Evidence map›Paper›PMID 30534575›Full record

ArticleOrthopaedic journal of sports medicine2018

Anterolateral Ligament Reconstruction Practice Patterns Across the United States.

Joseph S Tramer, Mohsin S Fidai, Omar Kadri, Toufic R Jildeh, Zamaan Hooda, Eric C Makhni, Terrence Lock

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed, 36 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Joseph S TramerDepartment of Orthopedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
Mohsin S FidaiDepartment of Orthopedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
Omar KadriDepartment of Orthopedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
Toufic R JildehDepartment of Orthopedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
Zamaan HoodaSchool of Medicine, Wayne State University, Detroit, Michigan, USA.
Eric C MakhniDepartment of Orthopedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
Terrence LockDepartment of Orthopedic Surgery, Henry Ford Hospital, Detroit, Michigan, USA.
Henry Ford Hospital · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA proposed mechanism for recurrent instability following anterior cruciate ligament (ACL) reconstruction is failure of the anterolateral ligament (ALL). Presently, there are a number of approaches to treating ALL pathology. PURPOSE: To determine practice patterns among orthopaedic surgeons regarding ALL during ACL reconstruction. STUDY

designCross-sectional study.

methodsAn online 7-question survey was sent to all physicians registered with the American Orthopaedic Society for Sports Medicine between June and July 2017. Results were analyzed with the survey website.

resultsOverall, 225 of 3467 surgeons responded to the survey, 86 of whom performed ALL reconstruction and completed each question in the survey. Eighty-six (38.2%) surgeons who responded to the questionnaire stated that they perform ALL reconstruction/lateral extra-articular tenodesis in conjunction with ACL reconstruction. The most common indications for ALL reconstruction were grade III pivot-shift test (46.0%) on physical examination and revision ACL reconstruction (46.0%). The most common technique used to perform ALL reconstruction was hamstring autograft (48.2%). The majority of participating surgeons (87.5%) stated that they do not make any alterations to their postoperative rehabilitation protocol after they perform ALL reconstruction. In addition, most surgeons responding to the survey (91.3%) anticipated either an increase in or the same number of ALL procedures performed in the coming year.

conclusionThe majority of surgeons who responded to the survey did not routinely reconstruct the ALL. Revision procedures and grade III pivot shift were the most cited indications for performing lateral augmentation. Anatomic reconstruction with hamstring was the most commonly used procedure, although there was no consensus among surgeons responding to the survey. Understanding the ALL and its contribution to knee stability is essential. For a community of physicians, it is useful to discover how fellow sports orthopaedic surgeons address ALL pathology to integrate effective and efficient treatment strategies into practice.

Indexed as

ACL reconstructionALL reconstructionanterolateral ligamentknee instability

Identifiers

PMID30534575
PMCPMC6280611
OpenAlexW2902385128

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.