Evidence map›Paper›PMID 40919490›Full record

ArticleJournal of experimental orthopaedics2025

Combined anterior cruciate ligament reconstruction and lateral meniscal root repair yields low failure rates, but inferior subjective outcomes compared to isolated anterior cruciate ligament reconstruction: A comparative study of independent tunnel and anterior cruciate ligament bone tunnel techniques.

Christoffer von Essen, Riccardo Cristiani, Björn Barenius, Anders Stålman

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Christoffer von EssenDepartment of Molecular Medicine and Surgery, Section of Sports Medicine Karolinska Institutet Stockholm Sweden.ORCID https://orcid.org/0000-0001-6871-3267
Riccardo CristianiDepartment of Molecular Medicine and Surgery, Section of Sports Medicine Karolinska Institutet Stockholm Sweden.
Björn BareniusDepartment of Molecular Medicine and Surgery, Section of Sports Medicine Karolinska Institutet Stockholm Sweden.
Anders StålmanDepartment of Molecular Medicine and Surgery, Section of Sports Medicine Karolinska Institutet Stockholm Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To assess the functional and subjective outcomes of combined anterior cruciate ligament reconstruction (ACLR) and lateral meniscal root tear (LMRT) repair. Additionally, to compare the use of an independent tunnel for LMRT repair with the ACL bone tunnel technique and to assess the failure rates of LMRT repair to isolated ACLR. Methods: Patients who underwent primary ACLR and concomitant LMRT repair from May 2017 to May 2022 at Capio Artro Clinic, Stockholm, Sweden, were retrospectively identified and matched 1:3 (age, sex and graft type) with patients who underwent isolated ACLR during the same period. Functional outcomes, including range of motion (ROM), anterior knee laxity and isokinetic strength, were assessed preoperatively and at 6 months, and the knee injury and osteoarthritis outcome score (KOOS) at 2 years. Failure of LMRT repair was defined as the need for reoperation with meniscal resection during the follow-up period. Results: A total of 84 patients were included (mean age 31.1 ± 11.1 years; 61.9% male). LMRT repair failure occurred in 7.1% of cases. No significant differences were observed between tunnel techniques in ROM, laxity, or strength. At 2 years, KOOS scores were significantly lower in the ACLR + LMRT group compared to the isolated ACLR group in pain (86.1 ± 15.2 vs. 91.3 ± 13.3, Conclusion: Combined ACLR and LMRT repair resulted in a 7.1% failure rate. However, the addition of LMRT repair results in lower subjective outcomes compared to isolated ACLR. The use of an independent tibial tunnel for LMRT repair does not confer additional clinical benefit over the shared ACL tunnel technique. Level of Evidence: Level III.

Indexed as

ACL reconstructionfunctional outcomelateral meniscus root tearmeniscal repairmeniscus failure

Identifiers

PMID40919490
PMCPMC12409471

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