Evidence map›Paper›PMID 31993711›Full record

ArticleInternational orthopaedics2020

Over the top anterior cruciate ligament reconstruction in patients with open physes: a long-term follow-up study.

Riccardo Maria Lanzetti, Valerio Pace, Alessandro Ciompi, Dario Perugia, Marco Spoliti, Francesco Falez, Caraffa Auro

Abstract read
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. All-epiphyseal anterior cruciate ligament reconstruction yields superior sports performances than the trans-epiphyseal technique in skeletally immature patients: a systematic review.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024
    Pooled it
  2. Pooled it
  3. Review
  4. [Chinese expert consensus on anterior cruciate ligament reconstruction using the over-the-top technique (2025 edition)].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
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 5 institutions in 2 countries.

Riccardo Maria LanzettiOrthopaedics and Traumatology Unit, Department Emergency and Acceptance, San Camillo - Forlanini Hospital Rome,Italy, Cir.ne Gianicolense 87, 00152, Rome, Italy. riccardolanzetti@gmail.com.
Valerio PaceUniversità degli studi di Perugia- Perugia- Italy, Piazzale Gambuli, 06100, Perugia, Italy.ORCID 0000-0002-4499-9157
Alessandro CiompiSanto Spirito Hospital, Lungotevere in Sassia 1, 00193, Rome, Italy.
Dario Perugia"La Sapienza" University, Via Elio Chianesi, 00128, Rome, Italy.
Marco SpolitiOrthopaedics and Traumatology Unit, Department Emergency and Acceptance, San Camillo - Forlanini Hospital Rome,Italy, Cir.ne Gianicolense 87, 00152, Rome, Italy.
Francesco FalezSanto Spirito Hospital, Lungotevere in Sassia 1, 00193, Rome, Italy.
Caraffa AuroUniversità degli studi di Perugia- Perugia- Italy, Piazzale Gambuli, 06100, Perugia, Italy.
Ospedale di Santo Spirito · ITUniversity of Perugia · ITCarlo Forlanini Hospital · ITNini Hospital · LBSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnterior cruciate ligament (ACL) rupture in skeletally immature athletes is becoming an injury with increasing incidence. Choices of treatment are still debated, including conservative management vs. various surgical techniques. The lack of long-term reports has been highlighted in the literature.

aimTo evaluate long-term results of ACL reconstructions performed in skeletally immature patients using the Over the Top technique with lateral extra-articular tenodesis.

methodsRetrospective study. All surgeries performed by same surgeon. A total of 42 patients included. All patients had pre-operative radiological studies. SUBJECTS: 30 males and 12 females. Average age: 12.5 years (range 11-14 years). Average follow-up: 96.1 months. Clinical evaluation: Pedi-IKDC, Tegner-Lysholm, KT-1000 and plain radiographs. Standardized rehabilitation protocol.

resultsNo instability or leg length discrepancy was recorded. Average pre-operative Tegner-Lysholm and Pedi-IKDC scores were 55 and 40, respectively, with a score of 94.8 (p < 0.05) and 94.78, respectively, at final follow-up (p < 0.05). Average post-operative (1 month) Tegner-Lysholm score: 75 (range: 62-79). Median post-operative Tegner activity: 8. Mean side-to-side (KT-1000): 1.2 mm. A total of 22 patients could go back to pre-injury sport activity, with an average rehabilitation of 7.3 months. DISCUSSION: A significant number of cases were included in our structured standardized study and follow-up. Functional scores were excellent overall. Excellent results are testified by a final achievement of 22 patients going back to pre-injury sport activity, which is in keeping with the literature. Our experience exhibited a low complication rate and no metalwork failure. We correlate our results to the use of the Over the Top technique with lateral extra-articular tenodesis.

conclusionThe studied procedure seems to be an excellent option and an effective, feasible and safe technique when treating ruptured ACLs in skeletally immature patients.

Indexed as

AdolescentAnterior Cruciate LigamentAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionAthletic InjuriesChildFeasibility StudiesFemaleFemurFollow-Up StudiesGrowth PlateHumansMaleRetrospective StudiesReturn to SportRuptureACL reconstructionACL ruptureLateral extra-articular tenodesisOver the top techniqueSkeletally immature patients

Identifiers

PMID31993711
OpenAlexW3003169319

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.