Evidence map›Paper›PMID 39503722›Full record

ArticleThe American journal of sports medicine2024

Surgical Predictors of Clinical Outcome 6 Years After Revision ACL Reconstruction.

MARS Group, Rick W Wright, Laura J Huston, Amanda K Haas, Jacquelyn S Pennings, Christina R Allen, Daniel E Cooper, Thomas M DeBerardino, Warren R Dunn, Brett Brick A Lantz and 76 more

Abstract read
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In one paragraph

Article in The American journal of sports medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

  1. Review
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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

86 authors.

MARS GroupInvestigation performed at Vanderbilt University, Nashville, Tennessee, USA.
Rick W WrightVanderbilt University, Nashville, TN, USA.
Laura J HustonVanderbilt University, Nashville, TN, USA.
Amanda K HaasWashington University in St Louis, St Louis, MO, USA.
Jacquelyn S PenningsVanderbilt University, Nashville, TN, USA.
Christina R AllenYale University, New Haven, CT, USA.
Daniel E CooperW.B. Carrell Memorial Clinic, Dallas, TX, USA.
Thomas M DeBerardinoUT Health, San Antonio, TX, USA.
Warren R DunnFondren Orthopedic Group, Houston, TX, USA.
Brett Brick A LantzSlocum Research and Education Foundation, Eugene, OR, USA.
Kurt P SpindlerCleveland Clinic, Cleveland, OH, USA.
Michael J StuartMayo Clinic, Rochester, MN, USA.
Annunziato Ned AmendolaDuke University, Durham, NC, USA.
Christopher C AnnunziataCommonwealth Orthopaedics & Rehabilitation, Arlington, VA, USA.
Robert A ArcieroUniversity of Connecticut Health Center, Farmington, CT, USA.
Bernard R BachRush University Medical Center, Chicago, IL, USA.
Champ L BakerThe Hughston Clinic, Columbus, GA, USA.
Arthur R Bartolozzi3B Orthopaedics, University of Pennsylvania Health System, Philadelphia, PA, USA.
Keith M BaumgartenOrthopedic Institute, Sioux Falls, SD, USA.
Jeffrey H BergTown Center Orthopaedic Associates, Reston, VA, USA.
Geoffrey A BernasState University of New York at Buffalo, Buffalo, NY, USA.
Stephen F BrockmeierUniversity of Virginia, Charlottesville, VA, USA.
Robert H BrophyWashington University in St Louis, St Louis, MO, USA.
Charles A Bush-JosephRush University Medical Center, Chicago, IL, USA.
J Brad ButlerOrthopedic and Fracture Clinic, Portland, OR, USA.
James L CareyUniversity of Pennsylvania, Philadelphia, PA, USA.
James E CarpenterUniversity of Michigan, Ann Arbor, MI, USA.
Brian J ColeRush University Medical Center, Chicago, IL, USA.
Jonathan M CooperHealthPartners Specialty Center, St Paul, MN, USA.
Charles L CoxVanderbilt University, Nashville, TN, USA.
R Alexander CreightonUniversity of North Carolina Medical Center, Chapel Hill, NC, USA.
Tal S DavidSynergy Specialists Medical Group, San Diego, CA, USA.
David C FlaniganThe Ohio State University, Columbus, OH, USA.
Robert W FrederickThe Rothman Institute/Thomas Jefferson University, Philadelphia, PA, USA.
Theodore J GanleyChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Charles J GattUniversity Orthopaedic Associates LLC, Princeton, NJ, USA.
Steven R GechaPrinceton Orthopaedic Associates, Princeton, NJ, USA.
James Robert GiffinFowler Kennedy Sport Medicine Clinic, University of Western Ontario, London, ON, Canada.
Sharon L HameUniversity of California Los Angeles, Los Angeles, CA, USA.
Jo A HannafinHospital for Special Surgery, New York, NY, USA.
Christopher D HarnerUniversity of Texas Health Center, Houston, TX, USA.
Norman Lindsay HarrisGrand River Health, Rifle, CO, USA.
Keith S HechtmanMiami Orthopedics and Sports Medicine Institute, Coral Gables, FL, USA.
Elliott B HershmanLenox Hill Hospital, New York, NY, USA.
Rudolf G HoellrichSlocum Research and Education Foundation, Eugene, OR, USA.
David C JohnsonNational Sports Medicine Institute, Leesburg, VA, USA.
Timothy S JohnsonNational Sports Medicine Institute, Leesburg, VA, USA.
Morgan H JonesBrigham and Women's Hospital, Boston, MA, USA.
Christopher C KaedingThe Ohio State University, Columbus, OH, USA.
Ganesh V KamathUniversity of North Carolina Medical Center, Chapel Hill, NC, USA.
Thomas E KlootwykForte Sports Medicine and Orthopedics, Indianapolis, IN, USA.
Bruce A LevyOrlando Health, Orlando, FL, USA.
C Benjamin MaUniversity of California, San Francisco, CA, USA.
G Peter MaiersForte Sports Medicine and Orthopedics, Indianapolis, IN, USA.
Robert G MarxHospital for Special Surgery, New York, NY, USA.
Matthew J MatavaWashington University in St Louis, St Louis, MO, USA.
Gregory M MathienKnoxville Orthopedic Clinic, Knoxville, TN, USA.
David R McAllisterUniversity of California Los Angeles, Los Angeles, CA, USA.
Eric C McCartyUniversity of Colorado Denver School of Medicine, Denver, CO, USA.
Robert G McCormackUniversity of British Columbia/Fraser Health Authority, Vancouver, BC, Canada.
Bruce S MillerUniversity of Michigan, Ann Arbor, MI, USA.
Carl W NissenConnecticut Children's Medical Center, Hartford, CT, USA.
Daniel F O'NeillThe Alpine Clinic, Plymouth, NH, USA.
Brett D OwensWarren Alpert Medical School, Brown University, Providence, RI, USA.
Richard D ParkerCleveland Clinic, Cleveland, OH, USA.
Mark L PurnellValley Ortho, Aspen, CO, USA.
Arun J RamappaBeth Israel Deaconess Medical Center, Boston, MA, USA.
Michael A RauhState University of New York at Buffalo, Buffalo, NY, USA.
Arthur C RettigForte Sports Medicine and Orthopedics, Indianapolis, IN, USA.
Jon K SekiyaUniversity of Michigan, Ann Arbor, MI, USA.
Kevin G SheaStanford University, Palo Alto, CA, USA.
Orrin H ShermanNYU Hospital for Joint Diseases, New York, NY, USA.
James R SlauterbeckUNC Health Southeastern, Lumberton, NC, USA.
Matthew V SmithWashington University in St Louis, St Louis, MO, USA.
Jeffrey T SpangUniversity of North Carolina Medical Center, Chapel Hill, NC, USA.
Steven J SvobodaMedStar Orthopaedic and Sports Center, Washington, DC, USA.
Timothy N TaftUniversity of North Carolina Medical Center, Chapel Hill, NC, USA.
Joachim J TenutaAlbany Medical Center, Albany, NY, USA.
Edwin M TingstadInland Orthopaedic Surgery and Sports Medicine Clinic, Pullman, WA, USA.
Armando F VidalThe Steadman Clinic, Vail, CO, USA.
Darius G ViskontasFraser Orthopaedic Institute, New Westminster, Vancouver, BC, Canada.
Richard A WhiteFitzgibbon's Hospital, Marshall, MO, USA.
James S WilliamsCleveland Clinic, Euclid, OH, USA.
Michelle L WolcottUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Brian R WolfUniversity of Iowa Hospitals and Clinics, Iowa City, IA, USA.
James J YorkLuminis Health Orthopedics, Pasadena, MD, USA.

