Evidence map›Paper›PMID 37724253›Full record

ReviewOrthopaedic journal of sports medicine2023

Systematic Review and Meta-analysis of Clinical Outcomes After Management of Posterior Cruciate Ligament Tibial Avulsion Fractures.

Varun Gopinatth, Enzo S Mameri, Felipe J Casanova, Zeeshan A Khan, Garrett R Jackson, Johnathon R McCormick, Robert H Brophy, Derrick M Knapik, Robert F LaPrade, Jorge Chahla

Abstract readReview
In one paragraph

Review 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 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Varun GopinatthSaint Louis University School of Medicine, St Louis, Missouri, USA.
Enzo S MameriMidwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, USA.
Felipe J CasanovaMidwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, USA.
Zeeshan A KhanMidwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, USA.
Garrett R JacksonMidwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, USA.
Johnathon R McCormickMidwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, USA.
Robert H BrophyDepartment of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri, USA.
Derrick M KnapikDepartment of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Missouri, USA.
Robert F LaPradeTwin Cities Orthopedics, Edina, Minnesota, USA.
Jorge ChahlaMidwest Orthopaedics at Rush University Medical Center, Chicago, Illinois, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is no consensus regarding the management of posterior cruciate ligament (PCL) avulsion fractures and the expected outcomes after treatment. Purpose: To systematically review clinical outcomes and complications after management of tibial-sided avulsion fractures of the PCL. Study Design: Systematic review; Level of evidence, 4. Methods: A literature search of Scopus, PubMed, Medline, and the Cochrane Central Register for Controlled Trials was performed in accordance with the 2020 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Included were studies with evidence levels 1 to 4 that reported clinical outcomes after treatment of PCL tibial-sided avulsion fractures in humans. The quality of the included studies was performed using the Methodological Index for Non-Randomized Studies (MINORS) criteria. A meta-analysis was performed for patient-reported outcome measures using random-effects modeling with 95% CIs. Results: A total of 58 studies published between 1999 and 2022 were identified. The mean MINORS score was 9.90 ± 4.12, indicating overall low-quality evidence with high risk of bias. The studies comprised 1440 patients (mean age, 32.59 ± 5.69 years; 75.2% males) with a mean follow-up of 26.9 ± 19.6 months (range, 5.3-126 months). Most patients were treated with open surgery (63.6%), followed by arthroscopic surgery (29.7%) and nonoperative treatment (6.7%). All patients reported significant posttreatment improvement in both subjective and objective outcomes ( Conclusion: Although nonoperative and surgical management of PCL tibial avulsion fractures resulted in high rates of fracture union and improvement in functional outcome scores and a low incidence of complications, nonoperative treatment yielded a high side-to-side posterior displacement (>4 mm) with a lower rate of fracture union compared to surgical treatment.

Indexed as

avulsion fracturefixationPCLposterior cruciate ligamenttibial

Identifiers

PMID37724253
PMCPMC10505349

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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.