Evidence map›Paper›PMID 32660634›Full record

ArticleKnee surgery & related research2020

A comparison of femoral tunnel placement in ACL reconstruction using a 70° arthroscope through the anterolateral portal versus a 30° arthroscope through the anteromedial portal: a pilot 3D-CT study.

Jonathan D Kosy, Katie Walmsley, Akash D Sharma, Elizabeth A Gordon, Sadie V Heddon, Rahul Anaspure, Peter J Schranz, Vipul I Mandalia

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Knee surgery & related research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02816606 (Radiological Follow-up of Alternative ACL Reconstruction Technique), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 38% 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.

NCT02816606 unknown statusnot on this map

Radiological Follow-up of Alternative ACL Reconstruction Technique

TypeobservationalSponsorRoyal Devon and Exeter NHS Foundation TrustRan2016 to 2019Enrolled50ConditionsAnterior Cruciate Ligament RuptureArmsFlexible reamers, 70-degree arthroscope
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 3 institutions in 1 country.

Jonathan D KosyPrincess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, Devon, EX2 5DW, UK. jonkosy@yahoo.co.uk.
Katie WalmsleyPrincess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, Devon, EX2 5DW, UK.
Akash D SharmaHip and Knee Unit, Nuffield Orthopaedic Centre, Oxford, UK.
Elizabeth A GordonResearch and Development Department, Royal Devon and Exeter Hospital, Exeter, UK.
Sadie V HeddonResearch and Development Department, Royal Devon and Exeter Hospital, Exeter, UK.
Rahul AnaspureDepartment of Musculoskeletal Radiology, Royal Devon and Exeter Hospital, Exeter, UK.
Peter J SchranzPrincess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, Devon, EX2 5DW, UK.
Vipul I MandaliaPrincess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, Devon, EX2 5DW, UK.
Royal Devon and Exeter Hospital · GBPrincess Elizabeth Orthopaedic Centre · GBNuffield Orthopaedic Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGraft malposition is a risk factor for failure of anterior cruciate ligament reconstruction. A 70° arthroscope improves visualisation of the medial wall of the lateral femoral condyle without switching portals. We investigated whether the use of this arthroscope affected the accuracy and precision of femoral tunnel placement.

methodsFifty consecutive adult patients were recruited. Following one withdrawal and two exclusions, 47 patients (30 in group 1 (70° arthroscope), 17 in group 2 (30° arthroscope)) underwent three-dimensional computed tomography imaging using a grid-based system to measure tunnel position.

resultsNo difference was found in the accuracy or precision of tunnels (mean position: group 1 = 33.3 ± 6.0% deep-shallow, 27.2 ± 5.2% high-low; group 2 = 31.7 ± 6.9% deep-shallow, 29.0 ± 6.2% high-low; not significant). A post-hoc power analysis suggests a study of 106 patients would be required.

conclusionsThis pilot study suggests that tunnel position is not affected by the arthroscope used. An appropriately powered study could investigate this finding alongside other potential benefits of using a 70° arthroscope for this procedure.

trial registrationClinicalTrials.gov, NCT02816606. Registered on 28 June 2016.

Indexed as

AccuracyAnterior cruciate ligament reconstructionArthroscopeFemoral tunnel

Identifiers

PMID32660634
PMCPMC7219201
OpenAlexW3030561148

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.