Evidence map›Paper›PMID 32617609›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Anterolateral ligament reconstruction improves the clinical and functional outcomes of anterior cruciate ligament reconstruction in athletes.

Fawzy Hamido, Abdelrahman A Habiba, Yousef Marwan, Aymen S I Soliman, Tarek A Elkhadrawe, Mohamed G Morsi, Wael Shoaeb, Ahmed Nagi

Erratum issuedAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 39 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 3 pooled it
7.4field-weighted citation impact, top 2% 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

39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Fawzy HamidoDivision of Sports Medicine, Al-Razi Orthopaedic Hospital, Ministry of Health, Kuwait, Kuwait. fhf19633@yahoo.com.ORCID http://orcid.org/0000-0002-2821-492X
Abdelrahman A HabibaDivision of Sports Medicine, Al-Razi Orthopaedic Hospital, Ministry of Health, Kuwait, Kuwait.
Yousef MarwanDivision of Sports Medicine, Al-Razi Orthopaedic Hospital, Ministry of Health, Kuwait, Kuwait.
Aymen S I SolimanDepartment of Orthopaedic Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Tarek A ElkhadraweDepartment of Orthopaedic Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Mohamed G MorsiDepartment of Orthopaedic Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Wael ShoaebDivision of Sports Medicine, Al-Razi Orthopaedic Hospital, Ministry of Health, Kuwait, Kuwait.
Ahmed NagiDivision of Sports Medicine, Al-Razi Orthopaedic Hospital, Ministry of Health, Kuwait, Kuwait.
Ministry of Health · KWAlexandria University · EGKuwait University · KW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the outcomes of anterior cruciate ligament (ACL) reconstruction with those of combined ACL and anterolateral ligament (ALL) reconstruction in ACL-deficient knees. The objective of this study was to improve knowledge regarding the treatment of ACL-deficient knees with combined ACL and ALL reconstruction. Combined ACL and ALL reconstruction has been hypothesized to result in better clinical and functional outcomes than isolated ACL reconstruction (ACLR).

methodsOne-hundred and seven adult male athletes with ACL tears and high-grade pivot shifts were randomized into two groups. Those in group A (n = 54) underwent ACLR, while those in group B (n = 53) underwent combined ACL and ALL reconstruction. The median age was 26 (18-40) and 24 (18-33) years in groups A and B, respectively, and the median follow-up was 60 (55-65) months. Physical examination findings, instrumented knee laxity tested using a KT-1000 arthrometer, and International Knee Documentation Committee Scale (IKDC) scores were used to evaluate the outcomes.

resultsOne-hundred and two patients were available for follow-up: 52 in group A and 50 in group B. Postoperatively, the pivot shift was normal in 43 (82.7%) and 48 (96%) patients in groups A and B, respectively (p < 0.001). The median instrumented knee laxity was 2.5 ± 0.7 (1.2-6.1) mm in patients in group A and 1.2 ± 0.7 (1.2-3.2) mm in patients in group B (p < 0.001). Additionally, 44 (84.6%) patients in group A had normal IKDC scores and 3 (5.8%) had nearly normal scores, while 48 (96.0%) patients in group B had normal IKDC scores and 2 (4%) had nearly normal scores (p < 0.001).

conclusionCombined ACL and ALL reconstruction, compared with isolated ACLR resulted in favourable clinical and functional outcomes, as demonstrated by decreased rotational instability and instrumented knee laxity, a lower graft rupture rate and better postoperative IKDC scores. LEVEL OF EVIDENCE: 1.

Indexed as

AdolescentAdultAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionArthrometry, ArticularAthletesAthletic InjuriesCombined Modality TherapyFollow-Up StudiesHumansJoint InstabilityKnee JointLigaments, ArticularMalePostoperative PeriodProspective StudiesACL + ALL reconstructionACL repairKnee rotational stability

Identifiers

PMID32617609
OpenAlexW3039337416

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.