Evidence map›Paper›PMID 40182565›Full record

ArticleOrthopaedic journal of sports medicine2025

Lateral Extra-articular Tenodesis Notably Reduced Residual Knee Instability and Anterior Tibial Translation in Patients With an Anterior Cruciate Ligament Injury Combined With a High-Grade Pivot-Shift Phenomenon.

Qian-Kun Ni, Wan Chen, Jing-Tong Lv, Yun-Jiao Wang, Mi-Duo Mu, Hui Zhang, Lin Guo

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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 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Qian-Kun NiSports Medicine Center, First Affiliated Hospital of Army Medical University, Chongqing, China.ORCID https://orcid.org/0000-0002-1211-6364
Wan ChenSports Medicine Center, First Affiliated Hospital of Army Medical University, Chongqing, China.
Jing-Tong LvSports Medicine Center, First Affiliated Hospital of Army Medical University, Chongqing, China.
Yun-Jiao WangSports Medicine Center, First Affiliated Hospital of Army Medical University, Chongqing, China.
Mi-Duo MuSports Medicine Center, First Affiliated Hospital of Army Medical University, Chongqing, China.
Hui ZhangSports Medicine Service, Beijing Jishuitan Hospital, Beijing, China.
Lin GuoSports Medicine Center, First Affiliated Hospital of Army Medical University, Chongqing, China.ORCID https://orcid.org/0000-0003-4718-6706

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A preoperative high-grade pivot-shift phenomenon (2+ and 3+) is often a predictor of inferior knee rotational stability and excessive anterior tibial translation of the lateral compartment (L-ATT) after an anterior cruciate ligament (ACL) injury. Lateral extra-articular tenodesis (LET) has been reported to reduce failure rates and improve knee stability in patients with an ACL injury. However, the effect of LET on knee rotational stability and L-ATT is still not entirely clear in patients with an ACL injury and a high-grade pivot-shift phenomenon. Purpose: To explore the effect of LET on knee rotational stability and L-ATT in patients with an ACL injury and a high-grade pivot-shift phenomenon. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 254 patients who underwent ACL reconstruction (ACLR) between January 2019 and December 2020 were retrospectively reviewed, and 71 patients (43 male and 28 female) with a preoperative high-grade pivot-shift phenomenon were included. Of these, 24 patients who underwent ACLR combined with LET and 47 patients who underwent ACLR alone were categorized as the study and control groups, respectively. Knee stability was evaluated by the KT-1000 arthrometer side-to-side difference and the pivot-shift test, and L-ATT was measured on magnetic resonance imaging. Baseline patient characteristics, preoperative and postoperative knee stability, and preoperative and postoperative L-ATT were compared between the 2 groups. Moreover, the relative risk of a residual pivot-shift phenomenon after ACLR combined with LET versus ACLR alone was calculated. Results: The mean time from injury to surgery in the study group was significantly longer than that in the control group (29.9 ± 54.7 vs 10.1 ± 23.1 months, respectively; Conclusion: ACLR combined with LET was an effective treatment strategy for ACL injuries with a high-grade pivot-shift phenomenon, associated with satisfactory clinical outcomes, significantly improved rotational stability, and reduced L-ATT.

Indexed as

anterior cruciate ligamentanterior tibial translationhigh-grade pivot-shift phenomenonlateral extra-articular tenodesisrotational stability

Identifiers

PMID40182565
PMCPMC11967220

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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.