Evidence map›Paper›PMID 37410122›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023

What it takes to have a high-grade pivot shift-focus on bony morphology.

Sahil Dadoo, Emre Anil Ozbek, Koji Nukuto, Armin Runer, Laura E Keeling, Camila Grandberg, Ryosuke Kuroda, Stefano Zaffagnini, Jon Karlsson, Jonathan D Hughes and 2 more

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

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

4 citing papers in PubMed, 11 citations in OpenAlex.

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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

12 authors at 6 institutions in 6 countries.

Sahil DadooDepartment of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. sahildadoo@gmail.com.ORCID http://orcid.org/0000-0003-0397-6220
Emre Anil OzbekDepartment of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Koji NukutoDepartment of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Armin RunerDepartment of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Laura E KeelingDepartment of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Camila GrandbergDepartment of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Ryosuke KurodaDepartment of Orthopaedic Surgery, Graduate School of Medicine, Kobe University, Kobe, Japan.
Stefano ZaffagniniClinica Ortopedica e Traumatologica, Istituto Orthopedico Rizzoli, Bologna, Italy.
Jon KarlssonDepartment for Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Jonathan D HughesDepartment of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
James J IrrgangDepartment of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Volker MusahlDepartment of Orthopedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
University of Pittsburgh Medical Center · USAnkara University · TRIstituto Ortopedico Rizzoli · ITKobe University · JPTUM Klinikum · DEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVariations in femoral and tibial bony morphology have been associated with higher clinical grading and increased quantitative tibial translation, but not tibial acceleration, during the pivot shift test following anterior cruciate ligament (ACL) injury. The purpose of this study was to determine the impact of femoral and tibial bony morphology, including a measurement influenced by both parameters (the Lateral Tibiofemoral Articular Distance (LTAD)), on the degree of quantitative tibial acceleration during the pivot shift test and rates of future ACL injury.

methodsAll patients who underwent primary ACL reconstruction from 2014 to 2019 by a senior orthopedic surgeon with available quantitative tibial acceleration data were retrospectively reviewed. All patients underwent a pivot shift examination under anesthesia with a triaxial accelerometer. Measurements of femoral and tibial bony morphology were performed by two fellowship-trained orthopedic surgeons using preoperative magnetic resonance imaging and lateral radiographs.

resultsFifty-one patients were included at a mean follow-up of 4.4 years. The mean quantitative tibial acceleration during the pivot shift was 13.8 m/s

conclusionIncreased convexity and smaller bony morphology of the lateral femur and tibia were significantly associated with increased tibial acceleration during the pivot shift. Additionally, a measurement, termed the LTAD, was found to have the strongest association with increased tibial acceleration. Based on the results of this study, surgeons can utilize these measurements to preoperatively identify patients at risk of increased rotatory knee instability. LEVEL OF EVIDENCE: Level IV.

Indexed as

Anterior Cruciate Ligament InjuriesJoint InstabilityAnterior Cruciate LigamentEpiphysesHumansKnee JointRetrospective StudiesTibiaAnterior cruciate ligamentBone morphologyLateral femoral condyleLateral tibial plateauPivot shiftTibial acceleration

Identifiers

PMID37410122
OpenAlexW4383302966

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.