Evidence map›Paper›PMID 39714511›Full record

Trial reportArchives of orthopaedic and trauma surgery2024

5-years outcomes following arthroscopic anterior cruciate ligament reconstruction comparing quadruple hamstring and peroneus longus tendon autografts: a randomized control trial.

Umer Butt, Filip Vuletic, M Ali Ahmed Shaikh, Amanullah, Ghufran Ur Rehman, Imran Ali Shah, Anders Stålman, Zainab Aqeel Khan

Abstract readRandomized Controlled TrialComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Article
  4. Review
  5. Article
  6. Article
  7. 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.

Umer ButtDepartment of Trauma and Orthopaedic, AO Hospital, Karachi, Pakistan.
Filip VuleticUniversity Hospital "Sveti Duh", Zagreb, Croatia.
M Ali Ahmed ShaikhDepartment of Trauma and Orthopaedic, AO Hospital, Karachi, Pakistan.
AmanullahDepartment of Trauma and Orthopaedic, AO Hospital, Karachi, Pakistan.
Ghufran Ur RehmanDepartment of Trauma and Orthopaedic, AO Hospital, Karachi, Pakistan.
Imran Ali ShahDepartment of Trauma and Orthopaedic, AO Hospital, Karachi, Pakistan.
Anders StålmanDepartment of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Valhallavägen 91, Stockholm, Sweden. anders.stalman@ki.se.ORCID http://orcid.org/0000-0002-6261-2024
Zainab Aqeel KhanDepartment of Trauma and Orthopaedic, AO Hospital, Karachi, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis study presents clinical outcomes, functional results, and return to sports after anterior cruciate ligament (ACL) reconstruction using quadruple hamstring tendon autograft or peroneus longus tendon autograft in a randomized controlled trial. PATIENTS AND

methodsBetween February 2018 and July 2019, patients who underwent ACL reconstruction were randomly assigned to two groups: hamstring and peroneus longus. Patient related outcome measurements and pain intensity were evaluated using IKDC, Lysholm, and visual analog scores at 3 and 6 months, 1, 2, and 5 years after the surgery. At the 5 year follow-up, anterior stability was tested using the 3D printable Knee Arthrometer. In addition, in the peroneus longus group, ankle functional assessment was performed using the American foot and ankle score. Additionally, data on the return to sports/activities was collected for both groups at the last follow-up.

resultsSixty patients, with 30 in the hamstring group and 30 in the peroneus group, were included in the study. Patients were predominately male and with low activity demands. After five years of follow-up, there was no significant difference in functional assessment scores (IKDC and Lysholm) between the two groups (P n.s). The median graft diameter was 7.9 ± 0.4 mm in the hamstring tendon group and 8.9 ± 0.2 mm in the PL group (P < 0.001). The improvement in Arthrometer testing measurements (AMT) for the operated knees in the hamstring and peroneus longus groups were similar. In the peroneus longus group, the mean postoperative foot and ankle score was 98.6 ± 3.9 (range = 85-100).

conclusionUsing Peroneus longus tendon autograft for arthroscopic ACL reconstruction is a feasible alternative as studied in this cohort of predominately male patients with low activity demands. The graft diameter in this study was sufficient, and the results regarding laxity and patient related outcome measurements were similar to those achieved with hamstring tendon autografts. LEVEL OF EVIDENCE: Level I

trial registrationChiCTR2000036989.

Indexed as

Anterior Cruciate Ligament ReconstructionAutograftsHamstring TendonsTendonsAdultAnterior Cruciate Ligament InjuriesArthroscopyFemaleHumansMaleReturn to SportTransplantation, AutologousTreatment OutcomeYoung AdultACL reconstructionAutograftHamstring autograftPeroneus longusSports injurySports surgery

Identifiers

PMID39714511
PMCPMC11666688

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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.