Trial reportArchives of orthopaedic and trauma surgery2023
Tunnel widening after ACL reconstruction with different fixation techniques: aperture fixation with biodegradable interference screws versus all-inside technique with suspensory cortical buttons. 5-year data from a prospective randomized trial.
Trial report in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01755819 (Clinical Outcome and Tunnel Widening After Hamstring Anterior Cruciate Ligament Reconstruction), which is not on this map. Cited by 22 papers.
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.
Clinical Outcome and Tunnel Widening After Hamstring Anterior Cruciate Ligament Reconstruction: A Prospective Randomized Computed Tomography - Based Trial Comparing Aperture With Cortical Fixation
Who cites it
22 citing papers in PubMed.
- Quadriceps Tendon Allograft for Posterior Cruciate Ligament Reconstruction With and Without a Bone Block.Arthroscopy techniques · 2026Article
- All-Inside and Conventional Techniques in Anterior Cruciate Ligament Reconstruction: A Retrospective Comparison Study.Journal of clinical medicine · 2026Article
- Time-Dependent Anchor Hole Expansion May Associate with Meniscal Extrusion After Open-Wedge High Tibial Osteotomy Combined with Medial Meniscus Posterior Root Tear Repair and Meniscal Centralization.Bioengineering (Basel, Switzerland) · 2026Article
- The use of additional strands to increase graft diameter in primary ACL reconstruction provides optimal outcomes and does not compromise healing at 12-months follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Influence of Intra-Articular Tunnel Aperture Morphology on Clinical Outcomes and Graft Rerupture After ACL Reconstruction.Journal of clinical medicine · 2025Article
- All-Suture Cortical Button Fixation in All-Inside Anterior Cruciate Ligament Reconstruction With Quadriceps Tendon Autograft.Arthroscopy techniques · 2025Article
- A simplified algorithm to work up graft re-rupture following anterior cruciate ligament reconstruction.Bulletin of the Hospital for Joint Disease (2013) · 2025Review
- Quadriceps Tendon Allograft for Anterior Cruciate Ligament Reconstruction With and Without a Bone Block.Arthroscopy techniques · 2025Article
- Hybrid Tightrope-PEEK Dual Fixation for Distal Biceps Tendon Reinsertion in High-Performance Athletes: A Prospective Case Series.Journal of clinical medicine · 2025Article
- Global Variations in Surgical Techniques for Primary Anterior Cruciate Ligament Reconstruction at Minimum 2-Year Follow-up: A Systematic Review of Randomized Clinical Trials.Orthopaedic journal of sports medicine · 2025Article
- Propensity Score-Matched Comparison of Six-Strand All-Inside and Conventional Four-Strand Hamstring Autografts for ACL Reconstruction.Journal of clinical medicine · 2025Article
- Bioabsorbable implants are a viable alternative to traditional metallic implants in orthopaedic surgery: a systematic review and meta-analysis.Journal of orthopaedics · 2025Review
- Bone Quality-Independent Tibial Fixation Technique in Anterior Cruciate Ligament Reconstruction.Arthroscopy techniques · 2025Article
- Outcomes of remnant-preserving anterior cruciate ligament reconstruction using Achilles tendon allografts: A retrospective analysis of tibial tunnel widening and complications.Journal of experimental orthopaedics · 2025Article
- Morphometric Analysis of the Tibial Tunnel after Primary and Revision Anterior Cruciate Ligament Reconstruction.Malaysian orthopaedic journal · 2025Article
- Arthroscopic Bone Grafting of Anterior Cruciate Ligament and Posterior Cruciate Ligament Tibial and Femoral Tunnels as a First-Stage Procedure.Arthroscopy techniques · 2025Article
- [Effectiveness of lower tibial tunnel placement combined with internal tension relieving suture in posterior cruciate ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Inside-out tibial tunnel drilling technique is a reliable approach for all-inside ACL reconstruction: A longitudinal MRI assessment.Journal of experimental orthopaedics · 2024Article
- Graft Failure and Contralateral ACL Injuries After Primary ACL Reconstruction: An Analysis of Risk Factors Using Interpretable Machine Learning.Orthopaedic journal of sports medicine · 2024Article
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundThe aim of the present study was to examine tunnel widening and clinical outcomes after anterior cruciate ligament reconstruction (ACLR) using two different fixation methods: aperture fixation with biodegradable interference screws versus all-inside ACLR with suspensory cortical buttons.
methodsTunnel widening was assessed using volumetric and diameter measurements on magnetic resonance imaging (MRI) scans directly after surgery, as well as 6 months and 2 and 5 years postoperatively. Clinical outcomes were assessed after 5 years with instrumented tibial anteroposterior translation measurement (KT-1000), single-leg hop testing, and the IKDC, Lysholm, and Tegner activity scores.
resultsAt the final follow-up, the study population consisted of 21 patients, 12 of whom underwent screw fixation and 9 of whom had button fixation. 3 patients with all-inside ACLR had sustained early repeat ruptures within 6 months after surgery and had to be excluded from the further analysis. With screw fixation, the tibial tunnel volume changed significantly more over time compared to all-inside button fixation, with a larger initial increase at 6 months (from postoperative 2.9 ± 0.2 to 3.3 ± 0.2 cm
conclusionTibial tunnels in ACLR with screw fixation were associated with a larger increase in tunnel volume within the first 2 years and a greater decrease up to 5 years after surgery, while femoral tunnel volumes did not differ significantly. On the tibial side, the need for staged revision ACLR may be greater after biodegradable interference screw fixation if repeat ruptures occur, especially within the first 2 years after primary ACLR. Concerns may remain regarding a higher graft failure rate with all-inside ACLR. LEVEL OF EVIDENCE: II. RCT CONSORT: NCT01755819.
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