Evidence map›Paper›PMID 39734976›Full record

ReviewCureus2024

Exploring the Efficacy of Conservative Management Versus Surgical Intervention in Anterior Cruciate Ligament (ACL) Injuries: Insights Into Reinjury Rates, Quality of Life, and Long-Term Outcomes.

Daniel E Onobun, Chijioke Orji, Ethel O Ojo, Ajibola A Adebisi, Kenechukwu Igbokwe, Rajinder Sehmar, Reginald Ononye, Olgun Aksaray, Stephen Oputa, Chidera S Nmereole

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Daniel E OnobunOrthopedics and Trauma, Warwick Hospital, South Warwickshire University NHS Foundation Trust, Warwick, GBR.
Chijioke OrjiOrthopedics, Liverpool University Hospitals Foundation Trust, Liverpool, GBR.
Ethel O OjoOrthopedics and Trauma, Warwick Hospital, South Warwickshire University NHS Foundation Trust, Warwick, GBR.
Ajibola A AdebisiGeneral Surgery, Epsom and St. Helier University NHS Foundation Trust, London, GBR.
Kenechukwu IgbokweTrauma and Orthopedics, Gateshead Health NHS Foundation Trust, Gateshead, GBR.
Rajinder SehmarOrthopedics and Trauma, Warwick Hospital, South Warwickshire University NHS Foundation Trust, Warwick, GBR.
Reginald OnonyeUrological Surgery, Stepping Hill Hospital, Stockport NHS Foundation Trust, Stockport, GBR.
Olgun AksarayGeneral Medicine, Altnagelvin Area Hospital, Londonderry, GBR.
Stephen OputaGeneral Surgery, University of Benin, Benin, NGA.
Chidera S NmereoleBusiness Administration, Kaplan Business School, Sydney, AUS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review and meta-analysis evaluate the comparative outcomes of conservative management versus surgical intervention for anterior cruciate ligament (ACL) injuries. A comprehensive search of PubMed, Cochrane Library, Web of Science, SPORTDiscus, and Google Scholar focused on studies published between 2010 and 2024. Data synthesis employed both thematic analysis for qualitative data and meta-analysis for quantitative outcomes. Key findings indicate that conservative management yields lower reinjury rates and higher quality of life (QoL) scores (64.6 vs. 57.1) compared to surgical intervention, though differences were not statistically significant (p = 0.1483). Both strategies demonstrated comparable return-to-sport (RTS) rates. Meta-regression analysis revealed that longer follow-up durations positively influenced outcomes (p = 0.0288). The average complication rate was 49.83 per study (CI: 25.84-73.82), underscoring significant risks associated with both approaches. Conservative management shows promise as an initial treatment option for certain ACL injuries, particularly regarding reinjury prevention and QoL improvements. However, surgical intervention remains crucial for specific cases requiring enhanced knee stability. The results underscore the importance of individualized treatment planning, long-term follow-up, and further standardization of outcome measures in future research.

Indexed as

acl injuriesconservative managementlong-term outcomesmeta-analysisquality of lifereinjury ratesreturn-to-sportsurgical intervention

Identifiers

PMID39734976
PMCPMC11682532

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.