Evidence map›Paper›PMID 39257437›Full record

ArticleJournal of orthopaedic translation2024

Diagnosis and treatment of anterior cruciate ligament injuries: Consensus of Chinese experts part II: Graft selection and clinical outcome evaluation.

Tianwu Chen, Xizhuang Bai, Lunhao Bai, Wai Sin Chan, Shiyi Chen, Chen Chen, Jiwu Chen, Liaobin Chen, Guofeng Dai, Zhizeng Gao and 57 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedic translation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
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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

67 authors.

Tianwu ChenHuashan Hospital Fudan University, Shanghai, China.
Xizhuang BaiLiaoning Provincial People's Hospital, Shenyang, Liaoning Province, China.
Lunhao BaiShengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Wai Sin ChanHealth Bureau of Macau Special Administrative Region Government, Macau Special Administrative Region, China.
Shiyi ChenHuashan Hospital Fudan University, Shanghai, China.
Chen ChenShanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Jiwu ChenThe First Affiliated Hospital of Shanghai Jiao Tong University, Shanghai, China.
Liaobin ChenZhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
Guofeng DaiQilu Hospital of Shandong University, Jinan, Shandong Province, China.
Zhizeng GaoThe First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China.
Yang GuoThe First Affiliated Hospital of Xiamen University, Xiamen, Fujian Province, China.
Yong HuSichuan Provincial Orthopedic Hospital, Chengdu, Sichuan Province, China.
Ning HuThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Huayang HuangGeneral Hospital of the Southern Theater Command of the People's Liberation Army, Guangzhou, Guangdong Province, China.
Xunwu HuangThe Eighth Medical Center of the Chinese People's Liberation Army General Hospital, Beijing, China.
Xuan HuangChanghai Hospital, Naval Medical University, Shanghai, China.
Jingmin HuangTianjin Hospital, Tianjin University, Tianjin, China.
Yifan KangShanghai Fourth People's Hospital Affiliated to Tongji University, Shanghai, China.
Hung Maan LeeHualien Tzu Chi Medical Center, Hualien City, Taiwan, China.
Hongyun LiHuashan Hospital Fudan University, Shanghai, China.
Yunxia LiHuashan Hospital Fudan University, Shanghai, China.
Jin LiNingbo Medical Center LiHuiLi Hospital, Ningbo, Zhejiang Province, China.
Kuanxin LiThe First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui Province, China.
Yanlin LiThe First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China.
Jian LiWest China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Qi LiWest China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Ruixin LinRenji Hospital, Shanghai Jiao Tong University, Shanghai, China.
Xinwei LiuGeneral Hospital of the Northern Theater Command of the People's Liberation Army, Shenyang, Liaoning Province, China.
Ning LiuZhengzhou Orthopedics Hospital, Zhengzhou, Henan Province, China.
Wei LüHeilongjiang Provincial Hospital, Harbin, Heilongjiang Province, China.
Hongbin LüXiangya Hospital Central South University, Changsha, Hunan Province, China.
Xiaogang MaTibet Autonomous Region People's Hospital, Lhasa, Tibet Autonomous Region, China.
Kun MiGuangxi International Zhuang Medicine Hospital, Guangxi University of Chinese Medicine, Nanning, Guangxi Zhuang Autonomous Region, China.
Zhiming QiDalian Orthopedic Hospital, Dalian, Liaoning Province, China.
Luning SunAffiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China.
Jun TaoThe Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China.
Xueren TengQingdao Municipal Hospital, Qingdao, Shandong Province, China.
Xuesong WangBeijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Jianquan WangPeking University Third Hospital, Beijing, China.
Kai WangQinghai Provincial People's Hospital, Xining, Qinghai Province, China.
Fei WangThe Third Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China.
Hong WangUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Weiming WangXinhua Hospital Affiliated to Dalian University, Dalian, Liaoning Province, China.
Meng WuThe Second Hospital of Lanzhou University, Lanzhou, Gansu Province, China.
Yayi XiaThe Second Hospital of Lanzhou University, Lanzhou, Gansu Province, China.
Gengyan XingThe Third Medical Center of the Chinese People's Liberation Army General Hospital, Beijing, China.
Weidong XuChanghai Hospital, Naval Medical University, Shanghai, China.
