ArticleOrthopaedic journal of sports medicine2023
Effects of Preserving Anatomically Positioned and Adequate Remnant ACL Tissue in Double-Bundle ACL Reconstruction.
Article in Orthopaedic journal of sports medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.
- Autograft anterior cruciate ligament reconstruction results in improved graft synovial coverage and stability, while remnant-preserving techniques further enhance synovialization: A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Remnant-preserving techniques in anterior cruciate ligament reconstruction: a systematic review and meta-analysis.BMC surgery · 2025Pooled it
- Effect of stump-preserving arthroscopic reconstruction or stump-eliminating arthroscopic reconstruction combined with exercise rehabilitation therapy on knee functional recovery in patients with anterior cruciate ligament injuries.Annals of the Royal College of Surgeons of England · 2026Trial
- Remnant-preserving anterior cruciate ligament reconstruction using hamstring autograft yields the lowest re-rupture rates: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2026Review
- Morphological Condition of the Remnant Tissue of 205 Patients According to the Time After Anterior Cruciate Ligament Injury.Orthopaedic journal of sports medicine · 2025Article
- Comparison of clinical, radiological, and second-look arthroscopic outcomes between hamstring autograft and tibialis allograft following remnant-tensioning anterior cruciate ligament reconstruction.Archives of orthopaedic and trauma surgery · 2025Article
- Effect of Remnant Continuity on Postoperative Outcomes After Remnant Tensioning Anterior Cruciate Ligament Reconstruction in Respect to Clinical, Radiological, and Second-Look Arthroscopic Criteria.Orthopaedic journal of sports medicine · 2025Article
- Comparison of Dynamic Postural Stability in Autografts Versus Allografts Following Anterior Cruciate Ligament Reconstruction With Remnant Preservation: A Prospective Study With 1-Year Follow-up.Orthopaedic journal of sports medicine · 2025Article
- Factors Influencing the Amount of ACL Remnant Available for Preservation at the Time of ACL Surgery: An Analysis of 5725 Knees From the SANTI Study Group Database.Orthopaedic journal of sports medicine · 2024Article
- Anterior Cruciate Ligament Hybrid Remnant Preservation Reconstruction Demonstrates Equivalent Patient-Reported Outcomes and Complications as Traditional Anterior Cruciate Ligament Reconstruction After 1 Year.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Is remnant preservation in anterior cruciate ligament reconstruction superior to the standard technique? An overview of systematic reviews.BMC musculoskeletal disorders · 2023Review
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The advantages of remnant tissue preservation in anterior cruciate ligament (ACL) reconstruction (ACLR) remain controversial. Hypothesis: It was hypothesized that a large amount of remnant tissue, especially if anatomically positioned, would improve patient-reported outcomes and second-look graft appearance after preserved double-bundle ACLR (DB-ACLR). Study Design: Cohort study; Level of evidence, 3. Methods: This retrospective study included 89 consecutive patients who underwent unilateral remnant-preserving DB-ACLR using 2 hamstring tendon autografts. The authors categorized the arthroscopic findings into 3 groups according to the location and volume of the ACL remnant tissue in the femoral notch: (1) anatomical attachment (group AA; n = 34); (2) nonanatomical attachment (group NA; n = 33); and (3) no remnant (group NR; n = 22). Based on second-look arthroscopy, the reconstructed graft was graded as excellent, fair, or poor. Patient-reported outcomes were evaluated at 2 years after surgery using the Knee injury and Osteoarthritis Outcome Score (KOOS) and the Japanese Anterior Cruciate Ligament Questionnaire-25 (JACL-25). Results: The AA and NA groups had a significantly shorter time from injury to surgery compared with the NR group ( Conclusion: This study showed that preserving anatomically positioned and adequate remnant tissue during DB-ACLR improved second-look graft appearance and KOOS-Sport and Recreation and KOOS-Quality of Life scores.
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Registered trials
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.