SynthesisJournal of orthopaedic surgery and research2023
All-inside versus complete tibial tunnel techniques in anterior cruciate ligament reconstruction: a systematic review and meta-analysis of randomized controlled trials.
Synthesis in Journal of orthopaedic surgery and research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- All-Inside Anterior Cruciate Ligament Reconstruction: A Minimally Invasive Bone Preserving Approach with Promising Functional Outcomes.Journal of orthopaedic case reports · 2026Article
- Comparison of clinical efficacy between all-inside technique and traditional technique in anterior cruciate ligament reconstruction under knee arthroscopy.Journal of orthopaedic surgery and research · 2026Article
- All-Inside and Conventional Techniques in Anterior Cruciate Ligament Reconstruction: A Retrospective Comparison Study.Journal of clinical medicine · 2026Article
- [Progress in prevention and treatment of knee laxity after posterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- Propensity Score-Matched Comparison of Six-Strand All-Inside and Conventional Four-Strand Hamstring Autografts for ACL Reconstruction.Journal of clinical medicine · 2025Article
- Biomechanical Properties of the All-Inside Anterior Cruciate Ligament Graft: A Scoping Review of Laboratory Evidence on Graft Configuration and Fixation.Orthopaedic journal of sports medicine · 2025Review
- All-Inside Bone-Patellar Tendon-Bone Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2025Article
- Short graft, short tunnel ACL reconstruction with single hamstring and internal brace leads to comparable outcomes to conventional double hamstring technique: A retrospective study.Journal of experimental orthopaedics · 2025Article
- A Modified Hybrid Repair Technique of Combined All-Inside Reconstruction and Primary Repair With Internal Bracing Augmentation for Anterior Cruciate Ligament Injury.Arthroscopy techniques · 2025Article
- Research progress and clinical application of all-inside reconstruction techniques: narrative review.Frontiers in surgery · 2025Review
- Retrospective cohort study comparing postoperative joint stability between all-inside PCL reconstruction technique and conventional PCL reconstruction technique in patients with multiligament knee injury.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024Article
- Anterior Cruciate Ligament Reconstruction Utilizing Double Adjustable-Loop Suspensory Fixation Devices Provides Good Clinical Outcomes in Patients under the Age of 40 Years at Two-Year Follow-Up.Journal of clinical medicine · 2024Article
- Is Anterior Cruciate Ligament Reconstruction "Silva Technique" Equal to All-Inside Techniques? A Prospective Single-Center Study: An Alternative ACL All-Inside Reconstruction Technique Using a Tibial Tunnel and Bone Graft.Advances in orthopedics · 2024Article
- Effect of anteromedial portal location on femoral tunnel inclination, length, and location in hamstring autograft-based single-bundle anterior cruciate ligament reconstruction: a prospective study.Knee surgery & related research · 2023Article
- BLU-DAT: a new reliable and accurate arthrometer for measuring anterior knee laxity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- All-Inside Anterior Cruciate Ligament Reconstruction Technique: Tips and Tricks.Journal of clinical medicine · 2023Article
- All-Inside Anterior Cruciate Ligament Reconstruction With Bone-Patellar Tendon-Bone Autograft.Video journal of sports medicineArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAll-inside anterior cruciate ligament reconstruction (ACLR) is a novel technique that has gained attention due to its minimally invasive. However, evidence surrounding the efficacy and safety between all-inside and complete tibial tunnel ACLR are lacking. Present work was aimed to compare clinical outcome for ACLR performed with an all-inside versus a complete tibial tunnel technique.
methodsSystematic searches were conducted of published literature on PubMed, Embase, and Cochrane for studies according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines up to May 10, 2022. The outcomes included KT-1000 arthrometer ligament laxity test, International Knee Documentation Committee (IKDC) subjective score, Lysholm score, Tegner activity scale, and Knee Society Score (KSS) Scale, and tibial tunnel widening. Complications of interest extracted were graft re-ruptures and evaluated the graft re-rupture rate. Data from published RCTs meeting inclusion criteria were extracted and analyzed, and all the extracted data are pooled and analyzed by RevMan 5.3.
resultsA total of 8 randomized controlled trials involving 544 patients (consisting of 272 all-inside and 272 complete tibial tunnel patients) were included in the meta-analysis. We found clinical outcomes (International Knee Documentation Committee [IKDC] subjective score: mean difference [MD], 2.22; 95% CI, 0.23-4.22; p = 0.03; Lysholm score: MD, 1.09; 95% CI, 0.25-1.93; p = 0.01; Tegner activity scale: MD, 0.41; 95% CI, 0.11-0.71; p < 0.01; Tibial Tunnel Widening: MD = - 1.92; 95% CI, - 3.58 to - 0.25; p = 0.02; knee laxity: MD = 0.66; 95% CI, 0.12-1.20; p = 0.02; and graft re-rupture rate: RR, 1.97;95% CI, 0.50-7.74; P = 0.33) in the all-inside and complete tibial tunnel group. The findings also indicated that all-inside may be more advantageous in tibial tunnel healing.
conclusionOur meta-analysis indicated that the all-inside ACLR was superior to complete tibial tunnel ACLR in functional outcomes and tibial tunnel widening. However, the all-inside ACLR was not entirely superior to complete tibial tunnel ACLR in knee laxity measured, and graft re-rupture rate.
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