ReviewArthroscopy, sports medicine, and rehabilitation2020
Comparative Efficacy of Graft Options in Anterior Cruciate Ligament Reconstruction: A Systematic Review and Network Meta-Analysis.
Review in Arthroscopy, sports medicine, and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Long-term results after anterior cruciate ligament reconstruction using patellar tendon versus hamstring tendon autograft with a minimum follow-up of 10 years-a systematic review.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Inframalleolar Harvest of Split-Thickness Peroneus Longus Tendon Autograft for Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2026Article
- Large magnetic resonance imaging-based medial posterior tibial slope is associated with time-dependent worsening of rotational knee laxity after anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- Use of hamstring autografts for ACL reconstruction significantly decreased the risk of reporting problems with kneeling at a 5-year follow-up.Journal of experimental orthopaedics · 2025Article
- Posterior Tibial Slope Characteristics and Their Relationships With Thigh Muscle Morphology, Activation Patterns, and Dynamic Knee Valgus in Male and Female Soccer Players Before and After Fatigue: A Descriptive Laboratory Study.Orthopaedic journal of sports medicine · 2025Article
- Graft Options for the Reconstruction of Multi-ligament Knee Injury: A Systematic Review.Indian journal of orthopaedics · 2025Review
- Comparison of Dynamic Postural Stability in Autografts Versus Allografts Following Anterior Cruciate Ligament Reconstruction With Remnant Preservation: A Prospective Study With 1-Year Follow-up.Orthopaedic journal of sports medicine · 2025Article
- Anterior Slope-Modifying Osteotomies Alter the Length Change Behavior of the Superficial Medial Collateral Ligament: A Biomechanical Study.The American journal of sports medicine · 2024Article
- Technique for Harvest of Superficial Quadriceps Tendon Autograft.Arthroscopy techniques · 2024Article
- Recurrent Instability Rate and Subjective Knee Function following Accelerated Rehabilitation after ACL Reconstruction in Comparison to a Conservative Rehabilitation Protocol.Journal of clinical medicine · 2023Article
- Two-Dimensional Magnetic Resonance Imaging in Preparation for Autograft Anterior Cruciate Ligament Reconstruction Demonstrates Quadriceps Tendon Is Thicker Than Patellar Tendon.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Patient Decision Making in Anterior Cruciate Ligament Reconstruction: A Discrete Choice Experiment Examining Graft Preference.Orthopaedic journal of sports medicine · 2023Article
- Our Preferred Technique for Bone-Patellar Tendon-Bone Allograft Preparation.Arthroscopy techniques · 2021Article
- A Systematic Review of Randomized Controlled Trials in Anterior Cruciate Ligament Reconstruction: Standard Techniques Are Comparable (299 Trials With 25,816 Patients).Arthroscopy, sports medicine, and rehabilitation · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the effectiveness of various graft options for anterior cruciate ligament reconstruction using network meta-analysis.
methodsA medical literature search was conducted of PubMed, the Cochrane Library, Embase, SCOPUS, and Web of Science from their inception through March 1, 2019. The outcomes, including International Knee Documentation Committee (IKDC) form, Lachman test, Lysholm score, Pivot shift test, and Tegner score, were evaluated among graft options. Data extraction was carried out according to inclusion and exclusion criteria, and a network meta-analysis was performed using STATA 14.0.
resultsA total of 45 trials with 3992 patients were included. The forest plots revealed no significant differences in IKDC, Lysholm, or Tegner score among the grafts. In Lachman score, a significant difference was found in the comparisons of hamstring tendon allograft (HT-AL) versus patellar tendon autograft (PT-AU) and HT-AL versus hamstring tendon autograft (HT-AU). In pivot shift test, PT-AU was superior to all the other grafts, and quadriceps tendon autograft (QT-AU) was superior to HT-AL and artificial ligament (Art-L) in the number of cases with negative results. According to surface under the cumulative ranking area (SUCRA), PT-AU had the highest probability to be the best intervention in Lachman test and Tegner score; tibialis anterior tendon allograft (TA-AL) in IKDC and Lysholm score; and QT-AU in pivot shift test. Based on the cluster analysis of SUCRA, PT-AU was considered the most appropriate intervention by IKDC and Lachman test.
conclusionThis study suggests that PT-AU may be the most appropriate graft for ACL reconstruction according to IKDC and Lachman test results. LEVEL OF EVIDENCE: Level I, network meta-analysis of randomized controlled trials.
Identifiers
What OpenQuestion holds
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.