Evidence map›Paper›PMID 40503214›Full record

ArticleJournal of orthopaedic translation2025

Chinese expert consensus on failure and revision after anterior cruciate ligament reconstruction.

Tianwu Chen, Yongtao Mao, Lunhao Bai, Xizhuang Bai, Qing Bi, Chen Chen, Liaobin Chen, Shiyi Chen, Wai Sin Chan, Guofeng Dai and 58 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedic translation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Infection Following ACL Reconstruction: From Prevention to Treatment.The archives of bone and joint surgery · 2026
    Review
  2. Article
  3. 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

68 authors.

Tianwu ChenHuashan Hospital Fudan University, Shanghai, China.
Yongtao MaoThe Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.
Lunhao BaiShengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Xizhuang BaiThe People's Hospital of Liaoning Province, Shengyang, Liaoning Province, China.
Qing BiZhejiang Provincial People's Hospital, Hangzhou, Zhejiang Province, China.
Chen ChenShanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Liaobin ChenZhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
Shiyi ChenHuashan Hospital Fudan University, Shanghai, China.
Wai Sin ChanHealth Bureau of Macau SAR Government, Macau, China.
Guofeng DaiQilu Hospital of Shandong University, Jinan, Shandong Province, China.
Xuesong DaiThe Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China.
Lin GuoThe Southwest Hospital of Army Medical University, Chongqing, China.
Yang GuoThe First Affiliated Hospital of Xiamen University, Xiamen, Fujian Province, China.
Yaohua HeShanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Ning HuThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yong HuSichuan Provincial Orthopedic Hospital, Chengdu, Sichuan Province, China.
Jingmin HuangTianjin Hospital, Tianjin University, Tianjin, China.
Xuan HuangChanghai Hospital, Navy Medical University, Shanghai, China.
Xunwu HuangThe Eighth Medical Center of the Chinese People's Liberation Army General Hospital, Beijing, China.
Chang-Ming HuangThe 73 Group Army Hospital, Chenggong Hospital Affiliated to Xiamen University, Xiamen, China.
Xiaoxi JiHuashan Hospital Fudan University, Shanghai, China.
Bin LiShengjing Hospital of China Medical University, Shenyang, Liaoning Province, China.
Hung Maan LeeHualien Tzu Chi Hospital, Hualien, Taiwan, China.
Hongyun LiHuashan Hospital Fudan University, Shanghai, China.
Jian LiWest China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Jin LiNingbo Medical Center LiHuiLi Hospital, Ningbo, Zhejiang Province, China.
Qi LiWest China Hospital, Sichuan University, Chengdu, Sichuan Province, China.
Weiping LiSun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
Kuanxin LiThe First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui Province, China.
Yanlin LiThe First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China.
Ning LiuZhengzhou Orthopedics Hospital, Zhengzhou, Henan Province, China.
Songcen LyuThe Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.
Wei LüThe Second Hospital of Heilongjiang Province, Harbin, Heilongjiang Province, China.
Xiaogang MaTibet Autonomous Region People's Hospital, Lhasa, Tibet Autonomous Region, China.
Kun MiGuangxi International Zhuang Medicine Hospital, Guangxi University of Chinese Medicine, Nanning, Guangxi Zhuang Autonomous Region, China.
Yansong QiInner Mongolia Autonomous Region People's Hospital, Hohhot, Inner Mongolia Autonomous Region, China.
Patrick YungPrince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.
Luning SunJiangsu Province Hospital of Chinese Medicine, Nanjing, Jiangsu Province, China.
Jun TaoThe Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi Province, China.
Hong WangUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Jianquan WangPeking University Third Hospital, Beijing, China.
Kai WangQinghai Provincial People's Hospital, Xining, Qinghai Province, China.
Qing WangJiangsu Province Hospital, The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu Province, China.
Weiming WangXinhua Hospital Affiliated to Dalian University, Dalian, Liaoning Province, China.
Meng WuLanzhou University Second Hospital, Lanzhou, Gansu Province, China.
Yuli WuChangzheng Hospital, Naval Medical University, Shanghai, China.
