Evidence map›Paper›PMID 36907905›Full record

ArticleBMC sports science, medicine & rehabilitation2023

Is anterior knee pain following anterior cruciate ligament reconstruction a consideration for graft choice, and the influence of COVID: a qualitative analysis in recreational athletes.

Anastasia Sanjevic, Evangelos Tourvas, Mark A Cairns, Fahad Alnuaimi, John Theodoropoulos, Tim Dwyer, Jas Chahal, Darrell Ogilvie-Harris

Open access · goldFull text read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

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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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

8 authors at 1 institution in 3 countries.

Anastasia SanjevicUniversity of Toronto Orthopaedic Sports Medicine, Women's College Hospital, Toronto, ON, Canada. research@utosm.com.
Evangelos TourvasUniversity of Toronto Orthopaedic Sports Medicine, Women's College Hospital, Toronto, ON, Canada.
Mark A CairnsUniversity of Toronto Orthopaedic Sports Medicine, Women's College Hospital, Toronto, ON, Canada.
Fahad AlnuaimiUniversity of Toronto Division of Orthopaedic Surgery Residency, Toronto, ON, Canada.
John TheodoropoulosUniversity of Toronto Orthopaedic Sports Medicine, Women's College Hospital, Toronto, ON, Canada.
Tim DwyerUniversity of Toronto Orthopaedic Sports Medicine, Women's College Hospital, Toronto, ON, Canada.
Jas ChahalUniversity of Toronto Orthopaedic Sports Medicine, Women's College Hospital, Toronto, ON, Canada.
Darrell Ogilvie-HarrisUniversity of Toronto Orthopaedic Sports Medicine, Women's College Hospital, Toronto, ON, Canada.
University of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe set out to investigate whether anterior knee pain following anterior cruciate ligament reconstruction has a significant effect on patients, and whether it should influence graft choice.

methodsThis was a qualitative analysis of a set of recreational athletes treated at a university hospital at about 1 year following anterior cruciate ligament reconstruction surgery. Participants were interviewed by an orthopaedic fellow and resident using structured, open-ended questions. Inductive theme analysis was used to code the data.

resultsThere were 4 major themes: (1) Our hypothesis was that patients would be given adequate information to make an appropriate graft choice. This hypothesis was rejected. Discussion took place, but with little details or rationale for the graft choice. The predominant theme was that the surgeon made the decision, and there was a lack of reliable information for the patient to make a choice. (2) The overall theme was that most patients had no anterior knee pain, and it did not interfere with activities of daily living. (3) One theme was that patients were able to resume all sports without restriction, but in some, the anterior knee pain interfered with the more demanding activities such as impact, cutting, and pivoting. A separate theme was that fear was a major impediment to return to sports and was not related to the anterior knee pain. (4) The overriding theme was that the generalized closures associated with the COVID-19 pandemic slowed the rehabilitation process. Although virtual care was available in general, it was not particularly satisfactory. Patients indicated that they had not been able to return to the gym or to their sporting activities as a result.

conclusionsAmongst non-competitive athletes, anterior knee pain post-anterior cruciate ligament reconstruction surgery does not significantly affect activities of daily living. Although there is a minor effect on sporting activities, the inability to return to sports is related to factors such as the COVID-19 pandemic, fear, or insufficient rehabilitation, rather than anterior knee pain. Overall, anterior knee pain is not a significant factor that plays a role in determining graft choice.

Indexed as

ACL graftAnterior cruciate ligamentAnterior cruciate ligament reconstructionSports injuries

Identifiers

PMID36907905
PMCPMC10008722
OpenAlexW4323981642

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read2
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.