Evidence map›Paper›PMID 40182612›Full record

ArticleJournal of experimental orthopaedics2025

Internal bracing with suture tape augmentation reduces positive postoperative pivot shift in patients with anterior cruciate ligament reconstructions.

Simone Elmholt, Torsten Nielsen, Anders Galaly, Mogens Strange, Kaspar Saxtrup, Martin Lind

Abstract read
In one paragraph

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

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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

6 authors.

Simone ElmholtDepartment of Othopaedic Surgery Aarhus University Hospital Aarhus N Denmark.ORCID 0000-0003-0445-5849
Torsten NielsenDepartment of Othopaedic Surgery Aarhus University Hospital Aarhus N Denmark.ORCID 0000-0001-5354-1781
Anders GalalyDepartment of Orthopedic Surgery Copenhagen University Hospital - Rigshospitalet København Ø Denmark.ORCID 0000-0001-8093-8266
Mogens StrangeDepartment of Sports Traumatology Silkeborg Regional Hospital Silkeborg Denmark.
Kaspar SaxtrupDepartment of Orthopedic Surgery Mølholm Privthospital Vejle Denmark.
Martin LindDepartment of Othopaedic Surgery Aarhus University Hospital Aarhus N Denmark.ORCID 0000-0002-7204-813X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: In biomechanical testing synthetic ligament augmentation demonstrated improved graft strength, which may lead to improved clinical outcomes. Therefore, this study aimed to investigate whether this procedure would improve clinical outcomes, compared to conventional anterior cruciate ligament reconstruction (ACLR). Methods: This study was a retrospective register-based cohort study. Data were obtained from a single clinic (Silkeborg Regional Hospital, Denmark). A cohort of patients undergoing ACLR with either hamstring or quadriceps tendon autografts in combination with an InternalBrace was identified. Using propensity scoring, the InternalBrace group was matched 1:1 to a control group of ACLR patients without augmentation from the same clinic. The primary outcome was sagittal knee laxity, and secondary outcomes were rotational stability (pivot shift), patient-reported outcome measures (PROMs) with the Knee Injury and Osteoarthritis Outcome Score (KOOS) and revision surgery rates. Results: A total of 324 patients were included, 162 in each group. At 1-year follow-up the InternalBrace group demonstrated similar sagittal knee laxity of 2.2 mm (95% CI: 1.9-2.4 mm) compared to 1.9 mm in the control group (95% CI: 1.6-2.1 mm) ( Conclusion: Compared to conventional ACLR, InternalBrace reduces the risk of having a positive pivot shift 1 year postoperatively and demonstrates similar outcomes regarding sagittal knee laxity, revision rates and PROMS. Therefore, this study concludes that InternalBrace are safe to use in ACLR. Level of Evidence: Level III.

Indexed as

anterior cruciate ligament reconstructionorthopedic surgerysports traumatologysuture tape

Identifiers

PMID40182612
PMCPMC11967987

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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.