Evidence map›Paper›PMID 34986843›Full record

ArticleJournal of orthopaedic surgery and research2022

Remnants-preserving ACL reconstruction using direct tendinous graft fixation: a new rat model.

Emeline Maurice, Thibault Godineau, Diane Pichard, Hanane El Hafci, Gwennhael Autret, Morad Bensidhoum, Véronique Migonney, Mathieu Manassero, Véronique Viateau

Open access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

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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 at 4 institutions in 1 country.

Emeline MauriceUnité de Chirurgie, École Nationale Vétérinaire d'Alfort, Université Paris-Est-Créteil, 7 avenue du Général de Gaulle, 94704, Maisons Alfort Cedex, France. emeline.maurice@vet-alfort.fr.ORCID http://orcid.org/0000-0003-1094-4323
Thibault GodineauUnité de Chirurgie, École Nationale Vétérinaire d'Alfort, Université Paris-Est-Créteil, 7 avenue du Général de Gaulle, 94704, Maisons Alfort Cedex, France.
Diane PichardUnité de Chirurgie, École Nationale Vétérinaire d'Alfort, Université Paris-Est-Créteil, 7 avenue du Général de Gaulle, 94704, Maisons Alfort Cedex, France.
Hanane El HafciLaboratoire de Biologie, Bioingénierie et Bioimagerie Ostéo-Articulaires (LB30A), UMR 7052, Université Paris Diderot Paris 7, 10 avenue de Verdun, 75010, Paris, France.
Gwennhael AutretINSERM, PARCC, Université de Paris, Plateforme Imageries du Vivant, 75006, Paris, France.
Morad BensidhoumLaboratoire de Biologie, Bioingénierie et Bioimagerie Ostéo-Articulaires (LB30A), UMR 7052, Université Paris Diderot Paris 7, 10 avenue de Verdun, 75010, Paris, France.
Véronique MigonneyLaboratoire de Biomatériaux et Polymères de Spécialité (LBPS), Laboratoire Chimie, Structures, Propriétés de Biomatériaux et d'Agents Thérapeutiques (CSPBAT), UMR CNRS 7244, Université Sorbonne Paris Nord, 99 avenue JB Clément, 93430, Villetaneuse, France.
Mathieu ManasseroUnité de Chirurgie, École Nationale Vétérinaire d'Alfort, Université Paris-Est-Créteil, 7 avenue du Général de Gaulle, 94704, Maisons Alfort Cedex, France.
Véronique ViateauUnité de Chirurgie, École Nationale Vétérinaire d'Alfort, Université Paris-Est-Créteil, 7 avenue du Général de Gaulle, 94704, Maisons Alfort Cedex, France.
École Nationale Vétérinaire d'Alfort · FRUniversité Paris Cité · FRCentre National de la Recherche Scientifique · FRInserm · FR

Funding

French Public Investment Bank Liga2bio project
6 · The paper itself

Abstract

backgroundAnterior cruciate ligament (ACL) repair techniques are new emerging strategies prevailing, in selected cases, over standard reconstruction of the ACL with excision of its remnants. Mid-substance ACL tears represent a challenge for ACL repair techniques, and remnants-preserving ACL reconstruction (rp-ACLR) using an autograft remains the recommended treatment in this situation. However, morbidity associated with the autograft harvesting prompts the need for alternative surgical strategies based on the use of synthetic scaffolds. Relevant small animal models of mid-substance tears with ACL remnants preservation and reconstruction are necessary to establish the preliminary proof of concept of these new strategies.

methodsA rat model of rp-ACLR using a tendinous autograft after complete mid-substance ACL transection was established. Twelve weeks following surgery, clinical outcomes and knee joints were assessed through visual gait analysis, Lachman tests, thigh perimeter measurements, magnetic resonance imaging, micro-computed tomography, and histology, to evaluate the morbidity of the procedure, accuracy of bone tunnel positioning, ACL remnants fate, osteoarthritis, and autograft bony integration. Results were compared with those obtained with isolated ACL transection without reconstruction and to right non-operated knees. RESULTS AND DISCUSSION: Most operated animals were weight-bearing the day following surgery, and no adverse inflammatory reaction has been observed for the whole duration of the study. Autograft fixation with cortical screws provided effective graft anchorage until sacrifice. Healing of the transected ACL was not observed in the animals in which no graft reconstruction was performed. rp-ACLR was associated with a reduced degeneration of the ACL remnants (p = 0.004) and cartilages (p = 0.0437). Joint effusion and synovitis were significantly lower in the reconstructed group compared to the transected ACL group (p = 0.004). Most of the bone tunnel apertures were anatomically positioned in the coronal and/or sagittal plane. The most deviated bone tunnel apertures were the tibial ones, located in median less than 1 mm posteriorly to anatomical ACL footprint center.

conclusionThis study presents a cost-effective, new relevant and objective rat model associated with low morbidity for the preliminary study of bio-implantable materials designed for remnants-preserving ACL surgery after mid-substance ACL tear.

Indexed as

AnimalsAnterior Cruciate LigamentAnterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionAutograftsKnee JointMagnetic Resonance ImagingModels, AnimalRatsTibiaTransplantation, AutologousX-Ray MicrotomographyAnimal modelAnterior cruciate ligament reconstructionInterference screwMagnetic resonance imagingRatRemnants’ preservationTendinous autograft

Identifiers

PMID34986843
PMCPMC8729105
OpenAlexW4206030263

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.