ArticleOrthopaedic journal of sports medicine2020
Effect of Lateral Extra-articular Tenodesis on Anterior Cruciate Ligament Graft Incorporation.
Article in Orthopaedic journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06357091 (ACL Reconstruction With Human Allograft Cortical Bone Screw), which is not on this map. Cited by 37 papers, 3 of them syntheses 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.
ACL Reconstruction With Human Allograft Cortical Bone Screw (Shark Screw®) or Biocomposite-interference Screws - a Prospective, Randomized, Controlled Trial.
Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- No Evidence of Superior Graft Remodeling and Maturation When Adding a Lateral Extra-articular Procedure to Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of Comparative Studies.The American journal of sports medicine · 2026Pooled it
- Lateral Extra-articular Procedures Reduce the Risk of Revision of Anterior Cruciate Ligament Reconstruction in Elite Athletes: A Systematic Review and Meta-analysis of Comparative Studies.The American journal of sports medicine · 2026Pooled it
- Outcomes of hamstring graft with preserved tibial insertion for ACL reconstruction: systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Independent Anatomic Double-Bundle Anterolateral Ligament Reconstruction Using a Pedicled Gracilis Graft During Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2026Article
- MRI Evaluation of Graft Remodeling After Transphyseal Anterior Cruciate Ligament Reconstruction in Pediatric Patients: A 5-Year Follow-up.Orthopaedic journal of sports medicine · 2026Article
- Skeletally immature patients undergoing over-the-top anterior cruciate ligament (ACL) reconstruction using hamstring autograft with preserved tibial insertion and lateral extraarticular tenodesis (LET) exhibit good early graft MRI signal similar to adult patients.Journal of experimental orthopaedics · 2026Article
- Combined ACL and ALL Reconstruction Using Allografts as the ACL Graft Source Reduces Surgical Failure and Improves Graft Maturity Compared with Isolated ACL Reconstruction.Journal of clinical medicine · 2026Article
- Comparable outcomes following combined ACL and ALL reconstruction using a 1-strand versus 2-strand back-and-forth technique: Propensity score matched study.Journal of experimental orthopaedics · 2026Article
- Similar graft rerupture rates after ACL reconstruction with or without lateral extra-articular procedure in patients over 40 years.Journal of experimental orthopaedics · 2025Article
- No difference found in the magnetic resonance imaging signal intensity of the anterior cruciate ligament reconstruction graft between single-bundle anterior cruciate ligament reconstruction with concomitant anterolateral ligament surgery and double-bundle anterior cruciate ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- Graft remodelling of hamstring ACL graft and secondary meniscal lesions are affected by tibial slope and body mass index.Journal of experimental orthopaedics · 2025Article
- Modified Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction in 291 High-Level Athletes: Clinical Outcomes at Minimum 2.5-Year Follow-Up.Medicina (Kaunas, Lithuania) · 2025Article
- Why Should Return to Sport Be Delayed by up to Two Years After ACL Reconstruction? A Narrative Review of the Biological, Surgical and Rehabilitation Evidence.Journal of clinical medicine · 2025Review
- Double-Bundle Femoral-Based Reconstruction of the Deep and Superficial Medial Collateral Ligament for Anteromedial Rotatory Instability: The MAVERIK Technique.Arthroscopy techniques · 2025Article
- Similar results with quadrupled semitendinosus and semitendinosus-gracilis graft in anterior cruciate ligament reconstruction: A randomised controlled trial with 2-year follow-up.Journal of experimental orthopaedics · 2025Article
- Partial Transphyseal All-Inside Anterior Cruciate Ligament Reconstruction in Skeletally Immature Adolescent Patients: Two-Year Minimum Follow-up Clinical and Radiologic Results.Orthopaedic journal of sports medicine · 2025Article
- Combined Anterior Cruciate Ligament Arthroscopic Reconstruction and Lateral Tenodesis Using Iliotibial Band Augmented With Gracilis Tendon.Arthroscopy techniques · 2025Article
- Combined Reconstruction of the Anterior Cruciate Ligament and Anterolateral Ligament by Removing the Semitendinosus and Gracilis: A Simple, Reproducible Technique.Arthroscopy techniques · 2025Article
- Clinical Outcomes of Isolated ACL Reconstruction Versus Combined ACL and ALL Reconstruction With Indication Guided by Intraoperative Ultrasound: A Propensity Score-Matched Study of 260 Patients With a Minimum 2-Year Follow-up.Orthopaedic journal of sports medicine · 2025Article
- Minimizing Unnecessary Harvesting of an Extremely Thin Gracilis Tendon During ACL Reconstruction by Referencing the Diameter of the Doubled Semitendinosus Tendon Alone.Orthopaedic journal of sports medicine · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt has been shown that adding lateral extra-articular tenodesis (LET) to standard anterior cruciate ligament (ACL) reconstruction significantly decreases the loads on the ACL composite graft. To date, the possible effect of LET on ACL graft incorporation is not known. PURPOSE: To compare the incorporation in tibial bone tunnels of a standard quadrupled semitendinosus (ST4) graft to an ST4 graft plus LET at 1 year postoperatively using magnetic resonance imaging (MRI). STUDY
designCohort study; Level of evidence, 3.
methodsA total of 62 patients who underwent ACL reconstruction were enrolled prospectively: 31 received an ST4 graft, and 31 received an ST4 graft plus LET. Graft incorporation was evaluated with MRI at the 1-year follow-up visit. The following parameters were evaluated: signal-to-noise quotient (SNQ), tibial tunnel widening, graft healing, and graft maturity according to the Howell scale. The primary endpoint was the SNQ of the ST4 graft at 1 year postoperatively; this parameter was adjusted because of unequal baseline characteristics between groups. Clinical and functional outcomes as well as incorporation of the graft were analyzed as secondary endpoints.
resultsThe mean adjusted SNQ was 0.5 ± 2.1 (95% CI, 0.4-4.6) in the ST4 + LET group and 5.9 ± 3.7 (95% CI, 4.7-7.0) in the ST4 group (
conclusionAt 1 year postoperatively, the MRI appearance of ACL grafts showed generally better incorporation and maturation when combined with LET.
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