Evidence map›Paper›PMID 39212690›Full record

SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Patellar tendon restoration techniques: a systematic review of outcomes for repair and reconstruction methods.

Luc M Fortier, Jeremy M Adelstein, Margaret A Sinkler, Andrew J Moyal, Robert J Burkhart, Ajit M Vakharia, Suhas P Dasari, Jorge Chahla

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. 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

8 authors.

Luc M FortierDepartment of Orthopaedic Surgery, University Hospitals, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Jeremy M AdelsteinDepartment of Orthopaedic Surgery, University Hospitals, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA. Jeremy.Adelstein2@UHHospitals.org.ORCID http://orcid.org/0000-0001-7083-8982
Margaret A SinklerDepartment of Orthopaedic Surgery, University Hospitals, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Andrew J MoyalDepartment of Orthopaedic Surgery, University Hospitals, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Robert J BurkhartDepartment of Orthopaedic Surgery, University Hospitals, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Ajit M VakhariaDepartment of Orthopaedic Surgery, University Hospitals, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
Suhas P DasariDepartment of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, USA.
Jorge ChahlaMidwest Orthopaedics at Rush University Medical Center, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis systematic review aims to delineate the various methods to repair or reconstruct the patellar tendon using the available literature.

methodsMEDLINE and PubMed electronic databases were searched for English language clinical studies involving patellar tendon rupture repair or reconstruction that reported patient-reported outcome scores (PROS) between January 1st, 1953 and June 17th, 2021. Data was extracted on full text articles to collect functional outcome scores and rupture category, including acute, chronic, post-total knee arthroplasty (TKA) and post-anterior cruciate ligament reconstruction (ACLR).

resultsTwenty-three studies with a total of 738 patients were included. Of the 14 studies including acute repairs, mean postoperative Lvsholm scores ranged from 84 to 99.5. Knee Society Score (KSS) and knee range of motion (ROM) measurement were the most widely reported outcomes in the chronic setting. The average postoperative KSS scores ranged from 70 to 87.7. Of the six studies that included patellar tendon repairs/reconstructions in the setting of prior TKA, the most frequently reported outcomes were KSS scores and knee ROM measurements. The average postoperative KSS scores for the three cohorts reporting reconstruction with allograft ranged from 79 to 88 as compared to the average postoperative KSS score for reconstruction with autograft of 70.

conclusionDespite this heterogeneity, we concluded: (1) in the primary setting, cerclage augmentation yields the lowest lysholm scores and should not be considered, although primary repairs with and without augmentation yield comparable postoperative lysholm scores, (2) in the chronic setting, repair with augmentation and reconstruction yielded similar results aside from in post-TKA patients where allograft reconstruction yielded superior KSS scores.

Indexed as

Anterior Cruciate Ligament ReconstructionArthroplasty, Replacement, KneePatellar LigamentRange of Motion, ArticularTendon InjuriesHumansPatient Reported Outcome MeasuresPlastic Surgery ProceduresRuptureTreatment OutcomeKnee extensor mechanismPatellar tendonPatellar tendon reconstructionPatellar tendon repairPatellar tendon rupture

Identifiers

PMID39212690

What OpenQuestion holds

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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.