Evidence map›Paper›PMID 40083749›Full record

ArticleOrthopaedic journal of sports medicine2025

Clinical Outcome of Bicruciate Ligament Reconstruction in Multiple-Ligament Knee Injuries: Comparison With Bicruciate Reconstruction and Collateral Ligament Surgery.

Zenta Joutoku, Eiji Kondo, Yusuke Muranaka, Koji Iwasaki, Tomohiro Onodera, Tomonori Yagi, Norimasa Iwasaki, Kazunori Yasuda

Abstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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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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

2 citing papers in PubMed.

  1. Article
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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

8 authors.

Zenta JoutokuDepartment of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Eiji KondoCentre of Sports Medicine, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Yusuke MuranakaDepartment of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Koji IwasakiDepartment of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Tomohiro OnoderaDepartment of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Tomonori YagiDepartment of Orthopaedic Surgery, Yagi Orthopaedic Hospital, Sapporo, Japan. Presented in part at the 12th biennial Congress of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine, Cancun, Mexico, May 2019.
Norimasa IwasakiDepartment of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
Kazunori YasudaDepartment of Orthopaedic Surgery, Yagi Orthopaedic Hospital, Sapporo, Japan. Presented in part at the 12th biennial Congress of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine, Cancun, Mexico, May 2019.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Several procedures for combined rupture of both anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) in multiple-ligament knee injuries (MLKIs) have been reported. However, the clinical outcome of these treatments remains controversial. Hypothesis: Postoperative knee stability and clinical outcomes in patients who underwent simultaneous bicruciate reconstruction would be comparable with those that underwent bicruciate reconstruction with collateral ligament surgery. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective study was conducted with 41 patients (41 knees) who sustained unilateral MLKI with combined ACL and PCL rupture. Fifteen cases required simultaneous ACL and PCL reconstruction, and the others had additional surgical treatment as follows: At the time of cruciate ligament reconstruction, 14 cases required posteromedial corner (PMC) reconstruction and 8 cases required posterolateral corner (PLC) reconstruction. Five cases were treated with an initial PMC or PLC before the cruciate ligament reconstruction. One of these underwent PMC reconstruction at the second stage for residual valgus laxity. Then, the authors divided the cases into 2 groups based on surgical procedure: in group 1, 15 patients underwent only bicruciate reconstruction. In group 2, 26 patients underwent bicruciate and PMC or PLC reconstruction/repair. The patients were examined at ≥2 years after surgery. Results: The side-to-side difference in the total anteroposterior translation, and the relative position on the anterior and posterior stress radiographs significantly improved postoperatively in both groups (group 1: Conclusion: There were no significant differences in the knee stability and clinical results after bicruciate reconstruction between those with and those without collateral ligament surgery. Reconstruction of bicruciate MLKIs with repair or reconstruction of associated collateral ligament injuries improves clinical outcomes.

Indexed as

hamstring tendonknee dislocationmultiligament knee injuryprimary repairreconstruction

Identifiers

PMID40083749
PMCPMC11905037

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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.