Evidence map›Paper›PMID 34344237›Full record

ReviewSports health

Rehabilitation Principles to Consider for Anterior Cruciate Ligament Repair.

Jocelyn Wu, Jamie L Kator, Michael Zarro, Natalie L Leong

Abstract readReview
In one paragraph

Review in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  8. Knee proprioception following anterior cruciate ligament repair and reconstruction: A systematic review and network meta-analysis.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026
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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

4 authors.

Jocelyn WuDepartment of Orthopaedic Surgery, University of Maryland Baltimore, Baltimore, Maryland.
Jamie L KatorDepartment of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
Michael ZarroDepartment of Physical Therapy, University of Maryland Baltimore, Baltimore, Maryland.
Natalie L LeongDepartment of Orthopaedic Surgery, University of Maryland Baltimore, Baltimore, Maryland.

Funding

Role of Perivascular Stem Cells in Ligament Healing and RegenerationIK2BX004879 · VA · BALTIMORE VA MEDICAL CENTER · PI LEONG, NATALIE L · 2020 to 2025
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BLRD VA IK2 BX004879
6 · The paper itself

Abstract

contextInjury to the anterior cruciate ligament (ACL) is among the most common orthopaedic injuries, and reconstruction of a ruptured ACL is a common orthopaedic procedure. In general, surgical intervention is necessary to restore stability to the injured knee, and to prevent meniscal damage. Along with surgery, intense postoperative physical therapy is needed to restore function to the injured extremity. ACL reconstruction (ACLR) has been the standard of care in recent decades, and advances in surgical technology have reintroduced the prospect of augmented primary repair of the native ACL via a variety of methods. EVIDENCE ACQUISITION: A search of PubMed database of articles and reviews available in English was performed through 2020. The search terms STUDY

designClinical review. LEVEL OF EVIDENCE: Level 5.

resultsNo exact consensus exists on effective rehabilitation protocols after ACL repair techniques, as the variation in published protocols seem even greater than the variation in those for ACLR. For some techniques such as internal bracing and dynamic interligamentary stabilization, it is likely permissible for the patients to progress to full weightbearing and discontinue bracing sooner. However, caution should be applied with regard to earlier return to sport than after ACLR as to minimize risk for retear.

conclusionMore research is needed to address how physical therapies must adapt to these innovative repair techniques. Until that is accomplished, we recommend that physical therapists understand the differences among the various ACL surgery techniques discussed here and work with the surgeons to develop a rehabilitation protocol for their mutual patients. STRENGTH OF RECOMMENDATION TAXONOMY (SORT): C.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionAnterior Cruciate LigamentBracesHumansKnee Jointanterior cruciate ligament repairbridge-enhanced ACL repairdynamic intraligamentary stabilizationinternal bracingphysical therapypostoperative rehabilitationsuture anchor repair

Identifiers

PMID34344237
PMCPMC9112707

What OpenQuestion holds

Textmetadata
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.