Evidence map›Paper›PMID 33997078›Full record

ArticleOrthopaedic journal of sports medicine2021

Incidence and Risk Factors for Residual High-Grade Pivot Shift After ACL Reconstruction With or Without a Lateral Extra-articular Tenodesis.

Christophe Jacquet, Charles Pioger, Romain Seil, Raghbir Khakha, Sebastien Parratte, Camille Steltzlen, Jean-Noel Argenson, Nicolas Pujol, Matthieu Ollivier

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In one paragraph

Article in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

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  19. Ramp Lesions of the Medial Meniscus.Current reviews in musculoskeletal medicine · 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

9 authors.

Christophe JacquetInstitute of Movement and Locomotion, Department of Orthopedics and Traumatology, St Marguerite Hospital, Marseille, France.
Charles PiogerInstitute of Movement and Locomotion, Department of Orthopedics and Traumatology, St Marguerite Hospital, Marseille, France.
Romain SeilOrthopaedic Department, CH Luxembourg, Luxembourg.
Raghbir KhakhaInstitute of Movement and Locomotion, Department of Orthopedics and Traumatology, St Marguerite Hospital, Marseille, France.
Sebastien ParratteInternational Knee & Joint Centre, Abu Dhabi, United Arab Emirates.
Camille SteltzlenOrthopaedic Department CH Mignot, rue de Versailles, Le Chesnay, France.
Jean-Noel ArgensonInstitute of Movement and Locomotion, Department of Orthopedics and Traumatology, St Marguerite Hospital, Marseille, France.
Nicolas PujolOrthopaedic Department CH Mignot, rue de Versailles, Le Chesnay, France.
Matthieu OllivierInstitute of Movement and Locomotion, Department of Orthopedics and Traumatology, St Marguerite Hospital, Marseille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResidual rotatory knee laxity at midterm follow-up after isolated anterior cruciate ligament reconstruction (ACLR) versus ACLR with lateral extra-articular tenodesis (LET) remains an issue. PURPOSE/HYPOTHESIS: To evaluate the outcomes of ACLR with or without additional LET at a minimum 2-year follow-up in patients with preoperative high-grade pivot shift (PS). Our hypothesis was that the addition of LET would decrease the risk of secondary meniscal injury and the presence of residual high-grade PS at follow-up. STUDY

designCohort study; Level of evidence, 3.

methodsA retrospective analysis performed at 3 sports medicine centers identified 266 study patients; all had a high-grade PS (grade 2 or 3) preoperatively and underwent isolated ACLR with or without LET. Four different ACLR techniques were used: single-strand quadrupled semitendinosus (ST4) ACLR without LET (ST4 group; n = 55), ST4 with anatomic LET (ST4+LET group; n = 77), bone-patellar tendon and modified Lemaire LET (BTB+LET group; n = 43), and quadriceps tendon and modified Lemaire LET (QT+LET group; n = 91). At follow-up, we evaluated for the presence of high-grade (grade ≥2) PS. Preoperative meniscal tears and their treatment were recorded.

resultsOverall, 185 (69.5%) patients had at least 1 meniscal tear at index surgery. The mean follow-up period was 44.3 months; 47 (17.7%) patients had a new meniscal tear and 64 (24%) patients had a high-grade PS at follow-up. Compared with meniscal repair, significant predictors for high-grade PS at follow-up were meniscectomy (odds ratio [OR] = 2.65 [95% CI, 1.19-5.63];

conclusionIn the current study, 1 in 4 patients with high-grade PS before ACLR with or without LET was at risk of residual rotatory knee laxity at mean 44-month follow-up, regardless of the technique used. Repairing a pre-existing meniscal lesion was more effective than performing LET to decrease the presence of a high-grade PS at follow-up.

Indexed as

anterior cruciate ligament reconstructionlateral extra-articular tenodesismeniscal tearpivot shiftrotational laxity

Identifiers

PMID33997078
PMCPMC8113945

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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.