Evidence map›Paper›PMID 40297080›Full record

ReviewArthroscopy, sports medicine, and rehabilitation2025

Tourniquet Use During Anterior Cruciate Ligament Reconstruction Is Associated With Postoperative Quadriceps Atrophy and Pain but No Negative Effects in the Long Term: A Systematic Review.

Caleb V Hayes, Saad M Ibrahim, Anna E Crawford, James R Jones, Mathew D Hargreaves, Clay A Rahaman, Eugene W Brabston, Thomas B Evely, Aaron J Casp, Kevin E Wilk and 1 more

Abstract readReview
In one paragraph

Review in Arthroscopy, sports medicine, and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Caleb V HayesUniversity of Alabama at Birmingham, Heersink School of Medicine, Birmingham, Alabama, U.S.A.
Saad M IbrahimUniversity of Alabama at Birmingham, Heersink School of Medicine, Birmingham, Alabama, U.S.A.
Anna E CrawfordUniversity of Alabama at Birmingham, Heersink School of Medicine, Birmingham, Alabama, U.S.A.
James R JonesUniversity of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, Alabama, U.S.A.
Mathew D HargreavesUniversity of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, Alabama, U.S.A.
Clay A RahamanUniversity of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, Alabama, U.S.A.
Eugene W BrabstonUniversity of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, Alabama, U.S.A.
Thomas B EvelyUniversity of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, Alabama, U.S.A.
Aaron J CaspUniversity of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, Alabama, U.S.A.
Kevin E WilkChampion Sports Medicine, Birmingham, Alabama, U.S.A.
Amit M MomayaUniversity of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, Alabama, U.S.A.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate the effect of tourniquet use during ACL reconstruction on quadriceps strength, intraoperative and postoperative blood loss, operative time, thigh girth or calf girth, and postoperative pain. Methods: A systematic review using PubMed, EMBASE, and Cochrane Database of Systematic Reviews was conducted following the PRISMA guidelines. Randomized controlled trials and nonrandomized studies that evaluated intraoperative and postoperative effects of tourniquet usage during arthroscopic ACL reconstruction published between November 1996 and January 2023 were included. Outcomes evaluated included intraoperative visualization, pain, quadricep strength thigh or calf girth, blood loss, and operative time. Results: Eight studies with 502 total patients were included in this review. There were 253 total patients in the tourniquet (T) group and 249 in the non-tourniquet (NT) group. Postoperative blood loss was higher in the T group ( Conclusions: Tourniquet use during ACL reconstruction does not have negative long-term effects on quadriceps strength. Although tourniquet use was associated with increased quadriceps atrophy and pain in the immediate postoperative period, these effects did not persist. Level of Evidence: Level II, systematic review of Level I and II studies.

Identifiers

PMID40297080
PMCPMC12034045

What OpenQuestion holds

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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.