Youjia XuThe Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.
Kun YinThe Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, China.
Hongbo YouTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Jia-Kuo YuBeijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China.
Patrick YungPrince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China.
Hui ZhangBeijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Xinghuo ZhangBeijing Luhe Hospital Affiliated to Capital Medical University, Beijing, China.
Xintao ZhangPeking University Shenzhen Hospital, Shenzhen, Guangzhou Province, China.
Chunli ZhangQionghai People's Hospital, Qionghai, Hainan Province, China.
Wentao ZhangThe Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangzhou Province, China.
Weiguo ZhangThe First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China.
Yufei ZhangThe First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China.
Keyuan ZhangThe First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uyghur Autonomous Region, China.
Yadong ZhangThe Fourth Medical Center of the General Hospital of the People's Liberation Army, Beijing, China.
Lei ZhangWangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Qichun ZhaoThe First Affiliated Hospital of the University of Science and Technology of China, Hefei, Anhui Province, China.
Jiapeng ZhengSoutheast Hospital Affiliated to Xiamen University, Zhangzhou, Fujian Province, China.
Jingbin ZhouChina National Institute of Sports Medicine, Beijing, China.
Liwu ZhouGeneral Hospital of the Eastern Theater Command of the People's Liberation Army, Nanjing, Jiangsu Province, China.
Yongsheng XuInner Mongolia Autonomous Region People's Hospital, Hohhot, Inner Mongolia Autonomous Region, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In the recent decade, there has been substantial progress in the technologies and philosophies associated with diagnosing and treating anterior cruciate ligament (ACL) injuries in China. The therapeutic efficacy of ACL reconstruction in re-establishing the stability of the knee joint has garnered widespread acknowledgment. However, the path toward standardizing diagnostic and treatment protocols remains to be further developed and refined. Objective: In this context, the Chinese Association of Orthopaedic Surgeons (CAOS) and the Chinese Society of Sports Medicine (CSSM) collaboratively developed an expert consensus on diagnosing and treating ACL injury, aiming to enhance medical quality through refining professional standards. Methods: The consensus drafting team invited experts across the Greater China region, including the mainland, Hong Kong, Macau, and Taiwan, to formulate and review the consensus using a modified Delphi method as a standardization approach. As members of the CSSM Lower Limb Study Group and the CAOS Arthroscopy and Sports Medicine Study Group, invited experts concentrated on two pivotal issues: "Graft Selection" and "Clinical Outcome Evaluation" during the second part of the consensus development. Results: This focused discussion ultimately led to a strong consensus on nine specific consensus terms. Conclusion: The consensus clearly states that ACL reconstruction has no definitive "gold standard" graft choice. Autografts have advantages in healing capability but are limited in availability and have potential donor site morbidities; allografts reduce surgical trauma but incur additional costs, and there are concerns about slow healing, quality control issues, and a higher failure rate in young athletes; synthetic ligaments allow for early rehabilitation and fast return to sport, but the surgery is technically demanding and incurs additional costs. When choosing a graft, one should comprehensively consider the graft's characteristics, the doctor's technical ability, and the patient's needs. When evaluating clinical outcomes, it is essential to ensure an adequate sample size and follow-up rate, and the research should include patient subjective scoring, joint function and stability, complications, surgical failure, and the return to sport results. Medium and long-term follow-ups should not overlook the assessment of knee osteoarthritis.

Indexed as

Anterior cruciate ligamentClinical outcome evaluationExpert consensusGraft choice

Identifiers

PMID39257437
PMCPMC11385786

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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.