Evidence map›Paper›PMID 37809348›Full record

ArticleJournal of orthopaedics2023

Autograft patellar bone-tendon-bone use does not increase operative time in anterior cruciate ligament reconstruction.

Fernando A Huyke-Hernández, Stephen A Doxey, Arthur J Only, Andrew Sibley, Nizar Mikhael, Christopher Y Kweon, Brian P Cunningham

Open access · greenAbstract read
In one paragraph

Article in Journal of orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Transitioning between medical equipment suppliers does not affect ACL reconstruction outcomes in a high-volume setting.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Article
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

7 authors at 3 institutions in 1 country.

Fernando A Huyke-HernándezDepartment of Orthopaedic Surgery, Park Nicollet Methodist Hospital, St. Louis Park, MN, USA.
Stephen A DoxeyDepartment of Orthopaedic Surgery, Park Nicollet Methodist Hospital, St. Louis Park, MN, USA.
Arthur J OnlyDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Andrew SibleyDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Nizar MikhaelDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Christopher Y KweonDepartment of Orthopaedic Surgery, University of Washington, Seattle, WA, USA.
Brian P CunninghamDepartment of Orthopaedic Surgery, Park Nicollet Methodist Hospital, St. Louis Park, MN, USA.
Park Nicollet Methodist Hospital · USUniversity of Minnesota · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anterior cruciate ligament reconstruction (ACLR) is a common procedure that has been shown to have relatively good outcomes amongst various graft types. Operative time in ACLR has been found to influence outcomes and cost. The purpose of this study was to evaluate the association of operative time in primary arthroscopically performed anterior cruciate ligament reconstruction (ACLR) and graft type while controlling for confounders that influence time. Methods: All patients who received ACLR between 2018 and 2022 were included in this retrospective cohort study. Exclusion criteria consisted of age (≤16 years), revisions, concomitant ligament reconstruction or tendon repairs, or other simultaneously performed procedures that could potentially add substantial variation in operative time. The primary outcome was operative time. Graft types included allograft, bone-tendon-bone (BTB) autograft, hamstring tendon (HS) autograft and quadriceps tendon (QT) autograft. Results: A total of 1813 primary ACLRs were included. The average operative time was 98.9 ± 33.0 min. Graft utilization varies considerably among surgeons. The most used graft type was BTB autograft (42.6%) followed by HS autograft (32.3%) and allograft (21.4%). Only 68 cases (3.8%) used a QT autograft. Seven of the 15 included surgeons primarily used BTB autograft. One surgeon predominately used QT autograft. No difference in operative time was observed among the autograft types (p = 0.342). Allograft ACLR was significantly faster by 27-33 min compared to using BTB autograft, HS autograft, or QT autograft (p < 0.001). Conclusion: Operative time did not vary by type of autograft selected. Allograft ACLR was performed approximately 30 min faster than autograft ACLR. Further studies examining the effect on patient outcomes of reduced operative time and minimizing graft harvest morbidity in ACLR is important to more accurately determine the cost-effectiveness of allograft ACLR.

Indexed as

Anterior cruciate ligament reconstructionHamstring tendon autograftOperative timePatellar bone-tendon-bone autograft

Identifiers

PMID37809348
PMCPMC10551805
OpenAlexW4387061339

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.