Evidence map›Paper›PMID 33899128›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022

Psychological, physical and social factors influence decision to return to sport after revision ACL reconstruction with BPTB graft.

Manish Kiran, Omar Javed, Saswata Roy, Navraj Atwal, Harminder Gosal

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. 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
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4 · The record

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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.

Manish KiranGloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK. drmanishkiran@gmail.com.ORCID http://orcid.org/0000-0003-1926-4869
Omar JavedGloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK.
Saswata RoyGloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK.
Navraj AtwalGloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK.
Harminder GosalGloucestershire Hospitals NHS Foundation Trust, Sandford Rd, Cheltenham, GL53 7AN, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is limited evidence in literature regarding the patient-reported factors that influence their return to sport (RTS) in revision anterior cruciate ligament reconstruction (ACLR). The medium-term results of a prospective consecutive cohort of patients undergoing single- and two-stage revision ACLR with bone patellar tendon bone graft (BPTB) and patient-reported factors that influence their decision to return to sport are presented in this study.

methodsSeventy-two patients were included in this prospective study. Single- or two-stage revision with BPTB graft was performed based on pre-operative planning. Iliac crest bone graft was used. Pre-operative and follow-up Lysholm and Tegner activity scores and RTS, level of sport and patient-reported factors affecting RTS were recorded. The mean follow-up was 9 years (SD 2.7 years).

resultsSingle-stage revision ACLR was performed in 61 patients. In 11 patients (15%), revision ACLR was performed in two stages. There was a significant improvement in Lysholm score from mean 51.1 to 86.7 (p < 0.001). The incidence of re-rupture in this cohort was 0%. The median Tegner score was 6 (range 2-9). Twenty-five patients (34.7%) did not return to any sport at final follow-up. Twenty-nine (40.2%) patients returned to their pre-injury level of sport. Fear of reinjury (79%, p < 0.001) and persistent knee symptoms (35.8%, p = 0.03) were the most common factors limiting RTS in non-returners.

conclusionPsychological and social factors may have an influence on RTS in addition to physical factors. LEVEL OF EVIDENCE: Level III.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionHumansProspective StudiesReoperationReturn to SportSocial FactorsAnterior cruciate ligamentBone patellar tendon bone autograftPsychological factorsRevision

Identifiers

PMID33899128

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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.