Evidence map›Paper›PMID 40361834›Full record

ArticleHealthcare (Basel, Switzerland)2025

Anterior Cruciate Ligament Reconstruction with Modified Transtibial Technique: Outcomes and Return to Sport in Athletes.

Arcangelo Russo, Giuseppe Gianluca Costa, Maria Agata Musumeci, Michele Giancani, Calogero Di Naro, Francesco Pegreffi, Gianluca Testa, Marco Sapienza, Vito Pavone

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 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

9 authors.

Arcangelo RussoFaculty of Medicine and Surgery, Kore University of Enna, 94100 Enna, Italy.
Giuseppe Gianluca CostaFaculty of Medicine and Surgery, Kore University of Enna, 94100 Enna, Italy.
Maria Agata MusumeciDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95100 Catania, Italy.
Michele GiancaniOrthopaedic and Traumatologic Unit, Umberto I Hospital, Azienda Sanitaria Provinciale di Enna, 94100 Enna, Italy.
Calogero Di NaroFaculty of Medicine and Surgery, Kore University of Enna, 94100 Enna, Italy.
Francesco PegreffiFaculty of Medicine and Surgery, Kore University of Enna, 94100 Enna, Italy.ORCID 0000-0002-6788-6040
Gianluca TestaDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95100 Catania, Italy.ORCID 0000-0001-5246-9714
Marco SapienzaDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95100 Catania, Italy.ORCID 0000-0002-8311-9132
Vito PavoneDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopedics and Traumatology, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95100 Catania, Italy.ORCID 0000-0001-5664-8066

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnterior cruciate ligament (ACL) injuries are common among athletes and significantly impact their knee stability and performance. Surgical reconstruction is the standard treatment. The modified transtibial technique has emerged as a promising surgical approach for optimal graft positioning and complication reduction.

methodsA retrospective study of athletes who underwent primary ACL reconstruction with the modified transtibial technique was conducted. Clinical outcomes were evaluated using the Lysholm and International Knee Documentation Committee (IKDC) subjective scores and objective knee stability assessments. Return-to-sport rates and associated factors were analyzed.

resultsForty-four athletes were included (thirty-seven males, seven females; mean age 21.2 ± 5.0 years). At mean follow-up of 27.0 ± 12.2 months, significant improvements in the Lysholm and IKDC subjective scores were observed. Overall, 88.2% of athletes returned to sports, and 65.9% achieved their pre-injury levels. Return to pre-injury level was defined as regaining the same type, intensity, and frequency of sport participation as before the injury occurred. Professional athletes showed significantly higher return-to-pre-injury-sport rates (79.3%) than recreational athletes (40.0%,

conclusionsACL reconstruction with the modified transtibial technique provides favorable clinical outcomes, high return-to-sport rates, and low failure rates, particularly among professional athletes. Meniscus preservation is crucial for optimizing post-operative recovery. Future research should focus on long-term outcomes and comparative studies with other ACL reconstruction techniques.

Indexed as

anterior cruciate ligamentarthrometerathletesfailureKT-1000return-to-sport

Identifiers

PMID40361834
PMCPMC12071300

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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.