Evidence map›Paper›PMID 37099086›Full record

ReviewJournal of experimental orthopaedics2023

Posterior cruciate ligament repair seems safe with low failure rates but more high level evidence is needed: a systematic review.

Jasper Vandenrijt, Sofie Callenaere, Dries Van der Auwera, Jozef Michielsen, Pieter Van Dyck, Christiaan H W Heusdens

Abstract readReview
In one paragraph

Review in Journal of experimental orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

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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

6 authors.

Jasper VandenrijtOrthopaedics, Antwerp University Hospital, Drie Eikenstraat 655, Edegem, 2650, Belgium.
Sofie CallenaereFaculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, Wilrijk, 2610, Belgium.
Dries Van der AuweraFaculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, Wilrijk, 2610, Belgium.
Jozef MichielsenOrthopaedics, Antwerp University Hospital, Drie Eikenstraat 655, Edegem, 2650, Belgium.
Pieter Van DyckFaculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, Wilrijk, 2610, Belgium.
Christiaan H W HeusdensOrthopaedics, Antwerp University Hospital, Drie Eikenstraat 655, Edegem, 2650, Belgium. Krik.Heusdens@uza.be.ORCID http://orcid.org/0000-0003-0385-8128

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo discuss recent literature on posterior cruciate ligament (PCL) repair and report on the clinical and radiological outcomes.

methodsA systematic review was conducted according to the PRISMA guidelines. In August 2022, three databases (PubMed, Scopus, and Cochrane Library) were searched for studies on PCL repair by two independent reviewers. Articles published between January 2000 and August 2022 focussing on the clinical and/or radiological outcomes, following PCL repair, were included. Patient demographic data, clinical evaluations, patient‑reported outcome measures, post-operative complications and radiological outcomes were extracted.

resultsNine studies met the inclusion criteria, covering 226 patients with a mean age ranging from 22.4 to 38.8 years and mean follow-up periods ranging from 14 to 78.6 months. Seven studies (77.8%) were level IV and two studies (22.2%) were level III. Arthroscopic PCL repair was performed in four studies (44.4%) while the remaining five studies (55.6%) described open PCL repair. In four studies (44.4%) additional suture augmentation was applied. Arthrofibrosis affected a combined total of 24 patients (11.7%; range 0-21.0%) making it the most common complication and the overall failure rate was 5.6%, ranging from 0 to 15.8%. Two studies (22.2%) performed post-operative MRI and confirmed PCL healing.

conclusionThis systematic review indicates that PCL repair can be a safe procedure with an overall failure rate of 5.6%, ranging from 0% to 15.8%. However, more high quality research is necessary before widespread clinical implementation is warranted. LEVEL OF EVIDENCE: IV.

Indexed as

Clinical outcomesPCLPosterior cruciate ligamentRepairSystematic review

Identifiers

PMID37099086
PMCPMC10133428

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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.