Evidence map›Paper›PMID 40017699›Full record

ArticleJournal of experimental orthopaedics2025

All-inside single-bundle and modified double-bundle anterior cruciate ligament reconstruction techniques guarantee stability and similar clinical results at over 5 year follow-up.

Moretti Lorenzo, Garofalo Raffaele, Cassano Giuseppe Danilo, Calbi Roberto, Fiore Francesco, Solarino Giuseppe

Abstract read
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Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Moretti LorenzoDepartment of Translational Biomedicine and Neuroscience (DiBraiN), Orthopaedic and Trauma Unit, AOUC Policlinico di Bari University of Bari "Aldo Moro" Bari Italy.
Garofalo RaffaeleDepartment of Orthopaedics and Traumatology Ente Ecclesiastico Ospedale "F. Miulli" Acquaviva delle Fonti Bari Italy.
Cassano Giuseppe DaniloDepartment of Orthopaedics and Traumatology Ente Ecclesiastico Ospedale "F. Miulli" Acquaviva delle Fonti Bari Italy.ORCID https://orcid.org/0000-0001-9212-1253
Calbi RobertoDepartment of Orthopaedics and Traumatology Ente Ecclesiastico Ospedale "F. Miulli" Acquaviva delle Fonti Bari Italy.
Fiore FrancescoDepartment of Orthopaedics and Traumatology Ente Ecclesiastico Ospedale "F. Miulli" Acquaviva delle Fonti Bari Italy.
Solarino GiuseppeDepartment of Translational Biomedicine and Neuroscience (DiBraiN), Orthopaedic and Trauma Unit, AOUC Policlinico di Bari University of Bari "Aldo Moro" Bari Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The aim of the present study was to compare clinical and radiological outcomes between the all-inside single bundle (SB) and a modified double-bundle (DB) anterior cruciate ligament reconstructions (ACLR) at over 5-year follow-up. Methods: This is an observational, retrospective comparative, two-centre study. Clinical outcomes were evaluated using Lysholm and International Knee Documentation Committee (IKDC) scores, and anterior tibial translation (ATT) was assessed using the KT-1000 arthrometer. Knee x-ray images were recorded, classified according to the KL grading and compared with radiographs of the same patient before surgery. Inclusion criteria were patients undergoing ACLR, age between 18 and 45 years and negative knee history of major traumatic events after surgery. Exclusion criteria were congenital laxity, combined multiple knee ligament injuries, patients undergoing ACL revision surgery, history of infection, lower limb coronal axial deviation >5°, patients undergoing lateral extra-articular tenodesis or anterolateral ligament reconstruction, patients with chondral damage Outerbridge grade >2, patients with meniscal tears undergoing subtotal meniscectomy or meniscal repair and patients with knee OA Kellgren-Lawrance (KL) grade >3. Results: One hundred and fifty-two patients were included in the study. Patients were divided into two groups according to surgical technique: Group A-ACLR with all-inside technique, and Group B-ACLR with modified DB technique. There were no statistical differences between groups for age, side, gender or time since surgery.There were no statistically significant differences between groups for Lysholm scores ( Conclusions: Our data show significant improvements in all clinical outcome measures, along with excellent KT-1000 arthrometer values and low clinical failure rates for both the SB all-inside and modified DB techniques at a mean follow-up of over 6 years. There were no significant differences in arthritic progression according to KL grade between groups. Level of Evidence: Level III.

Indexed as

ACLanterior cruciate ligament reconstructiondouble bundlekneesingle bundle

Identifiers

PMID40017699
PMCPMC11867162

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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.