Evidence map›Paper›PMID 36578974›Full record

ReviewJournal of orthopaedics2023

Is augmentation the best solution in partial anterior cruciate ligament tears? A literature systematic review and meta-analysis.

Francesco Bosco, Fortunato Giustra, Michele Crivellaro, Riccardo Giai Via, Alessandro Dario Lavia, Marcello Capella, Luigi Sabatini, Salvatore Risitano, Giuseppe Rovere, Alessandro Massè and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in Journal of orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  3. Extended trochanteric osteotomy is a safe procedure in two-stage hip revision: a systematic review of the literature.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Pooled it
  4. Article
  5. Tibial plateau fractures are associated with ligamentous and meniscal injuries. Preoperative evaluation of magnetic resonance imaging influences surgical treatment.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
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  11. Significant race and gender differences in anterior cruciate ligament tibial footprint location: a 3D-based analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023
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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

11 authors at 4 institutions in 3 countries.

Francesco BoscoOrthopaedic and Traumatology Department, Orthopaedic and Trauma Center, University of Turin, Italy.
Fortunato GiustraOrthopaedic and Traumatology Department, Orthopaedic and Trauma Center, University of Turin, Italy.
Michele CrivellaroOrthopaedic and Traumatology Department, Orthopaedic and Trauma Center, University of Turin, Italy.
Riccardo Giai ViaOrthopaedic and Traumatology Department, Orthopaedic and Trauma Center, University of Turin, Italy.
Alessandro Dario LaviaDepartment of Economics, Boston College, USA.
Marcello CapellaOrthopaedic and Traumatology Department, Orthopaedic and Trauma Center, University of Turin, Italy.
Luigi SabatiniOrthopaedic and Traumatology Department, Orthopaedic and Trauma Center, University of Turin, Italy.
Salvatore RisitanoOrthopaedic and Traumatology Department, Orthopaedic and Trauma Center, University of Turin, Italy.
Giuseppe RovereDepartment of Orthopaedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli, IRCCS-Università Cattolica del Sacro Cuore, Rome, Italy.
Alessandro MassèOrthopaedic and Traumatology Department, Orthopaedic and Trauma Center, University of Turin, Italy.
Raju VaishyaIndraprastha Apollo Hospitals, New Delhi, India.
CTO Hospital · ITBoston College · USIndraprastha Apollo Hospitals · INUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The appropriate management of partial anterior cruciate ligament (ACL) tears is still debated. There is a tendency in orthopedic clinical practice to prefer complete ACL reconstruction, while few surgeons perform ACL augmentation. The purpose of the present study is to evaluate the current evidence on the effectiveness of ACL augmentation compared with standard ACL reconstruction to assess whether ACL augmentation may be the treatment of choice in partial ACL injury. Methods: According to PRISMA guidelines, literature research was performed in PubMed/Medline, Cochrane Library, Embase, Scopus, and Web of Science databases. A PICOS model was used, and a preliminary search resulted in 1101 articles. The methodological quality was assessed through ROBINS-I. A meta-analysis was conducted on postoperative Tegner, Lysholm scores and KT-1000 values between ACL augmentation and ACL reconstruction, and a p < 0.05 has been assumed as statistically significant. PROSPERO, ID: CRD42022343502. Results: Seven papers were included. A total of 472 knees underwent ACL reconstruction, and 311 underwent ACL augmentation. A statistically significant discrepancy was found in the postoperative Tegner score in favor of ACL augmentation compared with ACL reconstruction (p < 0.05). Regarding the postoperative Lysholm score and KT-1000 measurement, no statistically significant difference was shown between ACL reconstruction and ACL augmentation (p > 0.05). Conclusions: ACL augmentation has proved to be an effective and safe procedure and should be preferred to ACL reconstruction in partial ACL tears for the tendency to achieve better functional outcomes.

Indexed as

ACL augmentationACL reconstructionArthroscopyKneePartial ACL tear

Identifiers

PMID36578974
PMCPMC9791693
OpenAlexW4312054752

What OpenQuestion holds

Textmetadata
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.