Yayi XiaLanzhou University Second Hospital, Lanzhou, Gansu Province, China.
Chuan XiangThe Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, China.
Gengyan XingThe Third Medical Center of the General Hospital of the People's Liberation Army, Beijing, China.
Honggang XuThe First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, China.
Wei XuThe Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China.
Weidong XuChanghai Hospital, Navy Medical University, Shanghai, China.
Yongsheng XuInner Mongolia Autonomous Region People's Hospital, Hohhot, Inner Mongolia Autonomous Region, China.
Kun YinThe Second Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, China.
Hongbo YouTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Tengbo YuQingdao Municipal Hospital, University of Health and Rehabilitation Sciences, Qingdao, China.
Jia-Kuo YuBeijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
Hui ZhangBeijing Jishuitan Hospital, Capital Medical University, China.
Keyuan ZhangThe First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uygur Autonomous Region, China.
Lei ZhangWangjing Hospital of China Academy of Chinese Medical Sciences, Beijing, China.
Weiguo ZhangThe First Affiliated Hospital of Dalian Medical University, Dalian, Liaoning Province, China.
Wentao ZhangThe Eighth Affiliated Hospital of Sun Yat-sen University, Shenzhen, Guangdong Province, China.
Xintao ZhangPeking University Shenzhen Hospital, Shenzhen, Guangdong Province, China.
Xinghuo ZhangBeijing Luhe Hospital Affiliated to Capital Medical University, Beijing, China.
Yadong ZhangThe Chinese People's Liberation Army General Hospital, Beijing, China.
Jiapeng ZhengSoutheast Hospital Affiliated to Xiamen University, Zhangzhou, Fujian Province, China.
Jiang ZhengXi'an Honghui Hospital, Xi'an, Shannxi Province, China.
Jingbin ZhouBeijing Chaoyang Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With the recent rise in anterior cruciate ligament (ACL) reconstruction surgeries in China, a corresponding increase in surgical failures has been observed. Variability in primary surgical techniques and the intricacies of failure mechanisms have introduced significant challenges in diagnosing failures, planning procedures, and conducting revision surgeries. Methods: In response to these challenges, the Chinese Association of Orthopaedic Surgeons (CAOS) and the Chinese Society of Sports Medicine (CSSM) initiated the development of an expert consensus on ACL reconstruction failure and revision. Utilizing a modified Delphi method, 67 domestic experts from relevant fields were invited for consensus formulation and review. Results: The expert panel achieved a high degree of consensus on twelve key aspects. The consensus clearly defines ACL reconstruction failure and outlines multiple contributing factors, with surgical errors, especially incorrect bone tunnel placement, identified as primary causes. It also emphasizes the significant impact of patient-specific variables on the likelihood of failure. Recommendations for revision surgeries include careful determination of revision indications, preserving meniscal integrity to reduce the risk of joint degeneration, and a preference for single-stage or two-stage surgeries based on individual patient evaluations. A unified approach for managing bone defects remains absent, necessitating comprehensive assessments. Graft selection should be tailored to each patient, with autografts, allografts, or synthetic ligaments as viable options. For patients with a highly positive pivot shift test or those engaged in high-demand athletic activities, anterolateral structure augmentation or reconstruction is recommended. Conclusion: The consensus emphasizes the critical need for individualized approaches in ACL revision surgery. By clearly defining failure criteria and outlining strategies for surgical revisions, these statements are expected to serve as a guide for refining clinical practice, reducing complications, and improving surgical outcomes. The translational potential of this article: 1)

Indexed as

Anterior cruciate ligament reconstructionExpert consensusFailureRevision

Identifiers

PMID40503214
PMCPMC12152352

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