SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Operative management of isolated posterior cruciate ligament injuries improves stability and reduces the incidence of secondary osteoarthritis: a systematic review.
Synthesis 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 23 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Exercise therapy for tendinopathy: a mixed-methods evidence synthesis exploring feasibility, acceptability and effectiveness.Health technology assessment (Winchester, England) · 2023Pooled it
- Complications Related to Arthroscopic Isolated Posterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-analysis of 4162 Patients.Orthopaedic journal of sports medicine · 2026Review
- Diagnosis and imaging assessment of partial anterior and posterior cruciate ligament tears.Skeletal radiology · 2026Review
- A Consistent Landmark for Tibial Tunnel Placement in Arthroscopic Remnant-Preserving Posterior Cruciate Ligament Reconstruction: Use of Champagne-Glass Drop-Off and Lateral Cartilage Point-A Retrospective Case Series.Diagnostics (Basel, Switzerland) · 2026Article
- Redefining the Paradigm: Advancing Evidence-Based Return-to-Sport Criteria Following Isolated Posterior Cruciate Ligament Reconstruction: A Scoping Review.Sports medicine (Auckland, N.Z.) · 2026Article
- The empty roof sign: A new indirect magnetic resonance imaging sign of posterior cruciate ligament injury.Journal of experimental orthopaedics · 2026Article
- Salvaging Early EndoButton Migration in PCL Reconstruction: A Case Report Describing a Novel Technical Solution for Femoral Tunnel Complications.Case reports in orthopedics · 2026Article
- [Progress in prevention and treatment of knee laxity after posterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- A flat posterior cruciate ligament reconstruction restores native knee kinematics, comparable to a double-bundle reconstruction-A biomechanical robotic investigation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Operative and non-operative management can result in acceptable long-term outcomes for isolated posterior cruciate ligament injuries in paediatric patients.Journal of experimental orthopaedics · 2025Article
- Double-Bundle Posterior Cruciate Ligament Reconstruction Using Superficial Quadriceps and Semitendinosus Tendon Autografts.Arthroscopy techniques · 2025Article
- Specific fibre areas in the femoral footprint of the posterior cruciate ligament act as a major contributor in resisting posterior tibial displacement: A biomechanical robotic investigation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Interventions for treating posterior cruciate ligament injuries of the knee in adults: A systematic review and meta-analysis protocol.PloS one · 2025Article
- A nomogram clinical model for predicting preoperative lower limb venous thrombosis in knee ligament injuries: a retrospective study.Frontiers in medicine · 2025Article
- Anatomic versus Low Tibial Tunnel in Double-Bundle Posterior Cruciate Ligament Reconstruction: Clinical and Radiologic Outcomes with a Minimum 2-Year Follow-Up.Medicina (Kaunas, Lithuania) · 2024Article
- Risk factors of failure results after double-bundle reconstruction with autogenous hamstring grafts for isolated posterior cruciate ligament rupture cases.Scientific reports · 2024Article
- Altered knee kinematics after posterior cruciate ligament single-bundle reconstruction-a comprehensive prospective biomechanicalFrontiers in bioengineering and biotechnology · 2024Article
- Sports activity and quality of life improve after isolated ACL, isolated PCL, and combined ACL/PCL reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Observational
- Onlay Technique for Posterior Cruciate Ligament Reconstruction: The Paccola's Technique.Arthroscopy techniques · 2023Article
- Influence of the Tibial Tunnel Angle and Posterior Tibial Slope on "Killer Turn" during Posterior Cruciate Ligament Reconstruction: A Three-Dimensional Finite Element Analysis.Journal of clinical medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the evidence for operative and non-operative management of isolated posterior cruciate ligament (PCL) injuries.
methodsUsing Pubmed, EMBASE and Cochrane databases, a systematic review was conducted of studies investigating the treatment of isolated PCL injuries published until July 2020. Quality assessment was performed with the Cochrane risk of bias tool (level I), the Newcastle-Ottowa Scale (level II-III) and the National Institute of Health quality assessment tool (level IV). Clinical outcome measures included residual laxity, return to sports, patient-reported outcome measures, subsequent articular degeneration and complications.
resultsTwenty-seven studies [23 case series, 2 case-control, 1 cohort study and 1 randomized controlled trial (RCT)] including 5197 patients (5199 knees) with a mean age of 29.5 ± 3.6 years (range 15-68) fulfilled the study requirements. Significantly less residual laxity was found after posterior cruciate ligament reconstruction (PCLR) compared to non-operative management (3.43 vs. 5.47 mm, CI: 1.84-2.23, p < 0.001). Both treatment modalities yielded satisfying functional outcomes and a high return to sports (64-77%, mean: 70.3, CI: 67.8-72.2). Osteoarthritis (OA) occurred less frequently following PCLR (21.5 vs. 44.1%, p < 0.001).
conclusionIn the absence of level I RCTs, this systematic review suggests that surgical management for selected isolated PCL injuries is a reasonable option to consider, especially when the surgeon aims at minimizing residual laxity and presumably secondary osteoarthritis. LEVEL OF EVIDENCE: IV.
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Registered trials
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.