Evidence map›Paper›PMID 40131344›Full record

ArticleThe Permanente journal2025

Impact of Early vs Delayed Anterior Cruciate Ligament Reconstruction on Tibiofemoral Laxity.

Virginia Xie, Jacob Ghahremani, Tanya Watarastaporn, Michael Chapek, McKenzie Culler, Andrew Zogby, Daniel Hagaman, Aditya Manoharan, Andrew Fithian, Najeeb Khan

Abstract read
In one paragraph

Article in The Permanente journal, 2025. 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.

Virginia XieMedical School, Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, USA.ORCID 0000-0001-5235-7229
Jacob GhahremaniMedical School, Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, USA.
Tanya WatarastapornMedical School, Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, USA.
Michael ChapekMedical School, Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, USA.
McKenzie CullerMedical School, Kaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, USA.
Andrew ZogbyDepartment of Orthopedic Surgery, Southern California Permanente Medical Group, San Diego, CA, USA.
Daniel HagamanDepartment of Orthopedic Surgery, Southern California Permanente Medical Group, San Diego, CA, USA.
Aditya ManoharanDepartment of Orthopedic Surgery, Southern California Permanente Medical Group, San Diego, CA, USA.
Andrew FithianDepartment of Orthopedic Surgery, Southern California Permanente Medical Group, San Diego, CA, USA.
Najeeb KhanDepartment of Orthopedic Surgery, Southern California Permanente Medical Group, San Diego, CA, USA.ORCID 0000-0002-0706-3093

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOptimal timing of anterior cruciate ligament reconstruction (ACLR) remains controversial. This study evaluated the impact of timing of ACLR on rates of revision, return to the operating room, and pre- and postoperative tibiofemoral laxity.

methodsA retrospective review was performed from January 1, 2010, to December 31, 2015, and included patients ≥ 16 years of age with no history of prior ipsilateral or contralateral knee surgery who underwent primary arthroscopic ACLR. Patients were categorized as early ACLR (< 6 months postinjury) or delayed ACLR (≥ 6 months). Pre- and postoperative manual-maximum differences (MMDs) based on KT-1000 testing and postoperative pivot shift were examined.

resultsA total of 611 patients met inclusion criteria (n = 198 early ACLR and n = 413 delayed ACLR). Compared to the early ACLR group, patients receiving delayed ACLR had a lower preoperative MMD (mean 6.55 vs 7.27 mm). Postoperative MMD, as measured by a single physical therapist, was not significantly different for early vs delayed reconstruction. Logistic regression controlling for age, graft type, and postoperative laxity revealed that delayed ACLR was associated with lower odds of return to the operating room (odds ratio = 0.523,

conclusionDelayed ACLR was associated with a lower return to the operating room and no difference in postoperative MMD.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionJoint InstabilityAdolescentAdultFemaleHumansKnee JointMaleMiddle AgedReoperationRetrospective StudiesTime FactorsYoung Adult” and “sports medicine”“orthopedic” “surgery

Identifiers

PMID40131344
PMCPMC12168041

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.