Evidence map›Paper›PMID 31656823›Full record

ArticleOrthopaedic journal of sports medicine2019

Functional Outcomes After Isolated and Combined Posterior Cruciate Ligament Reconstruction in a Military Population.

Christopher J Tucker, Eric J Cotter, Brian R Waterman, Kelly G Kilcoyne, Kenneth L Cameron, Brett D Owens

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Return to Play after Posterior Cruciate Ligament Injuries.Current reviews in musculoskeletal medicine · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. 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

6 authors at 1 institution in 1 country.

Christopher J TuckerDepartment of Orthopedic Surgery and Rehabilitation, Fort Belvoir Community Hospital, Fort Belvoir, Virginia, USA.
Eric J CotterDepartment of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine, Madison, Wisconsin, USA.
Brian R WatermanDepartment of Orthopaedic Surgery, Wake Forest University School of Medicine, Wake Forest Baptist Health, Winston-Salem, North Carolina, USA.
Kelly G KilcoyneDepartment of Orthopaedic Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA.
Kenneth L CameronDepartment of Orthopaedic Surgery, Keller Army Community Hospital, West Point, New York, USA.
Brett D OwensDepartment of Orthopaedic Surgery, Brown University Alpert School of Medicine, Providence, Rhode Island, USA.
William Beaumont Army Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rates of return to full activity, persistent disability, complications, and surgical revisions after operative management of posterior cruciate ligament (PCL) tears in a physically active population have not been reported. PURPOSE: To evaluate the clinical outcomes of active military patients with symptomatic PCL tears who underwent surgical reconstruction and compare outcomes between isolated PCL and multiligament injuries. STUDY

designCohort study; Level of evidence, 3.

methodsIndividuals undergoing surgical reconstruction of the PCL (Current Procedural Terminology code 29889) were isolated from the Military Health System Management Analysis and Reporting Tool between fiscal years 2005 and 2010. Demographic variables and rates of postoperative complications, activity limitations, rates of revision surgery, physical disability ratings, and ultimate medical discharge were recorded from the electronic medical record and US Army Physical Disability Agency database.

resultsA total of 182 patients underwent 193 surgeries, including 118 isolated PCL reconstructions and 75 multiligament knee reconstructions, with an average follow-up of 19.5 months. There were 174 primary procedures and 19 revision reconstructions. The mean ± SD patient age was 28.4 ± 7.2 years, with males comprising 96.2% of patients. The overall surgical complication rate was 12.4%, with a significantly higher rate in multiligament knee reconstructions compared with isolated PCL reconstructions (18.7% vs 8.5%;

conclusionIn a physically active, military population, nearly one-third of patients were unable to return to previous level of military function, and 12.6% required revision at short-term follow-up due to persistent instability. Perioperative complication rates were significantly higher among patients with multiligament knee reconstructions.

Indexed as

disabilityknee reconstructionmilitaryposterior cruciate ligament

Identifiers

PMID31656823
PMCPMC6791041
OpenAlexW2979906070

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.