Evidence map›Paper›PMID 34863318›Full record

ArticleKnee surgery & related research2021

A prospective randomized study of arthroscopic ACL reconstruction with adjustable- versus fixed-loop device for femoral side fixation.

Naiyer Asif, Mohammad Jesan Khan, K P Haris, Shah Waliullah, Anubhav Sharma, Danish Firoz

Abstract read
In one paragraph

Article in Knee surgery & related research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

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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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

6 authors.

Naiyer AsifDepartment of Orthopaedic Surgery, Faculty of Medicine, JNMCH, AMU, Aligarh, Uttar Pradesh, India.
Mohammad Jesan KhanDepartment of Orthopaedic Surgery, Faculty of Medicine, JNMCH, AMU, Aligarh, Uttar Pradesh, India. mzkhan2k1@gmail.com.
K P HarisDepartment of Orthopaedic Surgery, Faculty of Medicine, JNMCH, AMU, Aligarh, Uttar Pradesh, India.
Shah WaliullahDepartment of Orthopaedics, KGMU, Lucknow, Uttar Pradesh, India.
Anubhav SharmaDepartment of Orthopaedic Surgery, Faculty of Medicine, JNMCH, AMU, Aligarh, Uttar Pradesh, India.
Danish FirozDepartment of Orthopaedic Surgery, Faculty of Medicine, JNMCH, AMU, Aligarh, Uttar Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSuspensory devices are extensively used in the management of anterior cruciate ligament (ACL) tear. They include fixed- and adjustable-loop devices. There are only a few studies comparing the efficacy of these two devices in the available literature. Therefore, the aim of this study is to compare clinical outcomes between the adjustable-loop device (group I) and fixed-loop device (group II). MATERIALS AND

methodsThis was a prospective randomized study. Both groups were equivalent in demographic, preoperative, and intraoperative variables. Twenty-three patients underwent femoral side graft fixation with adjustable-loop and 20 with fixed-loop devices. Four patients were lost to follow-up. Assessment of clinical outcome was done with International Knee Documentation Committee (IKDC) score, Lysholm score, and knee stability tests (Lachman test and pivot shift test). Patient evaluation was performed preoperatively and finally postoperatively 2 years after surgery.

resultsPostoperative IKDC scores of group I and II were 91.9 ± 3.6 and 91.5 ± 3.6, respectively, and Lysholm scores were 91.0 ± 3.6 and 91.4 ± 3.5, respectively, after 2 years; however, the difference in the outcomes was statistically insignificant (p > 0.05). Twenty patients (87%) in group I and 17 patients (85%) in group II had a negative Lachman test (p = 0.8). Twenty-two patients (95.7%) in group I and 19 patients (95%) in group II had a negative pivot shift test (p = 0.9).

conclusionACL reconstruction with fixed- and adjustable-loop suspensory devices for graft fixation gives equivalent and satisfactory clinical results. LEVEL OF EVIDENCE: 1.

Indexed as

Adjustable-loop deviceAnterior cruciate ligamentFixed-loop device

Identifiers

PMID34863318
PMCPMC8642980

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