Evidence map›Paper›PMID 40364804›Full record

ArticleOrthopaedic journal of sports medicine2025

Isokinetic Knee Strength and Patient-Reported Outcomes Differ Between Graft Types in Adolescents After Anterior Cruciate Ligament Reconstruction: A Multicenter Study.

Adam P Weaver, Christopher M Kuenze, Dylan Roman, Nicholas Giampetruzzi, Meredith Link, Alexa Martinez, Kylee Rucinski, Natalie Kupperman, Lucy Phan, Victor V Prati and 29 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

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 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.

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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

39 authors.

Adam P WeaverConnecticut Children's, Farmington, Connecticut, USA.ORCID https://orcid.org/0000-0001-5789-199X
Christopher M KuenzeUniversity of Virginia, Charlottesville, Virginia, USA.ORCID https://orcid.org/0000-0001-9184-4636
Dylan RomanConnecticut Children's, Farmington, Connecticut, USA.
Nicholas GiampetruzziConnecticut Children's, Farmington, Connecticut, USA.
Meredith LinkChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Alexa MartinezNicklaus Children's Hospital, Miami, Florida, USA.
Kylee RucinskiUniversity of Missouri, Columbia, Missouri, USA.
Natalie KuppermanUniversity of Virginia, Charlottesville, Virginia, USA.
Lucy PhanArkansas Children's Hospital, Little Rock, Arkansas, USA.
Victor V PratiArkansas Children's Hospital, Little Rock, Arkansas, USA.
Cody WalkerArkansas Children's Hospital, Little Rock, Arkansas, USA.
Taylor DouthitChildren's Health Andrews Institute, Plano, Texas, USA.
Dhalston CageChildren's Health Andrews Institute, Plano, Texas, USA.
John AbtChildren's Health Andrews Institute, Plano, Texas, USA.
Elliot GreenbergChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Theodore GanleyChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Stephen LaPlanteChildren's Health Andrews Institute, Plano, Texas, USA.
Lee PaceChildren's Health Andrews Institute, Plano, Texas, USA.
Brooke FarmerCreighton University, Omaha, Nebraska, USA.
Terry L GrindstaffCreighton University, Omaha, Nebraska, USA.
Lauren ButlerFlorida International University, Miami, Florida, USA; Nicklaus Children's Hospital, Miami, Florida, USA.
Edward ChangInova Health System, Falls Church, Virginia, USA.
Rachel CherelsteinInova Health System, Falls Church, Virginia, USA.
Corey D GrozierMichigan State University, East Lansing, Michigan, USA.
Matthew HarkeyMichigan State University, East Lansing, Michigan, USA.
Arjun ParmarMichigan State University, East Lansing, Michigan, USA.
Jacob LandersScottish Rite for Children, Dallas, Texas, USA.
Sophia UlmanScottish Rite for Children, Dallas, Texas, USA.
Chelsea HarrisonUniversity of Missouri, Columbia, Missouri, USA.
Steven DeFrodaUniversity of Missouri, Columbia, Missouri, USA.
Richard MaUniversity of Missouri, Columbia, Missouri, USA.
Elaine ReicheUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Caitlin BrinkmanUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Tom BirchmeierUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Shelby BaezUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Joseph M HartUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Michelle WalaszekUniversity of Virginia, Charlottesville, Virginia, USA.
Kevin CrossUniversity of Virginia, Charlottesville, Virginia, USA.
Xavier ThompsonLouisiana State University, Baton Rouge, Louisiana, USA.ORCID https://orcid.org/0000-0003-3228-3706

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Graft selection can influence strength and patient-reported outcomes (PROs) in adults undergoing anterior cruciate ligament reconstruction (ACLR). Yet, there is a lack of high-quality evidence comparing these results in adolescents. Purpose/Hypothesis: The purpose of this study was to determine differences in quadriceps and hamstring strength and PROs between adolescents with bone-patellar tendon-bone (BPTB), quadriceps tendon (QT), and hamstring tendon (HT) autografts. It was hypothesized that patients with QT and BPTB grafts would have greater impairments in knee extension, patients with HT grafts would have greater impairments in knee flexion, but PROs would be similar between graft types. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 522 adolescents (mean age, 16.8 ± 1.8 years; 55% female) completed isokinetic knee strength testing at 60 deg/s, the International Knee Documentation Committee (IKDC) subjective knee form, the pediatric IKDC (Pedi-IKDC) subjective knee form, the Knee injury and Osteoarthritis Outcome Score (KOOS), and the Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) scale at 7.8 ± 1.5 months after ACLR. Weight-normalized strength was compared via linear mixed-effects models, and PROs were compared between graft types with the Kruskal-Wallis test. Results: After controlling for age, sex, time since surgery, and assessment site, patients with BPTB grafts had 10.8% less quadriceps strength in the ACLR limb ( Conclusion: At 6 to 12 months after ACLR, patients with QT or BPTB grafts had worse normalized quadriceps strength but greater hamstring strength than patients with HT grafts. PROs were mixed, with no differences seen in ACL-RSI scores, but patients with HT grafts displayed greater self-reported function and a greater ability to participate in sport.

Indexed as

anterior cruciate ligamentfunctional testingmuscle strengthreturn to play

Identifiers

PMID40364804
PMCPMC12069951

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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.