Evidence map›Paper›PMID 35833922›Full record

ArticleThe American journal of sports medicine2022

Descriptive Characteristics and Outcomes of Patients Undergoing Revision Anterior Cruciate Ligament Reconstruction With and Without Tunnel Bone Grafting.

MARS Group, Steven F DeFroda, Brett D Owens, Rick W Wright, Laura J Huston, Jacquelyn S Pennings, Amanda K Haas, Christina R Allen, Daniel E Cooper, Thomas M DeBerardino and 80 more

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In one paragraph

Article in The American journal of sports medicine, 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
1.1field-weighted citation impact, top 23% 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, 5 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

90 authors at 19 institutions in 2 countries.

MARS GroupInvestigation performed at the Department of Orthopaedics, Brown Alpert Medical School, Providence, Rhode Island, USA.
Steven F DeFrodaUniversity of Missouri, Columbia, Missouri, USA.
Brett D OwensBrown Alpert Medical School, Providence, Rhode Island, USA.
Rick W WrightVanderbilt University, Nashville, Tennessee, USA.
Laura J HustonVanderbilt University, Nashville, Tennessee, USA.
Jacquelyn S PenningsVanderbilt University, Nashville, Tennessee, USA.
Amanda K HaasWashington University in St Louis, St Louis, Missouri, USA.
Christina R AllenYale University, New Haven, Connecticut, USA.
Daniel E CooperW.B. Carrell Memorial Clinic, Dallas, Texas, USA.
Thomas M DeBerardinoThe San Antonio Orthopaedic Group, San Antonio, Texas, USA.
Warren R DunnTexas Orthopedic Hospital, Houston, Texas, USA.
Brett Brick A LantzSlocum Research & Education Foundation, Eugene, Oregon, USA.
Kurt P SpindlerCleveland Clinic, Cleveland, Ohio, USA.
Michael J StuartMayo Clinic, Rochester, Minnesota, USA.
John P AlbrightUniversity of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Annunziato Ned AmendolaDuke University, Durham, North Carolina, USA.
Christopher C AnnunziataCommonwealth Orthopaedics & Rehabilitation, Arlington, Virginia, USA.
Robert A ArcieroUniversity of Connecticut Health Center, Farmington, Connecticut, USA.
Bernard R BachRush University Medical Center, Chicago, Illinois, USA.
Champ L BakerThe Hughston Clinic, Columbus, Georgia, USA.
Arthur R Bartolozzi3B Orthopaedics, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA.
Keith M BaumgartenOrthopedic Institute, Sioux Falls, South Dakota, USA.
Jeffery R BechlerUniversity Orthopaedic Associates LLC, Princeton, New Jersey, USA.
Jeffrey H BergTown Center Orthopaedic Associates, Reston, Virginia, USA.
Geoffrey A BernasState University of New York at Buffalo, Buffalo, New York, USA.
Stephen F BrockmeierUniversity of Virginia, Charlottesville, Virginia, USA.
Robert H BrophyWashington University in St Louis, St Louis, Missouri, USA.
Charles A Bush-JosephRush University Medical Center, Chicago, Illinois, USA.
J Brad ButlerOrthopedic and Fracture Clinic, Portland, Oregon, USA.
James L CareyUniversity of Pennsylvania, Philadelphia, Pennsylvania, USA.
James E CarpenterUniversity of Michigan, Ann Arbor, Michigan, USA.
Brian J ColeRush University Medical Center, Chicago, IL USA.
Jonathan M CooperHealthPartners Specialty Center, St Paul, Minnesota, USA.
Charles L CoxVanderbilt University, Nashville, Tennessee, USA.
R Alexander CreightonUniversity of North Carolina Medical Center, Chapel Hill, North Carolina, USA.
Tal S DavidSynergy Specialists Medical Group, San Diego, California, USA.
David C FlaniganThe Ohio State University, Columbus, Ohio, USA.
Robert W FrederickRothman Institute/Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Theodore J GanleyChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Elizabeth A GarofoliWashington University in St Louis, St Louis, Missouri, USA.
Charles J GattUniversity Orthopaedic Associates LLC, Princeton, New Jersey, USA.
Steven R GechaPrinceton Orthopaedic Associates, Princeton, New Jersey, USA.
James Robert GiffinFowler Kennedy Sport Medicine Clinic, University of Western Ontario, London, Ontario, Canada.
Sharon L HameDavid Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Jo A HannafinHospital for Special Surgery, New York, New York, USA.
Christopher D HarnerUniversity of Texas Health Center, Houston, Texas, USA.
Norman Lindsay HarrisGrand River Health-Rifle, Rifle, Colorado, USA.
Keith S HechtmanUHZ Sports Medicine Institute, Coral Gables, Florida, USA.
Elliott B HershmanLenox Hill Hospital, New York, New York, USA.
Rudolf G HoellrichSlocum Research & Education Foundation, Eugene, Oregon, USA.
David C JohnsonNational Sports Medicine Institute, Leesburg, Virginia, USA.
Timothy S JohnsonNational Sports Medicine Institute, Leesburg, Virginia, USA.
Morgan H JonesCleveland Clinic, Cleveland, Ohio, USA.
Christopher C KaedingThe Ohio State University, Columbus, Ohio, USA.
Ganesh V KamathUniversity of North Carolina Medical Center, Chapel Hill, North Carolina, USA.
Thomas E KlootwykMethodist Sports Medicine, Indianapolis, Indiana, USA.
Bruce A LevyMayo Clinic Rochester, Rochester, Minnesota, USA.
C Benjamin MaUniversity of California, San Francisco, California, USA.
G Peter MaiersMethodist Sports Medicine Center, Indianapolis, Indiana, USA.
Robert G MarxHospital for Special Surgery, New York, New York, USA.
Matthew J MatavaWashington University in St Louis, St Louis, Missouri, USA.
Gregory M MathienKnoxville Orthopaedic Clinic, Knoxville, Tennessee, USA.
David R McAllisterDavid Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Eric C McCartyUniversity of Colorado Denver School of Medicine, Denver, Colorado, USA.
Robert G McCormackUniversity of British Columbia/Fraser Health Authority, British Columbia, Canada.
Bruce S MillerUniversity of Michigan, Ann Arbor, Michigan, USA.
Carl W NissenConnecticut Children's Medical Center, Hartford, Connecticut, USA.
Daniel F O'NeillLittleton Regional Healthcare, Littleton, New Hampshire, USA.
Richard D ParkerCleveland Clinic, Cleveland, Ohio, USA.
Mark L PurnellAspen Orthopedic Associates, Aspen, Colorado, USA.
Arun J RamappaBeth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Michael A RauhState University of New York at Buffalo, Buffalo, New York, USA.
Arthur C RettigMethodist Sports Medicine, Indianapolis, Indiana, USA.
Jon K SekiyaUniversity of Michigan, Ann Arbor, Michigan, USA.
Kevin G SheaIntermountain Orthopaedics, Boise, Idaho, USA.
Orrin H ShermanNYU Hospital for Joint Diseases, New York, New York, USA.
James R SlauterbeckUniversity of South Alabama, Mobile, Alabama, USA.
Matthew V SmithWashington University in St Louis, St Louis, Missouri, USA.
Jeffrey T SpangUniversity of North Carolina Medical Center, Chapel Hill, North Carolina, USA.
Steven J SvobodaKeller Army Community Hospital, United States Military Academy, West Point, New York, USA.
Timothy N TaftUniversity of North Carolina Medical Center, Chapel Hill, North Carolina, USA.
Joachim J TenutaAlbany Medical Center, Albany, New York, USA.
Edwin M TingstadInland Orthopaedic Surgery and Sports Medicine Clinic, Pullman, Washington, USA.
Armando F VidalUniversity of Colorado Denver School of Medicine, Denver, Colorado, USA.
Darius G ViskontasRoyal Columbian Hospital, New Westminster, British Columbia, Canada.
Richard A WhiteFitzgibbon's Hospital, Marshall, Missouri, USA.
James S WilliamsCleveland Clinic, Euclid, Ohio, USA.
Michelle L WolcottUniversity of Colorado Denver School of Medicine, Denver, Colorado, USA.
Brian R WolfUniversity of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
James J YorkOrthopaedic and Sports Medicine Center, LLC, Pasedena, Maryland, USA.
Brown University · USCleveland Clinic · USUniversity of North Carolina at Chapel Hill · USRush University Medical Center · USVanderbilt University · USWashington University in St. Louis · USHospital for Special Surgery · USMayo Clinic · USAmerican Sports Medicine Institute · USBeth Israel Deaconess Medical Center · USChildren's Hospital of Philadelphia · USDuke University · USIntermountain Healthcare · USRoyal Columbian Hospital · CAUniversity of British Columbia · CAUniversity of California, Los Angeles · USWestern University · CAThomas Jefferson University · USUniversity of California, San Francisco · US

