ReviewEFORT open reviews2023
ACL surgery: reasons for failure and management.
Review in EFORT open reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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.
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.
Who cites it
24 citing papers in PubMed, 22 citations in OpenAlex.
- Critical dialogue: Anterior cruciate ligament reconstruction: evolving surgical concepts and their radiological implications.Insights into imaging · 2026Article
- Angiocatheter-Assisted All-Inside Repair of Meniscal Ramp Lesions: A Simple and Cost-Effective Technique.Arthroscopy techniques · 2026Article
- What does a failure in anterior cruciate ligament reconstruction really mean? An integrative view.Knee surgery & related research · 2026Review
- Low-intensity stimulation drives macrophage efferocytosis via ACSL4 lipid remodeling and CCL9-CCR1 signaling for tendon-bone healing.Science advances · 2026Article
- Increased medial anterior tibial translation and reduced tibiofemoral rotation are observed during weight bearing in anterior cruciate ligament-deficient knees: A paired within-subject imaging analysis.Journal of experimental orthopaedics · 2026Article
- Mixed reality-assisted navigation versus conventional manual positioning for anterior cruciate ligament reconstruction using 3D-printed knee models: a controlled experimental study.Journal of orthopaedic surgery and research · 2026Article
- Primary versus rerupture of the anterior cruciate ligament: rupture site patterns and graft elongation-a systematic review and meta-analysis.Knee surgery & related research · 2026Review
- A higher posterior tibial slope and tunnel malposition do not predispose to non-traumatic anterior cruciate ligament failure.Journal of experimental orthopaedics · 2026Article
- A Research Hotspot-Guided Meta-Analysis of Anterior Closing-Wedge High Tibial Osteotomy in Revision Anterior Cruciate Ligament Reconstruction.Bioengineering (Basel, Switzerland) · 2026Article
- Anterior Cruciate Ligament Reconstruction Failure: Etiology, Classification, and Revision Strategies-A Narrative Review.Journal of functional morphology and kinesiology · 2026Review
- Research progress on the application of mixed reality technology in femoral tunnel positioning during anterior cruciate ligament reconstruction.Frontiers in surgery · 2026Review
- Article
- Test Learning Effects Influence Coordinative but Not Strength-Related Tasks in Patients Six Months After Anterior Cruciate Ligament Reconstruction.Journal of clinical medicine · 2025Article
- Preventing Tunnel Overlap in Revision Anterior Cruciate Ligament Reconstruction Through Creation of a Single Anatomic Oval Femoral Tunnel.Arthroscopy techniques · 2025Article
- Marker-Less Navigation System for Anterior Cruciate Ligament Reconstruction with 3D Femoral Analysis and Arthroscopic Guidance.Bioengineering (Basel, Switzerland) · 2025Article
- Slope reducing high tibial osteotomy and revision anterior cruciate ligament reconstruction leads to satisfying clinical results and a low failure rate.Journal of experimental orthopaedics · 2025Article
- Gradual stabilization and narrowing of bone tunnels following primary anterior cruciate ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Infratuberositary slope-decreasing anterior closed wedge proximal tibial osteotomy is safe and shows rapid bone healing.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Considerations in revision of anterior cruciate ligament reconstruction in the high-level athlete.Annals of joint · 2025Review
- Research progress and clinical application of all-inside reconstruction techniques: narrative review.Frontiers in surgery · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite the general success of anterior cruciate ligament reconstructions (ACL-R), there are still studies reporting a high failure rate. Orthopedic surgeons are therefore increasingly confronted with the treatment of ACL retears, which are often accompanied by other lesions, such as meniscus tears and cartilage damage and which, if overlooked, can lead to poor postoperative clinical outcomes. The literature shows a wide variety of causes for ACL-R failure. Main causes are further trauma and possible technical errors during surgery, among which the position of the femoral tunnel is thought to be one of the most important. A successful postoperative outcome after ACL-revision surgery requires good preoperative planning, including a thorough evaluation of patient's medical history, e.g. instability during daily or sports activity, increased general joint laxity, and hints for a low-grade infection. A careful clinical examination should be performed. Additionally, comprehensive imaging is necessary. Besides a magnetic resonance imaging, a CT scan is helpful to determine location of tunnel apertures and to analyze for tunnel enlargement. A lateral knee radiograph is helpful to determine the tibial slope. The range of surgical options for the treatment of ACL-R failure is broad today. Orthopedic surgeons and experts in Sports Medicine must deal with various possible associated injuries of the knee or unfavorable anatomical conditions for ACL-R. The aim of this review was to highlight predictors and reasons of failures of ACL-R as well as describe diagnostic procedures to individualize treatment strategies for improved outcome after revision ACL-R.
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What OpenQuestion holds
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.