Funding

Revision ACL Reconstructions: A Comparative Effectiveness Treatment StudyR01AR060846 · NIAMS · WASHINGTON UNIVERSITY · PI WRIGHT, RICK W · 2011 to 2025
$6.7M
NIAMS NIH HHS R01 AR060846
6 · The paper itself

Abstract

backgroundRevision anterior cruciate ligament (ACL) reconstruction has been documented to have inferior outcomes compared with primary ACL reconstruction. The reasons why remain unknown. PURPOSE: To determine whether surgical factors performed at the time of revision ACL reconstruction can influence a patient's outcome at 6-year follow-up. STUDY

designCohort study; Level of evidence, 2.

methodsPatients who underwent revision ACL reconstruction were identified and prospectively enrolled between 2006 and 2011. Data collected included baseline patient characteristics, surgical technique and pathology, and a series of validated patient-reported outcome instruments: Knee injury and Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC) subjective form, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Marx activity rating score. Patients were followed up for 6 years and asked to complete the identical set of outcome instruments. Regression analysis was used to control for baseline patient characteristics and surgical variables to assess the surgical risk factors for clinical outcomes 6 years after surgery.

resultsA total of 1234 patients were enrolled (716 men, 58%; median age, 26 years), and 6-year follow-up was obtained on 79% of patients (980/1234). Using an interference screw for femoral fixation compared with a cross-pin resulted in significantly better outcomes in 6-year IKDC scores (odds ratio [OR], 2.2; 95% CI, 1.2-3.9;

conclusionThere are surgical variables at the time of ACL revision that can modify clinical outcomes at 6 years. Opting for a transtibial surgical approach and choosing an interference screw for femoral and tibial fixation improved patients' odds of having a significantly better 6-year clinical outcome in this cohort.

Indexed as

Anterior Cruciate Ligament ReconstructionReoperationAdolescentAdultAnterior Cruciate Ligament InjuriesBone ScrewsFemaleFollow-Up StudiesHumansMalePatient Reported Outcome MeasuresProspective StudiesTreatment OutcomeYoung Adultanterior cruciate ligament reconstructionoutcomesrevisionsurgical predictors

Identifiers

PMID39503722
PMCPMC11796288

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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.