Evidence map›Paper›PMID 36187588›Full record

ArticleIndian journal of orthopaedics2022

Trends in Primary Anatomical Single-Bundle Anterior Cruciate Ligament Reconstruction Practice in Adult Patients Prevalent Among Arthroscopy Surgeons of Six Southern States of India.

Vivek Pandey, Sandesh Madi, Chirag Thonse, Clement Joseph, David Rajan, Jacob Varughese, Jai Thilak, P S Jayaprasad, Kiran Acharya, Krishna Gopal Ramamurthy and 7 more

Abstract read
In one paragraph

Article in Indian journal of orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

17 authors.

Vivek PandeyDepartment of Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, 576104 India.ORCID 0000-0003-0984-6566
Sandesh MadiDepartment of Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, 576104 India.
Chirag ThonseVikram Hospital, Millers Road, Bangalore, 560052 India.
Clement JosephArthroscopy and Sports Medicine, SRM Institute for Medical Sciences, Vadapalani, Chennai, Tamil Nadu 600 026 India.
David RajanOrtho-One Orthopaedic Speciality Centre, Trichy Road, Singanallur, Coimbatore, Tamil Nadu 641005 India.
Jacob VarugheseVPS Lakeshore Hospital, Kochi, Kerala India.
Jai ThilakAmrita Institute of Medical Sciences and Research Centre, Kochi, Kerala 682 041 India.ORCID 0000-0002-0870-223X
P S JayaprasadKamineni Hospitals, L.B. Nagar, Bahadurguda, Hyderabad, Telangana 500068 India.
Kiran AcharyaDepartment of Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, 576104 India.
Krishna Gopal RamamurthyBrindavanam, Puducherry, Puducherry, 605013 India.
Raghuveer ReddyKrishna Institute of Medical Sciences Secunderabad, Hyderabad, India.
Rajkumar AmravathiSt John's Medical College Hospital, Sarjapur Road, Bangalore, 560034 India.
Sharath RaoDepartment of Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, 576104 India.
Sridhar GangavarapuDepartment of Orthopaedics, Medicover Hospitals, Gokhale Rd, Krishna Nagar, Maharani Peta, Visakhapatnam, Andhra Pradesh 530002 India.
Moparthi SrinivasNandan Hospital, Suryarao Pet, Vijayawada, Andhra Pradesh 520002 India.
Sujit JoseInstitute of Advanced Orthopaedics at MOSC Hospital and Medical College, Kolenchery, Ernakulam, Kerala 682311 India.
S R SundararjanArthroscopy and Sports Medicine, Ganga Hospital, Coimbatore, 641 043 India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although guidelines from multiple scientific studies decide the general trend in ACLR practice, there is often a variation between scientific guidelines and actual practice. Methods: A 17-member committee comprised of sports surgeons with experience of a minimum of 10 years of arthroscopy surgery finalized a survey questionnaire consisting of concepts in ACL tear management and perioperative trends, intraoperative and post-operative practices regarding single-bundle anatomic ACLR. The survey questionnaire was mailed to 584 registered sports surgeons in six states of south India. A single, non-modifiable response was collected from each member and analyzed. Results: 324 responses were received out of 584 members. A strong consensus was present regarding Hamstring tendons preference for ACLR, graft diameter ≥ 7.5 mm, viewing femoral footprint through the anterolateral portal, drilling femoral tunnel from anteromedial portal guided by ridges and remnants of femoral footprint using a freehand technique, suspensory devices to fix the graft in femur and interference screw in the tibia and post-operative bracing. A broad consensus was achieved in using a brace to minimize symptoms of instability of an ACL tear and antibiotic soaking of graft. There was no consensus regarding the timing of ACLR, preferred graft in athletes, pre-tensioning, extra-articular procedure, and return to sports. There was disagreement over hybrid tibial fixation and suture tapes to augment graft. Conclusion: Diverse practices continue to prevail in the management of ACL injuries. However, some of the consensuses reached in this survey match global practices. Contrasting or inconclusive practices should be explored for potential future research.

Indexed as

Anterior cruciate ligament reconstructionArthroscopySingle bundleSurveyTrend

Identifiers

PMID36187588
PMCPMC9485326

What OpenQuestion holds

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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.