Evidence map›Paper›PMID 32903976›Full record

ArticleClinics in orthopedic surgery2020

Poor Functional Outcome in Patients with Voluntary Knee Instability after Anterior Cruciate Ligament Reconstruction.

Munish Sood, Vikas Kulshrestha, Julie Sachdeva, Amresh Ghai, Ajaydeep Sud, Shalender Singh

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Clinics in orthopedic surgery, 2020. 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 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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  12. An increasing trend of the number of meniscus allograft transplantation in Korea.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Munish SoodDepartment of Orthopaedics, Command Hospital (WC) Chandimandir, Panchkula, India.
Vikas KulshresthaDepartment of Orthopaedics, Command Hospital (WC) Chandimandir, Panchkula, India.
Julie SachdevaDepartment of Medicine, Command Hospital (WC) Chandimandir, Panchkula, India.
Amresh GhaiDepartment of Orthopaedics, Base Hospital Delhi Cantt, New Delhi, India.
Ajaydeep SudDepartment of Orthopaedics, Armed Forces Medical College, Pune, India.
Shalender SinghDepartment of Neuro-Anaesthesia and Critical Care, Armed Forces Medical College, Pune, India.
Armed Forces Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroudAnterior cruciate ligament reconstruction (ACLR) remains the gold standard treatment for anterior cruciate ligament (ACL) injury. However, a good functional outcome even after a successful surgery depends on multiple factors. It has been observed that certain patients with a chronic ACL injury demonstrate knee instability voluntarily. The authors observed that these patients might not perform well even after a successful surgery. This study aims to assess the outcome after ACL and other ligament reconstruction in patients with voluntary knee instability.

methodsFrom a total of 824 patients who underwent ACLR, 13 patients with a history of voluntary knee instability were selected, and data of these patients (demographic and clinical profile) were obtained. Outcomes of surgery in this group of patients were evaluated by using Lysholm score and Tegner activity level.

resultsAll patients were young men with a chronic ACL injury and manifested instability. Associated injuries were lateral meniscus tear in 3 patients, medial meniscus tear in 2, and posterolateral corner (PLC) injury in 3. ACLR was done using the semitendinosus-gracilis graft in all patients. Further, anterolateral ligament reconstruction was done in 2 patients and PLC reconstruction, in 3 patients. The mean Lysholm score was 54.76 (range, 48-62) preoperatively and 60.92 (range, 54-78) at a mean follow-up of 14.3 months (range, 11-26 months). The median Tegner activity level was 6 (range, 5-7) before injury and 4 (range, 3-5) at the final follow-up. Twelve of the 13 patients were able to demonstrate instability voluntarily at the time of the final follow-up.

conclusionsIn patients with ACL and other ligament injuries who demonstrated voluntary knee instability, the functional outcome even after successful ligament reconstruction was poor.

Indexed as

Anterior Cruciate Ligament ReconstructionAdultHumansJoint InstabilityKnee JointLysholm Knee ScoreMaleProspective StudiesRetrospective StudiesTreatment OutcomeYoung AdultAnterior cruciate ligamentKnee jointVoluntary knee instability

Identifiers

PMID32903976
PMCPMC7449845
OpenAlexW3026326674

What OpenQuestion holds

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LicenceCC BY-NC
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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.