Evidence map›Paper›PMID 34250173›Full record

ArticleOrthopaedic journal of sports medicine2021

Return to Sport After Bone-Patellar Tendon-Bone Autograft ACL Reconstruction in High School-Aged Athletes.

Ryan C Rauck, John M Apostolakos, Benedict U Nwachukwu, Brandon L Schneider, Riley J Williams, Joshua S Dines, David W Altchek, HSS ACL Registry Group, Andrew Pearle, Answorth Allen and 17 more

Open access · goldAbstract read
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 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% of its field
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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Return to Sport After Multiligament Knee Injury in Young Athletes.Orthopaedic journal of sports medicine · 2023
    Article
  10. 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

27 authors at 1 institution in 1 country.

Ryan C RauckSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
John M ApostolakosSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Benedict U NwachukwuSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Brandon L SchneiderSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Riley J WilliamsSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Joshua S DinesSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
David W AltchekSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
HSS ACL Registry Group
Andrew PearleSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Answorth AllenSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Beth Shubin SteinSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
David DinesSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Anil RanawatSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Anne KellySports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Bryan KellySports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Howard RoseSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Michael MaynardSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Sabrina StricklandSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Struan ColemanSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Jo HannafinSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
John MacGillivraySports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Robert MarxSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Russell WarrenSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Scott RodeoSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Stephen FealySports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Stephen O'BrienSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Thomas WickiewiczSports Medicine Institute, Hospital for Special Surgery, New York, New York, USA.
Hospital for Special Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnterior cruciate ligament (ACL) injuries are occurring with increasing frequency in the adolescent population. Outcomes after ACL reconstruction (ACLR) are inconsistently reported in homogeneous patient populations. PURPOSE/HYPOTHESIS: To evaluate outcomes after bone-patellar tendon-bone (BTB) autograft ACLR in competitive high school-aged athletes by examining return to sport (RTS), patient satisfaction, and reinjury rates. Our hypothesis was that RTS rates and satisfaction will be high and reinjury rates will be low. STUDY

designCase series; Level of evidence, 4.

methodsAn institutional ACL registry was utilized to identify competitive high school-aged athletes (14-18 years old) who underwent primary ACLR using BTB autograft with a minimum 2-year follow-up. A postoperative questionnaire was administered to determine rates and types of RTS, quality of sports performance, reinjury, and satisfaction. Uni- and multivariable analyses were used to identify demographic, sport-specific, and clinical factors related to RTS.

resultsA total of 53 patients were included (mean ± SD age at the time of surgery, 16.6 ± 1.34 years). Mean follow-up was 3.78 ± 0.70 years (range, 2.60-4.94 years). The overall ipsilateral ACL retear rate was 7.5% (n = 4). There were 10 subsequent ACL tears to the contralateral knee (19%). Forty-four (83%) patients successfully returned to at least their prior level of sport at a mean 10.5 ± 8.7 months (range, 3-48 months). Overall satisfaction was high, with 91% of patients very satisfied with the outcome. Higher confidence levels regarding performance of the reconstructed knee were associated with increased probability of RTS on multivariate analysis.

conclusionBTB autograft ACLR results in high rates of RTS and satisfaction and low rates of subsequent ipsilateral ACL injuries in competitive high school-aged athletes. Patients with higher confidence in performance of the reconstructed knee are more likely to return to at least their prior level of sport.

Indexed as

adolescentsanterior cruciate ligament reconstruction (ACLR)bone–patellar tendon–bone (BTB)return to sport (RTS)satisfaction

Identifiers

PMID34250173
PMCPMC8239981
OpenAlexW3174732089

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.