. Return to play was allowed at 6-9 months in 67% and overall 94% from 6 to 12 months. No consensus on return to play metrics was used, with the hop test being most important followed by specific time point after surgery.

conclusionImmediate weight bearing after surgery is commonplace with intermittent CPM use. Bracing is common postoperatively and half the time with return to play. Return to play is typically allowed after at least 6 months with no consensus on return to sport metrics. Years after fellowship and ACLs performed yearly had no correlation with postoperative practices.

Indexed as

Weight-BearingAnterior Cruciate Ligament ReconstructionBracesCross-Sectional StudiesFellowships and ScholarshipsHumansMotion Therapy, Continuous PassivePostoperative CareReturn to SportSports MedicineSurveys and QuestionnairesTime FactorsACL reconstructionAnterior cruciate ligament reconstructionPostoperative managementReturn to sport

Identifiers

PMID30361837

What OpenQuestion holds

Textmetadata
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.