Evidence map›Paper›PMID 38148688›Full record

SynthesisSports health

Timing of Outcomes and Expectations After Knee Surgery in the US Military: A Systematic Review.

Benjamin G Adams, Daniel I Rhon, Kenneth L Cameron, Kristen L Zosel, Brittany R Hotaling, Richard B Westrick

Open access · greenAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Sports health. 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
1.6field-weighted citation impact, top 16% 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, 5 citations in OpenAlex.

  1. 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

6 authors at 5 institutions in 1 country.

Benjamin G AdamsMilitary Performance Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts.
Daniel I RhonDepartment of Physical Medicine and Rehabilitation, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Kenneth L CameronDepartment of Physical Medicine and Rehabilitation, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Kristen L ZoselMilitary Performance Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts.
Brittany R HotalingMilitary Performance Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts.
Richard B WestrickMilitary Performance Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts.
U.S. Army Research Institute of Environmental Medicine · USMGH Institute of Health Professions · USUniformed Services University of the Health Sciences · USUnited States Military Academy · USUniversity of Colorado Colorado Springs · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextKnee injury and subsequent surgery are widespread in the military setting. Associations between knee surgery and expected outcomes over time have not been consolidated and characterized systematically by procedure type across the body of literature, and the temporal expectations of these outcomes remain unclear.

objectiveTo summarize common postoperative follow-up times and associated outcomes that determine clinical or surgical failure in US service members after elective knee surgery. DATA SOURCES: A systematic search was conducted with 3 bibliographic databases of published research reports from 2010 through 2021. STUDY SELECTION: Studies in US military service members undergoing elective knee surgery, with a minimum of 1-year follow-up, and reporting on a functional/occupational outcome were included. Three reviewers screened all abstracts and full-text articles to determine eligibility. STUDY

designSystematic review of longitudinal cohort studies. LEVEL OF EVIDENCE: Level 2a. DATA EXTRACTION: Extracted data included military demographics, surgical procedure variables, surveillance period, and outcome measures. The Newcastle-Ottawa Scale and the Grading of Recommendations Assessment, Development, and Evaluation approach were used to determine study quality and risk of bias.

resultsA total of 22 studies (mean follow-up time of 40.7 months) met the inclusion criteria. For cruciate ligament repair, approximately one-third of patients required a second surgery or were medically separated from military service by 2 years from surgery; 100% were reinjured by 4 years, and 85% sustained a new injury within 5 years of surgery. For meniscal repair, nearly one-third of patients were medically separated, and half were placed on activity restrictions within 3 years of surgery. For articular cartilage repair, within 5 years, 39% of patients required a second surgery, 30% were placed on activity restrictions, and 36% were medically separated. For patellar repair, 37% of patients were medically separated and over half were placed on activity restrictions within 5 years.

conclusionCommon knee surgeries can have long-term implications for military careers that may not become apparent with shorter follow-up periods (<2 years). When longer surveillance periods are used (eg, up to 5 years), additional surgical procedures are more common and the likelihood of being injured or medically separated from military service is higher.

Indexed as

Elective Surgical ProceduresKnee InjuriesMilitary PersonnelHumansReoperationTime FactorsUnited Stateslower extremitymilitary readinessmusculoskeletal injurysurgical outcomes

Identifiers

PMID38148688
PMCPMC11531030
OpenAlexW4390269869

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.