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Trial reportEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021

Original study: early patient-reported functional outcome of all-inside ACL reconstruction as compared to anteromedial portal technique.

Vikas Kulshrestha, Munish Sood, Santhosh Kumar, Anurag Kawale

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. "Trends and beliefs in ACL reconstruction surgery: Indian perspectives".Journal of clinical orthopaedics and trauma · 2023
    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

4 authors.

Vikas KulshresthaSenior Advisor & Head of Department, Department of Orthopaedics, Command Hospital (WC), Chandimandir, 134107, India.
Munish SoodClassified Specialist Orthopaedics and Trained in Arthroscopy, Command Hospital (WC), Chandimandir, 134107, India. soodmunishafmc@gmail.com.ORCID http://orcid.org/0000-0003-2776-4572
Santhosh KumarClassified Specialist Orthopaedics, Department of Orthopaedics, Command Hospital Air Force Station Bangalore, Bengaluru, 560007, India.
Anurag KawaleOrthopaedics Surgeon, Department of Orthopaedics, Health City Hospital Nagpur, Nagpur, 440010, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnteromedial portal technique (AMP) using hamstring autograft is a popular technique of arthroscopic ACL reconstruction allowing anatomical placement of femoral. In this technique, a cortical suspensory fixation of graft is used on the femoral side and interference screw fixation on the tibial side using a complete bone tunnel. All-inside translateral technique is a recently introduced technique which uses a closed loop of quadrupled semitendinosus graft with an adjustable cortical suspensory fixation on both sides allowing optimum tensioning of graft and near-complete filling of retrosockets created by the flip cutter on both femoral and tibial sides. With its proposed but unproven benefits, our study was planned to compare the two techniques.

methodsA total of 80 young active males requiring ACL reconstruction surgery were equally randomized to AMP and All-inside technique. The primary objective of the study was to compare the ability to return to pre-injury level of activity using Tegner activity scale and patient-reported outcome using new Knee Society Score (KSS) at two years of follow-up.

resultsThe mean improvement in Tegner score was significantly better (p = 0.0005) in all-inside group (2.34 ± 0.97) as compared to AMP group (1.5 ± 1.30). Among components of new KSS, patient satisfaction was better in all-inside group.

conclusionAll-inside ACL reconstruction provides a better chance of return to pre-injury level of activity with accompanied patient satisfaction as compared to AMP technique at two years of follow-up. LEVEL OF EVIDENCE: Level I, therapeutic study.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionFemurHumansMalePatient Reported Outcome MeasuresTibiaACL reconstructionAll-inside techniqueAnteromedial portal techniqueEarly resultsReturn to pre-injury activity

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Registered trials

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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.