Evidence map›Paper›PMID 33648610›Full record

ReviewKnee surgery & related research2021

Tibial-graft fixation methods on anterior cruciate ligament reconstructions: a literature review.

Vitor Luis Pereira, João Victor Medeiros, Gilvan Rodrigues Silva Nunes, Gabriel Taniguti de Oliveira, Alexandre Pedro Nicolini

Abstract readReview
In one paragraph

Review in Knee surgery & related research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

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  10. [Research progress of tibial-graft fixation methods on anterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
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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

5 authors.

Vitor Luis PereiraTraumatology Sports Center (CETE) - (DOT-UNIFESP/EPM) - Orthopedics and Traumatology Department of the Escola Paulista de Medicina, Federal University of São Paulo, Säo Paolo, Brazil. vitor_luis_pereira@yahoo.com.br.ORCID http://orcid.org/0000-0002-1121-996X
João Victor MedeirosResident in the Orthopedics and Traumatology Program, Orthopedics and Traumatology Department of the Escola Paulista de Medicina, Federal University of São Paulo, Säo Paolo, Brazil.ORCID https://orcid.org/0000-0002-0817-7025
Gilvan Rodrigues Silva NunesResident in the Orthopedics and Traumatology Program, Orthopedics and Traumatology Department of the Escola Paulista de Medicina, Federal University of São Paulo, Säo Paolo, Brazil.ORCID https://orcid.org/0000-0002-9496-4788
Gabriel Taniguti de OliveiraTraumatology Sports Center (CETE) - (DOT-UNIFESP/EPM) - Orthopedics and Traumatology Department of the Escola Paulista de Medicina, Federal University of São Paulo, Säo Paolo, Brazil.ORCID https://orcid.org/0000-0001-6288-6896
Alexandre Pedro NicoliniTraumatology Sports Center (CETE) - (DOT-UNIFESP/EPM) - Orthopedics and Traumatology Department of the Escola Paulista de Medicina, Federal University of São Paulo, Säo Paolo, Brazil.ORCID https://orcid.org/0000-0002-5238-7388

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnterior cruciate ligament (ACL) reconstruction is the most performed orthopedic surgical procedure. The result of ACL reconstructions depends on multiple technical variables, including tension to be applied to the graft for fixation, knee-flexion angle during fixation and the type of fixation to the bone.

objectiveTo carry out a survey of the literature with the best evidence on these themes.

methodsLiterature review about methods of tibial-graft fixation in ACL reconstructions - tension applied at the time of fixation, type of graft fixation, and knee-flexion degree during tibial fixation.

resultsThirty studies on the selected topics were found. Most studies point to graft-tension levels close to 90 N to obtain the best results. Regarding the knee-flexion angle, multiple studies suggest that fixation at a 30° angle would bring superior biomechanical advantages. Regarding the type of implant for fixation, it is not possible to affirm the superiority of one method over another in clinical outcomes.

conclusionsThere is no consensus on the best method for tibial fixation of the grafts in ACL reconstructions regarding tension, type of implant and knee-flexion angle. However, the analysis of the studies pointed to certain trends and allowed the drawing of specific conclusions.

Indexed as

Anterior cruciate ligamentArthroscopyKneeLigamentsReviewSurgery

Identifiers

PMID33648610
PMCPMC7923495

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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.