Funding

Revision ACL Reconstructions: A Comparative Effectiveness Treatment StudyR01AR060846 · NIAMS · WASHINGTON UNIVERSITY · PI WRIGHT, RICK W · 2011 to 2025
$6.7M
NIAMS NIH HHS R01 AR060846
6 · The paper itself

Abstract

backgroundLytic or malpositioned tunnels may require bone grafting during revision anterior cruciate ligament reconstruction (rACLR) surgery. Patient characteristics and effects of grafting on outcomes after rACLR are not well described. PURPOSE: To describe preoperative characteristics, intraoperative findings, and 2-year outcomes for patients with rACLR undergoing bone grafting procedures compared with patients with rACLR without grafting. STUDY

designCohort study; Level of evidence, 3.

methodsA total of 1234 patients who underwent rACLR were prospectively enrolled between 2006 and 2011. Baseline revision and 2-year characteristics, surgical technique, pathology, treatment, and patient-reported outcome instruments (International Knee Documentation Committee [IKDC], Knee injury and Osteoarthritis Outcome Score [KOOS], Western Ontario and McMaster Universities Osteoarthritis Index, and Marx Activity Rating Scale [Marx]) were collected, as well as subsequent surgery information, if applicable. The chi-square and analysis of variance tests were used to compare group characteristics.

resultsA total of 159 patients (13%) underwent tunnel grafting-64 (5%) patients underwent 1-stage and 95 (8%) underwent 2-stage grafting. Grafting was isolated to the femur in 31 (2.5%) patients, the tibia in 40 (3%) patients, and combined in 88 patients (7%). Baseline KOOS Quality of Life (QoL) and Marx activity scores were significantly lower in the 2-stage group compared with the no bone grafting group (

conclusionTunnel bone grafting was performed in 13% of our rACLR cohort, with 8% undergoing 2-stage surgery. Patients treated with 2-stage grafting had inferior baseline and 2-year patient-reported outcomes and activity levels compared with patients not undergoing bone grafting. Patients treated with 1-stage grafting had similar baseline and 2-year patient-reported outcomes and activity levels compared with patients not undergoing bone grafting.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionOsteoarthritisCohort StudiesHumansQuality of LifeReoperationbone graftoutcomesrevision anterior cruciate ligament reconstructiontunnel lysis

Identifiers

PMID35833922
PMCPMC10326863
OpenAlexW4285405564

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Registered trials

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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.