SynthesisSkeletal radiology2025
Utility of preoperative ultrasound in assessing the adequacy of autograft for anterior cruciate ligament reconstruction: a systematic review and meta-analysis.
Synthesis in Skeletal radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Superb microvascular imaging in the assessment of persistent synovitis after anterior cruciate ligament reconstruction.Osteoarthritis imaging · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAnterior cruciate ligament (ACL) reconstruction using tendon autograft requires imaging to evaluate graft adequacy. Ultrasound (US) offers an efficient adjunct to MRI; however, the utility of US is variable in prior literature and should be investigated. The primary aim of this study is to provide a statistical appraisal of literature assessing correlation of preoperative US measurements with intraoperative size of autografts during ACL reconstruction. MATERIALS AND
methodsPubMed, Embase, and Web of Science databases were queried for studies comparing preoperative US-based measurements to intraoperative measurements of autografts to assess graft adequacy (defined as > 8 mm diameter). Correlation coefficients from studies comparing combined cross-sectional area (CCSA) of autograft tendons on US to intraoperative autograft tendon diameters were collected and pooled. Random-effects models were generated to compare sensitivity, specificity, positive predictive values (PPV), and negative predictive value (NPV) for the identification of adequate graft sizes.
resultsEleven studies compared preoperative measurements of autograft size to intraoperative measurements. Meta-analysis of studies assessing hamstring tendon CCSA on US in comparison to intraoperative tendon diameters revealed a pooled correlation coefficient of 0.54 (CI 0.41-0.66, I
conclusionHamstring CCSA on US has moderate correlation with intraoperative diameter, high sensitivity (83%), moderate specificity (78%), and very high PPV (91%) for identifying adequately sized autografts for ACL reconstruction.
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